24 jobs found in Kentucky

Job Description Job Description Bluegrass Orthopaedics is hiring a full-time Certified Medical Coder in Lexington, KY. Under the direction of the Business Services Director & Coding Supervisor, performs various duties to accurately interpret and bill physician charges for physician services. Enters appropriate CPT and ICD-10 codes into EMR/billing system; bills charges. This position will report to the Coding Supervisor. As a representative of Bluegrass Orthopaedics, all comments, attitudes, actions, and behaviors directly impact the company’s image and the perception of quality service. Interaction with patients, families, physicians, referral services, visitors, volunteers, coworkers, supervisors, and vendors must be conducted in a friendly, supportive, courteous, respectful, cooperative, and professional manner. This behavior fosters an atmosphere of teamwork aligned with company standards and guidelines, promoting positive relationships and excellent patient care....

The incumbent performs highly technical and specialized functions. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Minimum Education Completion of high school, or equivalent. Minimum Work Experience Completion of high school, or equivalent. Two years of coding experience using ICD-10-CM or equivalency. Screening Requirements: Drug Screen Tuberculosis Test Background Check Physical Exam Eligible...

Skills & Requirements Well-versed in Medical terminology, CPT, HCPCS, and ICD-10-CM coding. Knowledge of Medicare, Medicaid, and third-party billing practices. Comfortable working across a wide variety of technology platforms, including web-based portals and applications, and computer software applications. Ability to communicate in a clear, professional, and timely manner with all team members. Comfortable working directly with clinics to request outstanding documents/medical records Working knowledge of Microsoft applications Word®, Excel®, etc. Excellent telephone etiquette and verbal and written communication. Detail-oriented with good problem-solving skills. Ability to follow through to completion on all assignments. Billing daily tasks include, but are not limited to, the following: Reviews lab encounters for valid /ICD-10 diagnosis codes needed for billing Through a variety of methods, gathers billing information, analyzes information for accuracy, ensuring services and...

At Scion. Health, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and questio Medical, Coder, Remote, International, Office Manager, Healthcare, Records

Job Type Full-time Description General Job Summary: Responsible for performing billing and collections. **Option to work from home after training period is complete. Essential Job Functions: Responsible for entering all registration and benefit/eligibility verification of procedures for all accounts. Review all accounts payables within designated financial class for insurance follow up. Attach all documentation to claims for payments. Post all insurance and patient payments into practice management system. Assists patient with billing questions on accounts. Research and correct all denials received. Document all correspondence with patient, insurance carriers, and vendors. Review credit balance accounts. Compliance with HIPAA guidelines. Demonstrated passion for excellence with respect to treating and caring for customers in-person and over the phone. Performs other duties that may be necessary or in the best interest of the practice. Requirements...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. **What We're Looking For** We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

Job Description Job Description HIMS Coder Career Opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If you're eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means...

Job Description Job Description The incumbent performs highly technical and specialized functions. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Minimum Education Completion of high school, or equivalent. Minimum Work Experience Completion of high school, or equivalent. Two years of coding experience using ICD-10-CM or equivalency. CCS, CCS-P or CPC certification is required Screening Requirements: Drug...

Job Description Job Description Position Overview We are looking for a detail-oriented and experienced Patient Account Representative II to join our team. If you have a strong understanding of Revenue Cycle Management processes, especially in handling denials and appeals, we would love to hear from you. Key Responsibilities Analyze denials and determine the best course of action for appeal or resubmission. Prepare and submit accurate and compliant appeals for denied claims. Collaborate with billing, coding, and clinical staff to gather necessary information for appeals and resolve denial issues efficiently. Maintain detailed records of denial cases, including appeals filed and communications with insurance representatives. Monitor the status of appealed claims and follow up with insurance representatives to expedite resolution. Generate and analyze reports on denial trends, identify root causes, and recommend process improvements. Qualifications Required Education, Licensure,...

Job Description JSMC HIM Outpatient Coder JOB SUMMARY Responsible for the coding of diagnoses and procedures on SDS, OBS and OB Triage outpatient medical records. Initiating physician queries as appropriate to obtain clarifying or more specific documentation. Ability to accurately assign ICD-10-CM/PCS and CPT-4 codes to complex outpatient encounters such as observation, outpatient surgery and obstetrics. FUNCTIONAL DEMANDS Reports to: Coding Manager and/or HIM Director Inclement Weather: Non-essential JOB REQUIREMENTS Minimum Education High School graduate or GED equivalent. CCS or CPC required. Associates in Health Information Management (or similar program) from an accredited program preferred. Minimum Work Experience Medical terminology and anatomy and physiology required. Minimum of two (2) years' experience in outpatient care hospital based ICD-10-CM and CPT-4 coding required. Working knowledge of AHA Coding Clinics and Local Coverage Determination...

Codes and abstracts medical records for the purpose of reimbursement, research, and compliance with federal and state regulations and accrediting agencies. Using ICD-10-CM and CPT-4 classification systems, assigns Diagnosis Related Groups (DRG) for a Coder, Records, Coding Specialist, Healthcare, Medical

Job DescriptionJOB SUMMARYThe Inpatient, Outpatient/ER, or Clinic Coder codes all hospital and clinic discharged records of Medicare, Champus, Medicaid, Commercial Insurance and self pay patients for reimbursement and research in compliance with federal regulations, using ICD-9-CM, ICD-10-CM, ICD-10-PCS, and CPT-4/HCPCS classifications.Job RequirementsJOB REQUIREMENTSMinimum EducationMust possess a high school diploma or equivalent.Minimum Work ExperienceTwo years previous coding experience preferred and/or credentialing as an RHIT, RHIA, CCS, CPC, or CPC-H.Must have knowledge of ICD-9-CM, ICD-10-CM, CPT-4/HCPS, CPT-4/HCPCS coding guidelines, medical terminology, anatomy, physiology and excellent computer skills.FUNCTIONAL DEMANDSPhysical RequirementsSitting - =>32%Walking - 1-15%Standing - 1-15%Bending/Squatting - 1-15%Climbing/Kneeling - 1-15%Twisting - 1-15%Visual and Hearing RequirementsMust be able to see with corrective eye wear if needed.Must be able to hear clearly with...

The Inpatient, Outpatient/ ER, or Clinic Coder codes all hospital and clinic discharged records of Medicare, Champus, Medicaid, Commercial Insurance and self pay patients for reimbursement and research in compliance with federal regulations, using IC Coder, Medical, Healthcare, Records, Patient

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

Job DescriptionWorks daily electronic billing file and submits insurance claims to third party payers.Reviews, evaluates, and forwards manual patient account statements to payers that do not accept electronic claims or that require special handling such as client billing.Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to department leaders.Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits/and or record reviews.Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process.Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.Monitors claim rejections for trends and issues; reports these findings to supervisor or director.Practices excellent customer service skills by answering patient and third party...

Job DescriptionResponsible for the coding of diagnoses and procedures on ER medical records.FUNCTIONAL DEMANDSReports to:Coding Manager and/or HIM DirectorInclement Weather:Non-essentialOrganizational Expectations•Provides a positive and professional representation of the organization.•Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention.•Maintains hospital standards for a clean and quiet patient environment to maintain a positive patient care experience.•Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.•Adheres to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.•Participates in ongoing quality improvement activities.•Maintains compliance with organization's policies, as well as established practices, protocols, and procedures of the position,...

Job DescriptionResponsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs.Required SkillsCustomer Services:Answering and referring inquiries within scope of business services.Telephone: Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner.Maintains communication between medical providers, administrative staff, and/or patient/families.Business Services:Performs account audits of patient billing and medical records of providersAssigns ICD-10, CPT, and HCPCS codes based on provider documentation.Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.Scans and uploads patient clinical documents into medical chart.Ensures all provider services are accounted for and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. As a part of our continued...

The incumbent performs highly technical and specialized functions. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.Minimum EducationCompletion of high school, or equivalent.Minimum Work ExperienceCompletion of high school, or equivalent. Two years of coding experience using ICD-10-CM or equivalency. CCS, CCS-P or CPC certification is requiredScreening Requirements: Drug ScreenTuberculosis TestBackground CheckPhysical...

Job Description: We are seeking a detail-oriented and knowledgeable FQHC Billing Certified Professional Coder to join our team. The ideal candidate will be responsible for accurately coding and billing for services provided in a Federally Qualified Health Center (FQHC) setting. This role requires a strong understanding of medical coding guidelines, billing processes, and compliance regulations. Key Responsibilities: - Review and analyze medical records to ensure accurate coding of diagnoses and procedures. - Assign appropriate codes using ICD-10, CPT, and HCPCS coding systems. - Ensure compliance with federal and state regulations related to billing and coding practices. - Collaborate with healthcare providers to clarify documentation and coding requirements. - Prepare and submit claims to insurance companies and government payers. - Monitor and resolve billing discrepancies and denials. - Stay updated on changes in coding regulations and billing practices....