96 jobs found in Kentucky

Description General Job Summary: Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email,...

OrthoCincy is seeking a detail-oriented Medical Billing/Coding Specialist to join our orthopaedic care team. You will handle data entry and coding for charges across multiple specialties in a patient-centered environment. Required certifications (CPC-A or CPC; or AHIMA CCA/CCS) and a high school diploma are necessary, with an Associates degree preferred. Travel and overtime may be required. #J-18808-Ljbffr

Description General Job Summary: Contributes in the delivery of excellent orthopaedic care in a patient centered environment by completing data entry and coding for all premier orthopaedic care provided within the multi-specialty practice. Essential Job Functions: 1. Establishes and maintains effective working relationships with coworkers, managers and providers. 2. Collects, reviews, codes, and data entry of all charges for a multi-specialty practice. 3. Responsible for quality control of all billable charges according to the coding compliance plan. 4. Maintains current records of hospital admissions, surgeries, discharges, and consultations as necessary. 5. Maintains required billing records, reports, files, etc. 6. Responsible for educating providers regarding charges. 7. Responsible for contributing to claims corrections and appeals. 8. Provides accurate coding information to all pertinent departments. 9. Maintains doctor’s standards according to coding compliance....

What we offer Excellent health benefits plan, which includes medical, vision and dental options 401(k) with company match Company profit sharing plan Generous paid time-off and paid holidays Paid parental leave 2 free on-site fitness rooms Employee Assistance Program Employee Resource Groups Personal and professional development program Job Summary The Jr. Franchise Compliance Auditor II will manage and optimize our audit activities. They will conduct and oversee company franchise audits from planning through to completion. Tasks will include planning the audit process, research, reviewing current processes, and providing recommendations to enhance company policies and provide training to Franchise owners in the royalty reporting process. The Jr. Franchise Compliance Auditor II will assist in developing skills, provide training and support for the audit staff and Franchisee. You will Guide and assist franchise audit staff within the audit process Training new auditors in the audit...

What we offer Excellent health benefits plan, which includes medical, vision and dental options 401(k) with company match Company profit sharing plan Generous paid time-off and paid holidays Paid parental leave 2 free on-site fitness rooms Employee Assistance Program Employee Resource Groups Personal and professional development program Job Summary The Junior Franchise Compliance Auditor I performs audits of franchise owners from start to finish, from selection of Franchises audited to issuance of audit reports and collection of audit findings. In addition to performing audits of franchises, this position is responsible for reviewing other businesses owned by SERVPRO® franchise owners and personal accounts of SERVPRO® owners. The audits are performed primarily in order to determine if franchises are properly reporting and paying royalties. Auditors will provide recommendations to franchises regarding office procedures and bookkeeping. You will Review of Franchises to select and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Commonwealth of Kentucky offers an Auditor position within the Administrative Office of the Courts (AOC). The role requires a Bachelor’s degree and may involve statewide travel across Kentucky. Salary ranges from $39,969.36 to $53,199.36 annually and includes state government benefits. Location is Cynthiana, KY, with a 37.5 hour work week and a JUDICIAL BRANCH | ADMINISTRATIVE OFFICE OF THE COURTS employment setting. This is a non-merit vacancy within the Court of Justice system. #J-18808-Ljbffr

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Aditi Consulting is seeking a compliance-focused professional to help assure adherence to SOPs, cGMP, and CFR guidance in the manufacturing of solid oral dosage pharmaceuticals. The role emphasizes accuracy, documentation integrity, and cross-functional collaboration. Responsibilities include reviewing SOP revisions, conducting real-time batch record audits, performing environmental monitoring, and supporting CAPA-driven site improvements. #J-18808-Ljbffr

Medical Record Technicians (MRTs) (Coder) MRTs are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. MRTs apply knowledge of medical record content, terminology, anatomy, diseases processes, and official coding guidelines to assign codes to the most basic and routine inpatient facility and/or professional services.

What we offer Excellent health benefits plan, which includes medical, vision and dental options 401(k) with company match Company profit sharing plan Generous paid time-off and paid holidays Paid parental leave 2 free on-site fitness rooms Employee Assistance Program Employee Resource Groups Personal and professional development program Job Summary The Jr. Franchise Compliance Auditor II will manage and optimize our audit activities. They will conduct and oversee company franchise audits from planning through to completion. Tasks will include planning the audit process, research, reviewing current processes, and providing recommendations to enhance company policies and provide training to Franchise owners in the royalty reporting process. The Jr. Franchise Compliance Auditor II will assist in developing skills, provide training and support for the audit staff and Franchisee. You will Guide and assist franchise audit staff within the audit process Training new auditors in the audit...

Medical Records Coder, LTAC, Part-time (Remote)Louisville, Kentucky Facility ScionHealth Corporate Support CenterReq ID 545469 Post Date 08 / 05 / 2025 Category Medical CodingDescriptionAt ScionHealth , 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 question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryCodes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated systemEssential FunctionUsing the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelinesEnsures...

ResponsibilitiesEvaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorporated into training education programs.This position offers a fully remote work opportunity.Employees in this role must reside in one of the following states to be considered for fully remote positions :Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina or Louisiana.QualificationsRequired :One year coding in healthcare settingOne of :CCA or CCS or CPCDesired :DiplomaCertified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder.

What we offer Excellent health benefits plan, which includes medical, vision and dental options 401(k) with company match Company profit sharing plan Generous paid time-off and paid holidays Paid parental leave 2 free on-site fitness rooms Employee Assistance Program Employee Resource Groups Personal and professional development program Job Summary The Junior Franchise Compliance Auditor I performs audits of franchise owners from start to finish, from selection of Franchises audited to issuance of audit reports and collection of audit findings. In addition to performing audits of franchises, this position is responsible for reviewing other businesses owned by SERVPRO® franchise owners and personal accounts of SERVPRO® owners. The audits are performed primarily in order to determine if franchises are properly reporting and paying royalties. Auditors will provide recommendations to franchises regarding office procedures and bookkeeping....

Medical Billing Specialist As a medical billing specialist, you will be responsible for processing and managing medical claims and invoices for healthcare services provided to patients. Your primary objective will be to ensure accurate billing, timely submission of claims, and efficient reimbursement from insurance companies or patients. You will work closely with healthcare providers, insurance companies, and patients to resolve billing issues and discrepancies. This is a temporary position.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Certified coder who has experience coding for Emergency Department claims at the facility level for a...

RELI Group, Inc. is seeking a Senior Medical Coder to support Medicare Part C Risk Adjustment Data Validation initiatives in Woodlawn, Maryland. The role requires strong experience in ICD-9/ICD-10 coding across various care settings. Responsibilities include performing diagnosis coding, conducting intake reviews, and supporting appeal responses. The ideal candidate will have at least five years of coding experience and necessary certifications. RELI Group offers a competitive salary range of $60,000 to $80,000 along with additional employee benefits. #J-18808-Ljbffr

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD‑9‑CM/ICD‑10‑CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...