89 jobs found in Kentucky

Optum, a leading healthcare organization, is looking for a full-time Medical Coder. This remote position involves providing coding and auditing services critical to the health system. Responsibilities include assigning accurate diagnostic codes, managing workloads effectively, and ensuring coding compliance. Candidates should have a High School Diploma, professional coding certification, and relevant experience with coding systems. Compensation ranges from $20.00 to $36.00 per hour based on experience and market factors. #J-18808-Ljbffr

Medical Coder 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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....

Parallon is seeking a Profee Coder to review and code clinical notes and operative reports for at least one specialty. You will provide feedback to physicians and practice management, and collaborate with the denial management team to resolve coding-related issues. The role emphasizes maintaining up-to-date knowledge of coding guidelines and federal regulations while coordinating with the A/R team and ensuring accurate charge capture. #J-18808-Ljbffr

Bowling Green, KY Vendor Compliance Auditor JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES: None ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations #CB

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.

Allied Health Professional Duties of the position will vary dependent on grade for which selected, but may include: Selecting and assigning codes from the current versions of the International Classification of Diseases (ICD), Clinical Modification (CM), and Procedure Coding System (PCS) for inpatient facility MS-DRG coding, Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS) for inpatient professional coding. Learn to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions, and policy Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder to develop knowledge of the organization and structure of an electronic patient record Coding and documentation questions from providers are referred to a senior coder or supervisor for resolution or guidance...

The University of Kentucky is seeking a Staff Auditor to join the Internal Audit team, supporting healthcare-focused audit activities across UK HealthCare and affiliated community healthcare operations. This role evaluates financial, operational, and compliance processes while helping leadership identify risks, strengthen controls, and improve organizational effectiveness across multiple locations. You will interview stakeholders, review documents, analyze data, and contribute to audit planning #J-18808-Ljbffr

A healthcare provider in Kentucky is seeking an Accounts Receivable Customer Service Specialist in Louisville. This role involves handling inquiries from patients and insurance companies about hospital accounts, resolving issues, and providing account statements. Successful candidates will demonstrate excellent communication skills and a commitment to customer service in a fast-paced healthcare environment. #J-18808-Ljbffr

Trilogy Health Services Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Six months of training, orientation and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. Responsibilities Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. Qualifications The Medicare Part B Billing & Accred. Specialist serves as a subject...

Coder I The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and Prospective Payment System and Medical Necessity guidelines for ethical and optimal reimbursement. Competent to accurately code and abstract all 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner....

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.

Louisville, KY, United States of America The Coder reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. This role is responsible for coding, charge entry, Accounts Receivable (A/R) follow-up and reimbursement management. This position also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Essential Duties and Responsibilities Assigns and sequences codes to diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the provider are valid and complete. Pulls all necessary information from health records to identify secondary complications and co-morbid conditions Abstracts all necessary information and assigns codes, which most accurately describe each documented diagnoses, procedure and special therapy according to established guidelines Determines the final...

Job Description Job Description Benefits: Flexible schedule Opportunity for advancement Wellness resources   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.  Responsibilities  Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures Enter all billing and payment information...

Shawnee-Christian-Healthcare is seeking a Coder to review, code, and manage reimbursement processes for Medicare, Medicaid, and private payers in Louisville, KY. The role covers coding, charge entry, A/R follow-up, and compliance with coding guidelines and payer policies. Two years of medical coding experience are required; CPC certification is preferred. Excellent communication, organization, and proficiency with MS Office are essential to succeed in this office-based role with occasional #J-18808-Ljbffr

Job Description Job Description Medical Billing & Coding Specialist Position Summary The Medical Billing & Coding Specialist is responsible for managing insurance billing, claims processing, coding accuracy, and collection activities. This role ensures timely reimbursement, maintains compliance with coding guidelines, identifies documentation gaps, and works collaboratively with clinical and administrative teams to support accurate billing practices. This is an on-site position and is not remote. Education, Experience, and Certification Requirements High school diploma, GED, or equivalent required. Associate degree, bachelor’s degree, or relevant experience in medical records, healthcare administration, billing, or claims processing preferred. Experience with Kentucky Medicaid, medical billing, coding, insurance claims, or revenue cycle management preferred. Certification preferred: Certified Coding Associate (CCA) through AHIMA Certified Coding Specialist...

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,...

A leading health data platform provider is seeking experienced inpatient coders to join their team. This fully remote role offers a flexible schedule, enabling you to contribute significantly to healthcare decision-making. Candidates should have at least 3 years of coding experience and relevant certifications. Responsibilities include assigning and auditing medical codes, ensuring documentation accuracy, and championing improvement in coding practices. The position offers competitive benefits and the opportunity for professional development. #J-18808-Ljbffr

Experience Required 5 - 20 years Minimum Education Required Bachelor's Degree Compensation $7.25 / hourly Hours Per Week 40 Number Of Positions 1 Work Schedule and Shift Requirements First (Day) Job Description Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. As part of the Complex Payment Solutions Team, the Audit Policy Analyst applies subject matter expertise across government and commercial healthcare...

Our Company Abode Care Partners Overview Our Billing Associate (Medical Biller) will be responsible for assisting our Revenue Cycle Team in medical billing functions from both your remote home office and our Louisville, KY Corporate Office. Responsibilities * Responsible for monthly Medicaid, Medicare Part B, and other insurance billings along with timely follow-up with intermediaries and commercial insurance carriers on delinquent payments * Obtains and submits all required documentation to bill third party payers as per program/company guidelines * Inputs any ancillary and charge data into the billing system and/or Excel spreadsheets timely and accurately * Works with or support Revenue Cycle Team in planning all aspects of Business & Billing Office functions to include interfacing with all other disciplines and departments * May assist the Revenue Cycle Team in monitoring day-to-day operation of the Business & Billing Office and to establish priorities,...

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...