Post job

Medical coder jobs in Kentucky - 72 jobs

  • Senior Coder - Outpatient

    Highmark Health 4.5company rating

    Medical coder job in Frankfort, KY

    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. (60%) + 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 and implementing these updates in daily work.(5%) + Acts as a mentor and subject matter expert to others. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School/GED + 5 years of Hospital and/or Physician Coding + 1 year of Coding - all specialties and service lines + Extensive knowledge in Trauma/Teaching/Observation guidelines + Successful completion of coding courses in anatomy, physiology and medical terminology + Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270102
    $23-35.7 hourly 39d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Specialist Clinical Coding II

    Saint Elizabeth Medical Center 3.8company rating

    Medical coder job in Kentucky

    Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 40 💙 Why You'll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you - personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: This position processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical database. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Reviews inpatient or observation, same day surgery, and interventional procedure records or emergency department or complex ancillary records. Identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence so that the accurate DRG/APC will be assigned according to Official Coding Guidelines to provide information for billing purposes. Meets department coding standards for quality and productivity of 96%. (New staff are expected to meet these standards upon completion of the training period). Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits updates accordingly. Attends educational programs and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: Associate or Bachelor's degree (or equivalent hospital based coding experience) CCS, CIC or COC, credentials Physician coding credentials of CCS-P and CPC are not preferred but recognized for coding other than inpatient. An apprentice credential is not sufficient Specialized Knowledge: Medical Terminology, Anatomy and Physiology ICD/CPT experience Prospective Payment Systems, Outpatient Medical Necessity. Use of personal computer Kind and Length of Experience: Two to Four years hospital coding experience FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
    $39k-49k yearly est. Auto-Apply 39d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Frankfort, KY

    **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: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 49d ago
  • Coder Outpatient Surgery

    BHS 4.3company rating

    Medical coder job in Kentucky

    Baptist Health is looking for a Coder Outpatient Surgery to join their team! This is a remote position that requires residency in KY or IN Function in a fully accountable role with respect to ensuring the overall quality of outpatient surgery and observation coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Essential Duties: Ensures that accurate and complete coding is performed on outpatient surgery and observation encounters to be used for all reporting agencies and for measuring and reporting of physician and hospital outcomes. Utilizes and is proficient with ICD 10-CM and CPT coding. Maintains knowledge of up-to-date coding guidelines as well as knowledge of changes as they relate to AHA Coding Clinic and CPT Assistant. Maintains knowledge to anatomy and physiology, medical terminology, and medical procedures. Maintain extensive, up-to-date knowledge of Local and National Coverage Determinations and other CMS transmittals as related to outpatient surgery and observation coding. Maintains proficiency with the electronic health record, coding software and all other coding and documentation systems required to accurately code and abstract a claim while producing a clean claim. Reviews the medical record at the time of coding to evaluate whether existing documentation supports diagnosis and procedure code assignment or whether additional clarification is needed through defined and compliant process for provider queries. Performs coding and abstracts all required data fields according to the standardized policies and procedures determined by management team. Ensures all ADT information is accurate on all outpatient encounters. Maintains quality and quantity standard of work performed as set by system management team. Reviews all coding edits and track errors as requested for contract coders Qualifications: High School/GED with 2 years job related experience RHIT, RHIA, CCS, CPC, or COC required Work Experience Relevant Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.
    $28k-40k yearly est. Auto-Apply 2d ago
  • Certified Coder ER

    Healthcare Support Staffing

    Medical coder job in Louisville, KY

    Why You Should Work For Us: 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 short project with fast approaching deadlines. Qualifications Certified Coder with ER coding experience CPC or CCP 2 years of experience in a hospital or healthcare background Additional Information Hours for this Position: Monday-Friday Day Shift Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Additional Information: Interested in being considered? If you are interested in applying to this position, please contact Courtney Phelps at cphelps@healthcaresupport and click the Green I'm Interested Button to email your resume.
    $34k-48k yearly est. 1d ago
  • Inpatient Medical Coding Auditor

    Humana 4.8company rating

    Medical coder job in Frankfort, KY

    **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Inpatient Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments upon appeal. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Use your skills to make an impact** **WORK STYLE:** Remote, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week-- some flexibility might be possible, once training is complete and depending on business needs. Associates are expected to start each workday between 6AM-9AM EST, regardless of their home time zone. **Required Qualifications** + RHIA, RHIT, or CCS Certification + At least 2 years' experience in acute in-patient coding experience and/or MS-DRG auditing + Recent experience auditing using CMS Manual, LCD, NCD, and Coding Guidelines + Experience reading and interpreting claims + Excellent written and verbal communication skills + Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel + Strong attention to detail + Can work independently and determine appropriate course of action + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Associate's Degree or higher in Health Information Management (HIM) + Experience in Financial Recovery + Experience in a fast paced, metric driven operational setting + Experience in APR DRG coding/auditing **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-22-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $71.1k-97.8k yearly 18d ago
  • Coder I (on-site 2-3 days)

    Cottonwood Springs

    Medical coder job in Somerset, KY

    Lake Cumberland Regional Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state-of-the-art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services. Where We Are: The City of Somerset blends southern hospitality with abundant recreational opportunities including a 65,000-acre lake with 1,200 miles of shoreline. Somerset is host to nationally recognized, high quality performing and visual arts, concerts and other special events to the community. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits Competitive Paid Time Off / Extended Illness Bank package for full-time employees Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Professional Development and Growth Opportunities And much more… Position Summary: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. FLSA: Non-exempt Education: High School diploma or equivalent, Required Graduate of a program in discipline, Required License: Certified Coder Certifications: Required Skills: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Essential Functions: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation. Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature. EEOC Statement Lake Cumberland Regional Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
    $34k-47k yearly est. Auto-Apply 12d ago
  • Inpatient DRG Medical Coder

    Sutherland 4.3company rating

    Medical coder job in Louisville, KY

    Delivering Digital Outcomes. Driving Real Impact. Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers. Job Description In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding Be familiar with proper reference materials, standards and guidelines for coding Experience using various EMRs and encoders; or ability to learn quickly Confidentiality requirements Additional Information All your information will be kept confidential according to EEO guidelines. EEOC and Veteran Documentation During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
    $27k-33k yearly est. 60d+ ago
  • Billing and Coding Support

    Grace Health 4.0company rating

    Medical coder job in Kentucky

    This position is responsible for reviewing provider charges and insurance, making corrections as needed, adding modifiers, and processing provider charges from the Holding Tank, tasking providers with clarifying questions or notification of un-submitted charges, manual entry of hospital and nursing home charges, and providing support to the billing company as needed with A/R follow-up. ESSENTIAL DUTIES AND RESPONSIBILITIES: Understand functions within the Practice Management system of Nextgen including batch posting, holding tank, charge screen, and work log. Collect hospital charges from Women's Care providers on a routine basis in addition to reviewing weekly hospital surgery schedules and daily census in order to ensure timely submission of charges. Download all pertinent information including Patient H&P, Face Sheet, and Discharge info from the hospital's EMR system, review documentation and using most recent Coding Books assign CPT codes, ICD-10 codes, and modifiers. Enter charges into Nextgen system when the required documentation is available and the patient has been discharged. Utilize provider as a resource for any questions. Maintain monthly lists of NSTs, Surgeries, and Deliveries Coordinate signed consents for Tubal and Hysterectomies with surgery scheduling staff at Women's Care office. Reconcile hospital charges monthly; f/u as required. Follow Up on encounters related to Hospital Services placed in the Work Log. Collect Nursing Home and Home Visit charges from the Providers; f/u with Providers when the template has not been completed for billing. Look up the ICD-10 diagnosis, manually enter charges in Nextgen, check insurance eligibility and pull over correct insurance(s); process charges, ensure claim has dropped with the correct Revenue Code and MC G Pmt. code; follow up on NH or Home Visit encounters in the Work Log. Review and Process Dental Charges from the Holding Tank; ensure Dental Hygienist Visits are auto adjusted. Work with each Dentist office to reconcile invoices and then send to the Dir. of Finance for processing. Regularly work the Denial Report and alert leadership of Credentialing, KY Wrap, Timeliness or any other trends that need addressed. Follow up on Dental encounters sent in the Work Log. Review and Process Medical, Behavioral Health, and Telehealth charges from the Holding Tank. Review Insurance, Location, and Provider related information. Review ICD-10 and CPT codes. Add appropriate modifiers, global codes, zero out charges as indicated in Standard Operating Procedure, change Place of Service when needed, and process Sliding Fee out of the charge screen and calculate and calculate/apply Prompt Pay Discounts. Hold processing as needed such as when to perform this job successfully, an individual must be able to assist in advancing Grace Health's mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS: Pleasant personality and professional demeanor Cooperative attitude-Flexible Detail Oriented Effective written and oral communication skills Highly organized work habits with ability to prioritize Intermediate computer skills with Microsoft Word and Excel Familiar with Electronic Medical Record EDUCATION and/or EXPERIENCE: Must have completed high school. Medical Office experiences a plus. Must have a minimum of 2 years medical office billing experience. WORK ENVIRONMENT: Grace Health is a faith-based, federally qualified community health center (FQHC). We provide primary health services to underserved, underinsured, and uninsured individuals in the southeastern Kentucky region. Our mission is “to show the love and share the truth of Jesus Christ to southeastern Kentucky, thorough access to compassionate, high quality, primary health care for the whole person” regardless of ability to pay. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Credentialing hasn't been completed or ancillary charges have been submitted but E/M or Preventive CPT have not. Task providers when questions arise during claim processing. Work Log follow up for claim prod errors, medical records and authorization requests, coding errors, credentialing issues etc. Trends should be identified and shared with appropriate leadership so pertinent information can be shared or changes can be made to reduce future denials. Process Un-Applied Credits. Verify Patient Credits and collaborate with Accounts Payable to process. Appropriate referral/coordination with staff who can make adjustments. Help answer Customer billing questions as needed and refer questions to Leadership. OTHER ESSENTIAL DUTIES and RESPONSIBILITIES: Grace Health recognizes that managing patient care is a team effort that involves clinical and non-clinical staff. All employees must embrace a team-based approach to patient care and understand that each role is important to our success. Team members must demonstrate excellent team communication and coordination to provide quality patient care. Care coordination includes communicating with community organizations, health plans, facilities, and specialists. Care team members understand and embrace the concept of population management and proactively address the needs of patients and families served by this practice. Team members must demonstrate skill and knowledge related to effective communication with vulnerable patient populations. Team members must participate in Continuous Quality Improvement activities within the organization to ensure patients receive high quality care. All team members will be involved in the process of improving quality incomes. Team members will participate in the review and evaluation processes of practice performance and help to identify opportunities for improvement. Team members will participate in Grace Health's advocacy program. GENERAL DUTIES: Follows policies and procedures of the office, including administrative, clinical, quality assurance, and personnel Maintain good attendance (daily, meetings, and other assignment tasks) Maintain timely documentation of all work assignments Maintain patient confidentiality Routinely keep supervisor informed about attendance and job assignments Flexible in being able to multitask Work effectively and at an efficient pace Work cooperatively with physicians, administration, and peers QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to assist in advancing Grace Health's mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS: Pleasant personality and professional demeanor Cooperative attitude-Flexible Detail Oriented Effective written and oral communication skills Highly organized work habits with ability to prioritize Intermediate computer skills with Microsoft Word and Excel Familiar with Electronic Medical Record EDUCATION and/or EXPERIENCE: Must have completed high school. Medical Office experiences a plus. BENEFITS: Safe harbor 401(k) with match potential Paid time off Family friendly work environment Health insurance Wellness program Health savings account Pharmacy benefit Employee visits for medical services Dental insurance Vision insurance Life Insurance STD/LTD EAP & Work life services Voluntary benefits Grace Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $29k-38k yearly est. Auto-Apply 60d+ ago
  • Medical Records Specialist

    Caldwell County Hospital 3.8company rating

    Medical coder job in Princeton, KY

    JOB TITLE: Medical Record Specialist DEPARTMENT: HIM REPORTS TO: Medical Records Supervisor Is accountable for the delivery of consistently high quality effective and efficient entry of information into the computer system. Functions under the supervision of Medical Records Supervisor. Ensures appropriate organizational practices are in use. Promotes good public relations through contacts with patients, practitioners, visitors, employees, peers and the public at large. Maintains confidentiality of patient information. POSITION ACCOUNTABILITIES ESSENTIAL FUNCTIONS: Collects emergency room, inpatient, outpatient, and swing bed records from their respective departments on a daily basis. Assembles outpatient, emergency room, inpatient & swing bed records according to specific guidelines making sure appropriate test results are incorporated into the medical file. Scans all outpatient, emergency room, inpatient and swing bed once sorted and assembled. Ability to read and comprehend a large variety of memos, insurance requests, business letters, physician orders, nursing notations, diagnostic department reports and other information contained in patient's records. Answers the telephone and performs necessary tasks. Routes & retrieves records needing signatures to clinic areas, the ER, and surgical departments. Maintains a log of medical records requests to ensure timely completion, and ensures that all requests are processed within 30 days of receipt. Utilizes the EMR Software program to locate patient information on the financial and the clinical side. Handles requests for information following required guidelines. Abides by changes within the department. Obtains required signatures on forms according to established procedures and ensures information recorded is complete and accurate for processing of charges and billing. Processes incoming and outgoing telephone calls efficiently, politely and quickly as possible while responding to inquires according to established policies for release of information. Promotes a positive hospital image to patients and physicians by possessing a professional appearance and attitude. Assists in maintaining established departmental policies and procedures, objectives, quality improvement program, safety and environmental standards. Assists in maintaining departmental reports and records as directed. Assists in implementing department specific goals and objective in keeping with overall organizational goals and objectives. Assists in maintaining adequate and effective communication between Medical Records/Business Office and ancillary departments for problem solving. Interacts with others (on the phone or in person) in a positive, professional and appropriate manner. Works cooperatively with others. Has respect for and an understanding of the contributions of all team members. Attends required meetings and participates in educational programs and in-service meetings. Protects patient confidentiality by promoting appropriate staff communication practices. Works shifts as required. Performs other related duties as assigned or requested. Understands HIPPA and the guidelines that must be followed in order to effectively protect the patients privacy. Qualifications POSITION QUALIFICATIONS MINIMUM EDUCATION High School Graduate or GED PREFERRED EDUCATION High School Graduate or GED MINIMUM EXPERIENCE 1 - 2 years with basic understanding of medical terminology PREFERRED EXPERIENCE 3- 5 years with basic understanding of medical terminology
    $24k-30k yearly est. 1d ago
  • Medical Billing and Coding Specialist

    Emerald Therapy Center

    Medical coder job in Paducah, KY

    Job DescriptionSalary: $15-$17/hour Education, Experience, and Licensing Requirements: High school diploma, GED, or equivalent University/college degree, or experience medical records, claims or billing areas is an asset. CCA (AHIMA) CCS (AAPC) or greater Expectations of Role: Manages the Insurance billing and collections processes. Excellent organizational skills and attention to detail. . Processes, tracks claims, and ensures accuracy and timeliness in the billing process. Provides excellent customer service to our clients. Inputs patient information into the practices billing software. Submits claims to insurance companies and follows up on unpaid claims. Posts ERA payments, Resolves any issues that arise with claims or payments. Maintains accurate records of billing and collection activities Generates monthly reports to track billing and collection performance. Accounts for coding and abstracting of patient encounters, including procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supporting diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as a coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications, and other procedures. Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested. Proficient in Excel sorting, pivots, and VLOOKUP This is not a Remote Postion.
    $15-17 hourly 21d ago
  • Medical Records Clerk

    Big Sandy Health Care, Inc. 3.7company rating

    Medical coder job in Betsy Layne, KY

    The Medical Records Clerk will provide the continuity link between patient medical data and services provided to the patient. DUTIES AND RESPONSIBILITIES: * Schedules patient appointments. * Assists the patient with appropriate selection of a primary care provider. * Actively participates in team-based meetings/huddles. * Assists with keeping track of the patients test results and referrals. * Contacts other providers / facilities to obtain appropriate medical records. * Registers all new patients in the Electronic Medical Record System (EMR). * Verifies existing demographical information for all current BSHC patients in the EMR. * Starts a patient visit note in the EMR once the check-in process is complete. * Prepares income evaluations for sliding scale patients when necessary. * Responsible for patient check-out process through the EMR system including scheduling follow-up visit, if appropriate, and accepting payment for service. * May perform cash handling operations and/or end of day reconciliations with funds and EMR-generated report. * Follows established policies, procedures, Continuous Quality Improvement (CQI) objectives, and safety, environmental, and/or infection control standard. * Adheres to the terms and conditions set forth in BSHC's corporate compliance program. * Ensures confidential information in accordance with BSHC's policy and current HIPAA regulations. * Performs other duties as assigned. MINIMUM QUALIFICATIONS / REQUIREMENTS: * High school diploma or equivalent. * Associates degree preferred. * Experience in routine office work and general computer knowledge. * Ability to work in a friendly and courteous manner with staff and patient. PHYSICAL REQUIREMENTS / WORK ENVIRONMENT: * Prolonged periods of sitting at a desk and working on a computer. * Must be able to lift up to 15 pounds at times. * Work is normally performed in a typical interior/office work environment.
    $26k-32k yearly est. 3d ago
  • Medical Records/Central Supply Clerk

    Edgewood Estates 3.3company rating

    Medical coder job in Frenchburg, KY

    Maintain all facility medical records in accordance with State and Federal regulations. Maintain the Policies and Procedures of Edgewood Estates Qualifications High School graduates with some business training preferred. Experience as Certified Medication Aide (CMA) and State Registered Nursing Assistant (SRNA) desired, but not required. Knowledge of medical records with computer background preferred, but not required. Duties and Responsibilities Order supplies every week as needed. Print charges for Business Office Manager at the beginning of each month and as needed. Check weekly, and supply forms to each nurses station as needed. Send care plan letters to families. Fill out nurse aide flow records monthly and file old ones when changed out. File all records in chart (I and O), skin sheets, signed physician orders, etc.) Pick up supplies from various stores and from pharmacy as needed. Monitor and track when physician visits and progress notes are due. Assist with monthly chart audit as directed by the Director of Nursing. Thin medical records and file records as needed. Request medical records from physicians, hospitals and other facilities as needed. Coordinate admission of residents with Social Services Director. Prepare charts for new residents and check admission information for accuracy and completeness. Insure receipt of all records for resident discharges from facility by checking the list of discharge residents. Assemble contents of the medical record into established order for permanent filing. Create forms on the computer as needed to assist with policy and procedure formation as directed by the Administrator. Code invoices. Serve as member of the Fall/Restraint Committee. Prepare and submit current restraint list and inventory of restraints/alarms to weekly meeting. Prepare and submit minutes of weekly Fall Committee meeting. Serve as member of the Safety Committee.
    $25k-31k yearly est. 60d+ ago
  • Specialist Clinical Coding III

    Saint Elizabeth Medical Center 3.8company rating

    Medical coder job in Kentucky

    Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 32 💙 Why You'll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you - personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: Processes medical records by coding, abstracting data and producing information for third party billing and to provide a complete statistical data base. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Reviews inpatient or observation, same day surgery, and interventional procedure records, identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence so that the accurate DRG/APC will be assigned according to Official Coding Guidelines to provide information for billing purposes. Meets department coding standards for quality and productivity of 96%. New staff are expected to meet these standards upon completion of the training period. Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into abstracting software following departmental guidelines to provide for accurate database for statistical reference. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits updates accordingly. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, physician queries, rebills, etc. Attends educational programs and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e. Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: Associate or Bachelor's degree (or equivalent hospital based coding experience. CCS, CIC or COC credentials Physician coding credentials CCS-P and CPC are not preferred but recognized for coding other than inpatient. An apprentice credential is not sufficient. Specialized Knowledge: Medical Terminology, Anatomy and Physiology, ICD/CPT experience, Prospective Payment Systems, Outpatient Medical Necessity, use of personal computer. Kind and Length of Experience: Five years hospital coding experience. Proven verbal and written communication skills FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
    $39k-49k yearly est. Auto-Apply 39d ago
  • Specialty Coder I

    BHS 4.3company rating

    Medical coder job in Kentucky

    Baptist Health Medical Group is looking for a Specialty Coder I to join their team. that requires residency in KY or IN With supervision, codes diagnosis and procedures for outpatient physician charges at the Clinic level including Evaluation and Management levels, in office procedures, procedures/surgeries in multiple settings and other clinic/outpatient coding as assigned. Reviews the medical records thoroughly to facilitate the collection of patient care information. Codes diagnosis and CPT for office and Surgical services for providers. Minimum Education, Training, and Experience Required: High School diploma Coding certification of either CPC or CCS-P required. 1 year experience in Specialty/Surgical Coding Preferred: 2+ years' Professional coding experience Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.
    $28k-40k yearly est. Auto-Apply 13d ago
  • Inpatient Medical Coder

    Healthcare Support Staffing

    Medical coder job in Louisville, KY

    Why You Should Work For Us: 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 Are you an experienced Inpatient Medical Coder looking for a new opportunity with a prestigious healthcare company? Do you have inpatient or DRG coding experience? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities: Assign appropriate DRG grouping according to diagnoses specified in the record by the treating physician(s) and in keeping with regulatory requirements Performs first tier DRG validation reviews Utilizes encoders and various coding resources Conducts peer reviews to ensure compliance with coding guidelines and provides reports to manager /leader as directed Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information Maintains current working knowledge of ICD-9 coding principles, government regulation, protocols Reviews all cases decoding all diagnosis and procedures and comparing to bill summary to assure charges are in appropriate areas Provides first tier primary diagnosis is the reason for admission Provides first tier complicating conditions are appropriate and documented in medical records Provides first tier sequencing of the diagnostic codes are appropriately assigned Provides first tier that DRG grouping is appropriate based on documented diagnosis and procedures Provides first tier accuracy of original claim allowance utilizing client's base rates, relative weights, and other reimbursement exceptions Monday - Friday 8:00 AM- 5:00 PM Advantages of this Opportunity: Competitive salary Fun and positive work environment Qualifications Requirements: High School Diploma 1+ years inpatient/DRG coding experience Strong communication skills both written and verbal Microsoft Excel skills Inpatient Auditing experience Experience with ICD-9 and ICD-10 Hours for this Position: Additional Information
    $34k-48k yearly est. 60d+ ago
  • Outpatient Facility-Clinic Medical Coder (Multi-Specialty) Part-Time

    Sutherland 4.3company rating

    Medical coder job in Louisville, KY

    We are seeking a detail-oriented and analytical Outpatient Facility-Clinic Medical Coder (Multi-Specialty) to join our remote US -based coding team. In this role, you will be responsible for accurately assigning diagnostic and procedural codes for various medical specialties in an outpatient setting. The ideal candidate will have a strong understanding of medical coding principles and healthcare regulations. Schedule & Compensation This is a part-time position (20-30 hours per week) with a pay range of $30-$40 per hour. Initial training will be conducted during standard business hours (Monday-Friday, 8 a.m.-5 p.m.) for approximately 20-30 hours per week. Following training, work hours can transition to a flexible schedule. Job Description Analyze patient medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient services across multiple specialties Ensure coding accuracy and compliance with federal, state, and insurance regulations Utilize Electronic Health Record (EHR) systems and coding software to efficiently process patient encounters Stay up-to-date with coding guidelines, healthcare compliance regulations, and industry best practices Participate in regular audits and quality assurance reviews to maintain high coding standards Assist in resolving coding-related queries and denials Support the revenue cycle management process by providing accurate and timely coding Qualifications Active Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certifications required At least 2+ years of relevant Facility-Clinics, to include E/M and in-office procedures; preferably with Lab/Radiology experience as well Proficiency in ICD-10-CM, CPT, and HCPCS coding systems Strong knowledge of medical terminology and anatomy Experience with multi-specialty coding Familiarity with Cerner (EHR), Optum, and 3M encoders Excellent analytical and problem-solving skills Strong attention to detail and ability to meet deadlines Effective communication and interpersonal skills Understanding of healthcare compliance and regulations, including HIPAA Ability to work independently and as part of a team Commitment to ongoing professional development and staying current with coding updates Additional Information All your information will be kept confidential according to EEO guidelines. EEOC and Veteran Documentation During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
    $27k-33k yearly est. 1d ago
  • Clerk, Health Information Management

    Cottonwood Springs

    Medical coder job in Georgetown, KY

    Georgetown Community Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Georgetown Community Hospital is an acute care hospital with 75-beds offering a broad range of inpatient, outpatient, intensive care, surgical, emergency and diagnostic services. From our bariatrics to women's services to radiology, we have a wide range of services serve our community. Where We Are: Georgetown is a small town bursting with charm in the midst of Kentucky Horse Country and is the true birthplace of bourbon. We are proud to be Kentucky's fastest growing city and home to a diverse list of adventures for all including petting a thoroughbred champion, feeling the thunder of a new engine roar to life, and strolling along a bustling Victorian-era downtown with architectural charm and locally-owned shops, restaurants, craft breweries and a bourbon distillery. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time Off Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Options for accident, critical illness, long-term, short-term, and hospital indemnity insurance Professional development opportunities Free Parking And much more… Job Summary A Health Information Management Clerk assists requesters with access to protected health information. Responds to requests for medical information by performing duties in accordance with established hospital and departmental policy and federal laws. Reports to: Director of Health Information Management (HIM) FLSA Status: Non-Exempt Job Requirements Minimum Education High school diploma or equivalent required Excellent oral and written communication skills Computer skills and knowledge of computer software required Required Skills Familiarity with organization and functions of each hospital department Ability to problem-solve effectively and handle stress in a positive manner Maintain harmonious relationships with nursing personnel, medical staff, hospital administration, and all hospital departments Essential Functions Ensures appropriate Emergency Room charts have EMS reports attached timely. Responsible for helping all customers that come to the window in a timely and courteous manner. Preps charts for scanning according to the productivity standards. Scans medical records according to the daily productivity standards as appropriate. Performs quality control checks on previously scanned reports as deemed appropriate. Maintains HIPAA standards at all times. Receives calls to the department and routes them accordingly. Analyzes assigned records time permitting Log all records in designated log book that have been shredded. Reviews all patient requests for Patient Portal access. Performs other duties as assigned. Functional Demands Standing, sitting, walking, bending (45-90 degree angles) are required May require stair climbing and lifting objects Reading and writing as appropriate to medical documentation for the review process Speech, hearing, and visual acuity are necessary in order to perform job functions Work involves mental alertness Excellent prioritization and organization skills EEOC Statement: Georgetown Community Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
    $26k-33k yearly est. Auto-Apply 10d ago
  • Billing and Coding Support

    Grace Health 4.0company rating

    Medical coder job in Corbin, KY

    Job DescriptionSummary: This position is responsible for reviewing provider charges and insurance, making corrections as needed, adding modifiers, and processing provider charges from the Holding Tank, tasking providers with clarifying questions or notification of un-submitted charges, manual entry of hospital and nursing home charges, and providing support to the billing company as needed with A/R follow-up. ESSENTIAL DUTIES AND RESPONSIBILITIES: Understand functions within the Practice Management system of Nextgen including batch posting, holding tank, charge screen, and work log. Collect hospital charges from Women's Care providers on a routine basis in addition to reviewing weekly hospital surgery schedules and daily census in order to ensure timely submission of charges. Download all pertinent information including Patient H&P, Face Sheet, and Discharge info from the hospital's EMR system, review documentation and using most recent Coding Books assign CPT codes, ICD-10 codes, and modifiers. Enter charges into Nextgen system when the required documentation is available and the patient has been discharged. Utilize provider as a resource for any questions. Maintain monthly lists of NSTs, Surgeries, and Deliveries Coordinate signed consents for Tubal and Hysterectomies with surgery scheduling staff at Women's Care office. Reconcile hospital charges monthly; f/u as required. Follow Up on encounters related to Hospital Services placed in the Work Log. Collect Nursing Home and Home Visit charges from the Providers; f/u with Providers when the template has not been completed for billing. Look up the ICD-10 diagnosis, manually enter charges in Nextgen, check insurance eligibility and pull over correct insurance(s); process charges, ensure claim has dropped with the correct Revenue Code and MC G Pmt. code; follow up on NH or Home Visit encounters in the Work Log. Review and Process Dental Charges from the Holding Tank; ensure Dental Hygienist Visits are auto adjusted. Work with each Dentist office to reconcile invoices and then send to the Dir. of Finance for processing. Regularly work the Denial Report and alert leadership of Credentialing, KY Wrap, Timeliness or any other trends that need addressed. Follow up on Dental encounters sent in the Work Log. Review and Process Medical, Behavioral Health, and Telehealth charges from the Holding Tank. Review Insurance, Location, and Provider related information. Review ICD-10 and CPT codes. Add appropriate modifiers, global codes, zero out charges as indicated in Standard Operating Procedure, change Place of Service when needed, and process Sliding Fee out of the charge screen and calculate and calculate/apply Prompt Pay Discounts. Hold processing as needed such as when to perform this job successfully, an individual must be able to assist in advancing Grace Health's mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS: Pleasant personality and professional demeanor Cooperative attitude-Flexible Detail Oriented Effective written and oral communication skills Highly organized work habits with ability to prioritize Intermediate computer skills with Microsoft Word and Excel Familiar with Electronic Medical Record EDUCATION and/or EXPERIENCE: Must have completed high school. Medical Office experiences a plus. Must have a minimum of 2 years medical office billing experience. WORK ENVIRONMENT: Grace Health is a faith-based, federally qualified community health center (FQHC). We provide primary health services to underserved, underinsured, and uninsured individuals in the southeastern Kentucky region. Our mission is “to show the love and share the truth of Jesus Christ to southeastern Kentucky, thorough access to compassionate, high quality, primary health care for the whole person” regardless of ability to pay. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Credentialing hasn't been completed or ancillary charges have been submitted but E/M or Preventive CPT have not. Task providers when questions arise during claim processing. Work Log follow up for claim prod errors, medical records and authorization requests, coding errors, credentialing issues etc. Trends should be identified and shared with appropriate leadership so pertinent information can be shared or changes can be made to reduce future denials. Process Un-Applied Credits. Verify Patient Credits and collaborate with Accounts Payable to process. Appropriate referral/coordination with staff who can make adjustments. Help answer Customer billing questions as needed and refer questions to Leadership. OTHER ESSENTIAL DUTIES and RESPONSIBILITIES: Grace Health recognizes that managing patient care is a team effort that involves clinical and non-clinical staff. All employees must embrace a team-based approach to patient care and understand that each role is important to our success. Team members must demonstrate excellent team communication and coordination to provide quality patient care. Care coordination includes communicating with community organizations, health plans, facilities, and specialists. Care team members understand and embrace the concept of population management and proactively address the needs of patients and families served by this practice. Team members must demonstrate skill and knowledge related to effective communication with vulnerable patient populations. Team members must participate in Continuous Quality Improvement activities within the organization to ensure patients receive high quality care. All team members will be involved in the process of improving quality incomes. Team members will participate in the review and evaluation processes of practice performance and help to identify opportunities for improvement. Team members will participate in Grace Health's advocacy program. GENERAL DUTIES: Follows policies and procedures of the office, including administrative, clinical, quality assurance, and personnel Maintain good attendance (daily, meetings, and other assignment tasks) Maintain timely documentation of all work assignments Maintain patient confidentiality Routinely keep supervisor informed about attendance and job assignments Flexible in being able to multitask Work effectively and at an efficient pace Work cooperatively with physicians, administration, and peers QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to assist in advancing Grace Health's mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS: Pleasant personality and professional demeanor Cooperative attitude-Flexible Detail Oriented Effective written and oral communication skills Highly organized work habits with ability to prioritize Intermediate computer skills with Microsoft Word and Excel Familiar with Electronic Medical Record EDUCATION and/or EXPERIENCE: Must have completed high school. Medical Office experiences a plus. BENEFITS: Safe harbor 401(k) with match potential Paid time off Family friendly work environment Health insurance Wellness program Health savings account Pharmacy benefit Employee visits for medical services Dental insurance Vision insurance Life Insurance STD/LTD EAP & Work life services Voluntary benefits Grace Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Powered by JazzHR gO0xeRejTi
    $29k-37k yearly est. 8d ago
  • Certified Coder ER

    Healthcare Support Staffing

    Medical coder job in Louisville, KY

    Why You Should Work For Us: 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 short project with fast approaching deadlines. Qualifications Certified Coder with ER coding experience CPC or CCP 2 years of experience in a hospital or healthcare background Additional Information Hours for this Position: Monday-Friday Day Shift Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Additional Information: Interested in being considered? If you are interested in applying to this position, please contact Courtney Phelps at cphelps@healthcaresupport and click the Green I'm Interested Button to email your resume.
    $34k-48k yearly est. 60d+ ago

Learn more about medical coder jobs

Do you work as a medical coder?

What are the top employers for medical coder in KY?

Top 10 Medical Coder companies in KY

  1. Datavant

  2. Sutherland

  3. HCA Healthcare

  4. Healthcare Support Staffing

  5. Highmark

  6. BHS

  7. Saint Elizabeth Medical Center Inc

  8. UofL Hospital

  9. Baylor Scott & White Health

  10. Cognizant

Job type you want
Full Time
Part Time
Internship
Temporary

Browse medical coder jobs in kentucky by city

All medical coder jobs

Jobs in Kentucky