- Growth Ortho (Lexington, KY)
- Bluegrass Orthopaedics is hiring a full-time Certified Medical Coder in Lexington, KY. Under the direction of the Business Services Director & Coding ... school diploma or equivalent required. 3-5 years of coding experience in a medical setting. Strong verbal and written communication skills. Knowledge of medical … more
- Humana (Frankfort, KY)
- …+ AAPC or AHIMA Coding Certification (no Apprentice) + 2 years' experience as a Certified Medical Coder + Ability to problem solve complex issues **Preferred ... + Bachelor's Degree + 5 or more years of experience as a Certified Medical Coder + Knowledge of MS Office programs **Additional Information** Travel:… more
- Datavant (Frankfort, KY)
- …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 you to ... of healthcare from your own workspace! * Preferred: OP Coder who specializes in SDS, OBS, with solid interventional...Powerchart and 3M360. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- Datavant (Frankfort, KY)
- …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 you to ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
- Molina Healthcare (Lexington, KY)
- …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- Molina Healthcare (Lexington, KY)
- …**Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + ... Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional in Health Care Quality (CPHQ) + or other healthcare… more
- Highmark Health (Frankfort, KY)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
- Baylor Scott & White Health (Frankfort, KY)
- …Certified Coding Specialist (CCS) Certified Coding Specialist Physician-based (CCS-P) Certified Professional Coder (CPC) Certified Outpatient Coder ... (COC) Certified Inpatient Coder (CIC) Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package… more
- Elevance Health (Louisville, KY)
- …Information Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). ... considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG)… more
- Elevance Health (Louisville, KY)
- …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- CenterWell (Louisville, KY)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Highmark Health (Frankfort, KY)
- …working with SAS **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Professional Coder (CPC) **SKILLS** + Demonstrated proficiency in ... departmental tracking logs such as consultant listings, provider/member flag tracker and certified mail; and will input and maintain current case information in… more
- Elevance Health (Louisville, KY)
- …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… more
- CVS Health (Frankfort, KY)
- …related field, such as healthcare administration, business, or a related field. + Certified Professional Coder through AAPC or AHIMA (Physician, Facility or ... is responsible for ensuring the accuracy and compliance of medical claims, which involves applying various editing rules and...execution and delivery of new edits + Ensure that medical claims are reviewed and edited according to established… more
- Elevance Health (Louisville, KY)
- …would provide an equivalent background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder (CPC) CEMC and CEDC encouraged. Please ... may be considered. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
- Humana (Frankfort, KY)
- …healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Intermountain Health (Frankfort, KY)
- …years of prior experience leading others or leading project or programs. Certified Revenue Cycle Representative (CRCR) Certification completed within 3 months of ... hire. Plus one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or… more