University of KentuckyCoding Compliance Coordinator/UKHC University of KentuckyCoding Compliance Coordinator/UKHCLexington, KYRemote$62,400–$111,634 / yearJob Title Coding Compliance Coordinator/UKHC Requisition Number RE54422 Working Title Coding Compliance Coordinator Department Name H4021: Revenue Management - Coding & Documentation Work Location Lexington, KY Grade Level 12 Salary Range $62,400-111,634/year Type of Position Staff Position Time Status Full-Time Required Education. The primary responsibilities will include serving as a coding liaison to staff and external personnel; providing training and in-services to coders regarding guidelines, compliance issues and policy changes; performing claim reviews; developing and maintaining policies and procedures; evaluating incomplete or inconsistent documentation in the medical record; and ensuring patient confidentially.
University of KentuckyCoding Associate/UKHC University of KentuckyCoding Associate/UKHCLexington, KY$17.50–$27.31 / hourJob Title Coding Associate/UKHC Requisition Number RE54507 Working Title Coding Associate/UKHC Department Name H1160:ESH Administrative and Business Services Work Location Lexington, Ky Grade Level 07 Salary Range $17.50-27.31/hour Do you currently possess at least one of the following certifications: Registered Health Information Administrator (RHIA); Registered Health Information Technician (RHIT); Certified Professional Coder (CPC); Certified Professional Coder-Apprentice (CPC-A); Certified Coding Specialist (CCS); and/or Certified Coding Associate (CCA)?.
SMX, LLCTest Job Code added for PROD testing SMX, LLCTest Job Code added for PROD testingLexington, KY$22–$22 / hourWith Staff Management | SMX, you'll get a weekly paycheck, learn new skills, meet new people, and work with a great management team in a clean and safe environment. TrueBlue, Inc. and its brands will consult with all applicants who request disability-related accommodation during the recruitment process to ensure that the accommodation provided takes into account the applicant's individual accessibility needs.
Staff Management | SMXTest Job Code added for PROD testing Staff Management | SMXTest Job Code added for PROD testingLexington, KYWith Staff Management | SMX, you'll get a weekly paycheck, learn new skills, meet new people, and work with a great management team in a clean and safe environment. TrueBlue, Inc. and its brands will consult with all applicants who request disability-related accommodation during the recruitment process to ensure that the accommodation provided takes into account the applicant's individual accessibility needs.
Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Lexington, KYREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
St. Elizabeth HealthcareBilling Integrity Analyst St. Elizabeth HealthcareBilling Integrity AnalystRemote Kentucky, KYRemoteThis position includes charge development, lost charge analysis, account audits/analysis, Charge Description Master support and maintenance, timely filing, and unbilled accounts receivable root cause analysis resulting in reimbursement optimization. Job Summary: This position performs daily quality control (review, correction, and feedback), ensuring the timeliness, accuracy and compliance of revenue capture for St. Elizabeth Healthcare charges.
University of KentuckyCoder Associate/UKHC University of KentuckyCoder Associate/UKHCLexington, KY$17.50–$27.31 / hourJob Title Coder Associate/UKHC Requisition Number RE54411 Working Title Coder Associate Department Name H4021: Revenue Management - Coding & Documentation Work Location Lexington, KY Grade Level 07 Salary Range $17.50-27.31/hour Do you currently possess at least one of the following certifications: Registered Health Information Administrator (RHIA); Registered Health Information Technician (RHIT); Certified Professional Coder (CPC); Certified Professional Coder-Apprentice (CPC-A); Certified Coding Specialist (CCS); and/or Certified Coding Associate (CCA)?.
University of KentuckyNewCoder Principal/UKHC University of KentuckyCoder Principal/UKHCLexington, KYRemote$21–$34.29 / hourJob Title Coder Principal/UKHC Requisition Number RE54792 Working Title Surgical Coder Department Name H4021: Revenue Management - Coding & Documentation Work Location Lexington, KY Grade Level 09 Salary Range $21.00-34.29/hour Do you possess at least one of the following: a current Registered Health Information Technician (RHIT) or Certified Coding Professional (CCP) or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Professional Coder-Apprentice (CPC-A)?.
West Point OpticalOptometric Technician West Point OpticalOptometric TechnicianLexington, KentuckyThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
PharmaCord LLCExecutive Case Manager (Remote) PharmaCord LLCExecutive Case Manager (Remote)lexington, KYRemoteProvides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
UnitedHealth Group IncValue-Based Program Specialist UnitedHealth Group IncValue-Based Program SpecialistLexington-Fayette, KY$60,200–$107,400 / yearThe role also serves as a consultative partner to providers and practice staff by building solid working relationships, proactively identifying performance improvement opportunities through data analysis and collaboration with subject matter experts, helping implement provider-specific action plans to improve outcomes, and supporting provider performance management tied to designated provider metrics, including quality gap closure and coding accuracy. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
CVS Health CorpMedical Scribe $1000 Sign on Bonus CVS Health CorpMedical Scribe $1000 Sign on BonusLexington, KY$17–$25.65 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
New Beginnings Therapy ServicesPart Time Billing A/R Specialist New Beginnings Therapy ServicesPart Time Billing A/R SpecialistRichmond, KYCollaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors. Searching each financial statement for any payment inconsistencies or errors and balancing billing in the EMR.
Baptist Healthcare System IncSpecialty Pharmacy Care Coordinator - Rheumatology Baptist Healthcare System IncSpecialty Pharmacy Care Coordinator - RheumatologyLexington, KYServes as a liaison with physicians, nurse practitioners, physician assistants, pharmacists, nurses, and social workers to provide administrative support and communicate changes in medication-related coverage. Performs tasks related to prescription billing including completing benefits investigations, assisting with the prior authorization process, and locating copay assistance options for patients to ensure affordability of specialty medications.
Vertex PharmaceuticalsField Reimbursement Manager - Kidney (IN-KY-TN) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (IN-KY-TN)KentuckyCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
SavistaCoder III SavistaCoder IIIKentuckyRemoteSavista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
UnitedHealth Group IncRN Senior Living Nicholasville UnitedHealth Group IncRN Senior Living NicholasvilleNicholasville, KYClinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support ›. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
UnitedHealth Group IncPharmacy Manager - Community UnitedHealth Group IncPharmacy Manager - CommunityDanville, KYClinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support › U.S. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog. With these values to guide us our people are committed to making a meaningful difference in the lives of those we are honored to serve.
University of KentuckyNewBusiness Partner Analyst Support/UKHC University of KentuckyBusiness Partner Analyst Support/UKHCLexington, KY$43,680–$71,323 / yearJob Title Business Partner Analyst Support/UKHC Requisition Number RE54807 Working Title Business Partner Analyst Support Department Name H4032: Revenue Quality Assurance Work Location Lexington, KY Grade Level 09 Salary Range $43,680-71,323/year Type of Position Staff Position Time Status Full-Time Required Education. UKHC offers a collaborative environment, access to complex and meaningful data, and the chance to make a measurable impact on organizational performance-all while supporting a leading academic health system committed to innovation, integrity, and continuous improvement.
University of KentuckyInsurance Authorization Specialist/UKHC University of KentuckyInsurance Authorization Specialist/UKHCLexington, KY$17.50–$27.31 / hourJob Title Insurance Authorization Specialist/UKHC Requisition Number RE54671 Working Title Insurance Authorization Specialist Department Name H4027: REV Cycle MGT-PFE Work Location Lexington, KY Grade Level 07 Salary Range $17.50-27.31/hour Primary responsibilities will include obtaining pre-certification and pre-authorization of tests and medication requests by medical providers, as well as working with medical providers to find suitable alternatives to tests or medications that do not meet pre-certification or pre-authorization requirements.
Eastern Kentucky UniversityVisiting Assistant Professor, Health Care Administration, Health Informatics and Information Management Eastern Kentucky UniversityVisiting Assistant Professor, Health Care Administration, Health Informatics and Information ManagementRichmond, KYExpertise in these areas is essential for preparing the next generation of healthcare administrators to navigate complex healthcare systems, ensure accurate and compliant coding practices, support revenue cycle operations, and contribute to data-informed decision-making. % - Keep up to date with one's field and curricular areas by reading and reviewing current scholarly or creative works and by attending conferences, seminars, workshops, courses, and faculty development activities - (Essential).
CVS Health CorpInformatics Consultant CVS Health CorpInformatics ConsultantKY$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
iLink Digital IncBackend Developer iLink Digital IncBackend DeveloperKentucky, KYRequired Education and Skills · BS or MS in Computer Science or related Engineering discipline · Proven experience delivering software applications · Solid understanding of how to build publicly exposed APIs · Familiarity with CICD principles and tools technologies Jenkins and GitLab Runner · Must be self-motivated but be able to work well in a team environment · Team player willing to coach junior team members and cooperate on cross-functional problem solving · Experience with Cloud and SaaS Development Azure AWS Docker Kubernetes. About The Company iLink is a Global Software Solution Provider and Systems Integrator delivers next-generation technology solutions to help clients solve complex business challenges improve organizational effectiveness increase business productivity realize sustainable enterprise value and transform your business inside-out.