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Medical coding specialist Jobs in Louisville, KY

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Medical coding specialist • louisville ky

Last updated: 17 hours ago
Credentialing Specialist - Medical Staff Office - FT - Day

Credentialing Specialist - Medical Staff Office - FT - Day

Stormont Vail HealthRemote, Kentucky
Remote
Full-time
First Shift (Days - Less than 12 hours per shift) (United States of America).This Credentialing Specialist will assist in ensuring patient safety throughout Stormont Vail Health.This position works...Show moreLast updated: 25 days ago
  • Promoted
Certified Medical Coding Specialist

Certified Medical Coding Specialist

VirtualVocationsLouisville, Kentucky, United States
Full-time
A company is looking for a Medical Coding Specialist (Remote).Key Responsibilities Read and analyze patient records to determine correct codes Accurately code healthcare claims for specialty ser...Show moreLast updated: 4 days ago
DRG Coding Auditor

DRG Coding Auditor

Elevance HealthTRITON PARK BLVD,LOUISVILLE,KY
Full-time
This position will work virtually.Alternate locations may be considered.Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and ...Show moreLast updated: 22 days ago
Medical Sales Specialist

Medical Sales Specialist

AirgasLouisville, KY, Crittenden
Full-time
GROW?Under general supervision, the Medical Sales Specialist is responsible for selling medical products and equipment to existing and prospective customers, developing and implementing market plan...Show moreLast updated: 24 days ago
Medical Receptionist

Medical Receptionist

LifeStance HealthLouisville, Kentucky, USA
Full-time
The Practice Coordinator is responsible for managing the front office daily activities for their practice location ensuring quality customer service to in-person and remote patients and clinicians....Show moreLast updated: 2 days ago
Medical Records Specialist - Physicians Medical Center

Medical Records Specialist - Physicians Medical Center

SCANew Albany, Indiana, US
Full-time
Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure o...Show moreLast updated: 24 days ago
  • Promoted
Coder, Revenue Integrity / Coding Physician Services, Days, Fully Remote

Coder, Revenue Integrity / Coding Physician Services, Days, Fully Remote

Norton HealthcareLouisville, US
Remote
Full-time
The Coder Specialty Office assures the integrity of the Norton Medical Group billing, insurance, coding, and accounting and referral functions. The incumbent serves as a liaison between the practice...Show moreLast updated: 5 days ago
  • Promoted
Medical Assistant

Medical Assistant

SENTA PartnersNew Albany, IN, US
Full-time
Louisville and Southern Indiana healthcare community, provides a highly coordinated and comprehensive delivery of head and neck care. Management Services Organization (MSO) specializing in providing...Show moreLast updated: 30+ days ago
  • Promoted
Medical Assistant

Medical Assistant

ORTHOCINCYLouisville, KY, US
Full-time
Contributes in the delivery of excellent orthopaedic care in a patient centered environment while focusing on their individual needs. Interacts with patients and visitors in a respectful and profess...Show moreLast updated: 30+ days ago
  • Promoted
Medical Assistant

Medical Assistant

CVS HealthLouisville, KY, US
Full-time
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...Show moreLast updated: 30+ days ago
Medical Billing and Coding - Entry Level Training Program

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Louisville, Kentucky
Full-time
This is an educational program, not a job offer.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to s...Show moreLast updated: 30+ days ago
Medical Assistant Specialist Full Time Days

Medical Assistant Specialist Full Time Days

Baptist Health System KY & INNew Albany, IN
Full-time
Medical Assistant Specialist- Full Time, Days.The Medical Assistant Specialist, Laboratory supports the organizations’ departments in providing a positive patient care experience for the patient po...Show moreLast updated: 4 days ago
  • Promoted
Medical Support

Medical Support

US NavyLouisville, Kentucky, US
Full-time
About Navy Hospital Corpsmen provide treatment for thousands of Sailors and Marines, using quick thinking to help keep them fit and ready to serve at the best of their abilities.They may : Assist Na...Show moreLast updated: 8 days ago
  • Promoted
Medical Receptionist

Medical Receptionist

Eye Care Partners Career OpportunitiesNew Albany, IN, US
Full-time
EyeCare Partners is the nation's leading provider of clinically integrated eye care.Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patient...Show moreLast updated: 30+ days ago
Experienced Medical Insurance Collection Specialist

Experienced Medical Insurance Collection Specialist

AIS HealthcareLouisville, KY, US
Full-time
This is a 100% remote opportunity; however, please.AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovatio...Show moreLast updated: 5 days ago
Medical Front Office - Patient Service Specialist

Medical Front Office - Patient Service Specialist

Select MedicalJeffersonville, IN, US
Full-time
Starting at $15 / hour (Pending experience) .When patients enter our outpatient physical therapy center in Jeffersonville. As a patient service specialist, you’ll manage both the patient side and busi...Show moreLast updated: 25 days ago
  • Promoted
Medical Assistant

Medical Assistant

RemXLouisville, KY, US
Full-time
Busy Healthcare company is seeking a Certifed medical Assistant in Martinsville, VA.Must be able to work 2 different locations. Martinsville, VA on Monday, Wedesday, and Friday.Danville or Roanake o...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Medical Assistant Specialist Full Time Days

Medical Assistant Specialist Full Time Days

Baptist HealthNew Albany, IN, US
Full-time
Medical Assistant Specialist- Full Time, Days.The Medical Assistant Specialist, Laboratory supports the organizations' departments in providing a positive patient care experience for the patient po...Show moreLast updated: 17 hours ago
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Credentialing Specialist - Medical Staff Office - FT - Day

Credentialing Specialist - Medical Staff Office - FT - Day

Stormont Vail HealthRemote, Kentucky
25 days ago
Job type
  • Full-time
  • Remote
Job description

Position Status : Shift :

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week : Job Information

Exemption Status : Non-Exempt

A Brief Overview

This Credentialing Specialist will assist in ensuring patient safety throughout Stormont Vail Health. This position works with the Medical Staff and Administration ensuring Stormont Vail Health (SVH), SVH Bylaws and other regulations are met through the medical staff and organizational processes. The Credentialing Specialist is responsible for communicating information to the Director, Credentialing Coordinator, Medical Staff and others as appropriate.

Education Qualifications

  • High School Diploma / GED Required
  • Bachelor's Degree Preferred
  • High School Diploma / GED Required
  • Bachelor's Degree Preferred

Experience Qualifications

  • 3 years Experience in a field of primary source verification with focus of credentialing in a healthcare environment or managed care or equivalent experience in criminal or fraud investigations. Required
  • 3 years Experience with Microsoft office products including but not limited to; Excel, Word, and PowerPoint. Required
  • 3 years Direct health care or managed care experience working with health care professional and / or health care administrative leaders. Preferred
  • 2 years Direct credentialing software experience, with a preference to MD-Staff, MD-Stat experience. Preferred
  • Skills and Abilities

  • Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, legal, accrediting and regulatory information and medical terminology. (Required proficiency)
  • Ability to analytically think. Ability to perform clinical competence evaluations. Able to be flexible and adaptive to timelines and situations. Knowledge of change or database management. Ability to ask questions and to follow instructions / directions. (Required proficiency)
  • Confidentiality, Foster team cohesiveness and collaboration & Professional Ethics. Able to build relationships. (Required proficiency)
  • Demonstrate excellent writing skills to develop and write business correspondence, reports and procedure manuals accurately and in accordance with recognized standards (grammar, punctuation) for the English language. (Required proficiency)
  • Demonstrates respect for all individuals (visitors, peers, customers and team members) and helps create and maintain teamwork within the work environment, which contributes to meeting the goals and objectives of the Medical Staff Services department and reflects the mission and values of Stormont Vail Health. (Required proficiency)
  • Exhibit oral communication skills (tact, diplomacy etc.) to represent and respond to information for a broad audience including, but not limited to, managers, physicians, outside regulatory agencies, customers and the public. (Required proficiency)
  • Licenses and Certifications

  • Certified Provider Credentialing Specialist - NAMSS CPCS also accepted. Preferred
  • Certified Professional Medical Services Management - NAMSS Preferred
  • What you will do

  • CONDUCTS, PARTICIPATES IN, AND MAINTAINS PRIMARY SOURCE VERIFICATION : Perform outreach to primary sources for practitioners’ information. Obtain and evaluate information from primary sources. Perform detailed and thorough review of applications, primary source verifications, and sources provided. Recognize potential discrepancies and adverse information, and independently investigate and validate information from primary source verifications, or other sources. Verify and document expireables using acceptable verification sources to ensure compliance with accreditation and regulatory standards. Serve as main point of contact for external queries regarding practitioners’ status, providing responses in a timely matter.
  • Compile practitioner sanctions, complaints, and adverse data to ensure compliance. Demonstrate an understanding of state and regulatory standards. Demonstrate an understanding of state and regulatory standards in relation to telehealth and credentialing by proxy.
  • Complete evaluation of application to determine applicant’s initial eligibility for membership / participation. Review application and supporting documents for completeness. Serve as main point of contact for practitioner during application process, providing timely updates and additional information as requested. Determine applicant’s initial eligibility for membership / participation based on approved criteria. Compile, evaluate, and present the practitioner-specific data collected for review by one or more decision-making bodies. Perform initial or reappointment / re-credentialing for eligible practitioners. Process requests for privileges. Conduct, participate in, and maintain credentialing verification organization (CVO)
  • Identify and report to their supervisor adverse actions taken against a practitioner / provider in accordance with applicable law and contractual requirements. Monitor and / or report sanctions and complaints for all practitioners / providers to supervisor. Develop informational / educational documents (newsletters, memos) to communicate critical information regarding organizational programs and policies. Develop and cultivate working relationships with key stakeholders, both internal and external, to ensure appropriate awareness of key issues and decision-making.
  • Obtain and assess information from various referral sources. Recognize, investigate, and validate discrepancies and adverse information obtained. Communicates findings and / or resulting actions to Credentialing Specialist, Director, Medical Staff and department peers as appropriate / policy.
  • Working knowledge of NCQA, TJC Accreditation standards and SVH Bylaws, etc.., Manage, facilitate and maintain continuing medical education records for practitioners / providers.
  • Securely manage information as the single source of truth by effectively navigating database software and maintaining data integrity. Use database software for contracting, training, reporting, as well as integrating with other IT systems.
  • Mentor, train and educate others to include department team members and medical staff members on policy, procedures, Bylaws, ...
  • Conducts, participates in, and maintains primary source verification, credentialing, privileging, current clinical competency, FPPE and OPPE data and files.
  • Complies with State and Federal accreditation standards, regulatory requirements, SVH bylaws, department and SVH policies. Applies all regulations and policies to credentialing duties as necessary.
  • Facilitates Medical Staff Functions to include but is not limited to meeting preparation, attendance, transcription of minutes and all other aspects of meetings.
  • Maintenance of OPPE, FPPE, expirables to include boards, licenses audits, delineation of privileges and protocals, and collaborative practice agreements.
  • Assist with the initial or reappoint / recredentialing for eligible practitoner's, file audits and review and edit of delineation of privileges.
  • Travel Requirements

    Required for All Jobs

  • Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
  • Performs other duties as assigned
  • Patient Facing Options

  • Position is Not Patient Facing
  • Remote Work Guidelines

  • Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
  • Stable access to electricity and a minimum of 25mb upload and internet speed.
  • Dedicate full attention to the job duties and communication with others during working hours.
  • Adhere to break and attendance schedules agreed upon with supervisor.
  • Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
  • Remote Work Capability

  • Hybrid
  • Scope

  • No Supervisory Responsibility
  • No Budget Responsibility No Budget Responsibility
  • Physical Demands

  • Balancing : Rarely less than 1 hour
  • Carrying : Rarely less than 1 hour
  • Climbing (Stairs) : Rarely less than 1 hour
  • Eye / Hand / Foot Coordination : Rarely less than 1 hour
  • Feeling : Rarely less than 1 hour
  • Grasping (Fine Motor) : Frequently 3-5 Hours
  • Grasping (Gross Hand) : Frequently 3-5 Hours
  • Handling : Rarely less than 1 hour
  • Hearing : Frequently 3-5 Hours
  • Kneeling : Rarely less than 1 hour
  • Lifting : Rarely less than 1 hour up to 25 lbs
  • Operate Foot Controls : Rarely less than 1 hour
  • Pulling : Rarely less than 1 hour up to 25 lbs
  • Pushing : Rarely less than 1 hour up to 25 lbs
  • Reaching (Forward) : Rarely less than 1 hour up to 25 lbs
  • Reaching (Overhead) : Rarely less than 1 hour up to 25 lbs
  • Repetitive Motions : Rarely less than 1 hour
  • Sitting : Continuously greater than 5 hours
  • Standing : Occasionally 1-3 Hours
  • Stooping : Rarely less than 1 hour
  • Talking : Frequently 3-5 Hours
  • Walking : Occasionally 1-3 Hours
  • Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications : race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

    Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.