- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Frankfort, KY)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Addiction Recovery Care (Lexington, KY)
- …findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. + ... denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate...to reduce denials and result in prompt and accurate payment . + Keeps management informed of changes in billing… more
- WestCare Foundation (Elkhorn City, KY)
- …Accurately enter charges into the billing system based on patient services and coding information. + Payment Posting: Post payments received from payers and ... and standards, implementing corrective actions as needed to maintain program integrity . + Data Analysis: Utilize data-driven insights to assess program… more
- Nelnet (Frankfort, KY)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more
- Molina Healthcare (Covington, KY)
- …audit policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must have the ability to determine correct ... coding , documentation, potential fraud, abuse, and over utilization by...and forward thinking with high ethical standards and a professional image + Collaborative and team-oriented + Required License,… more