Medicaid/Medicare Srvs Specialist III
About The Position
The Department for Public Health (DPH), Division of Administration and Financial Management (AFM), is seeking a Medicaid/Medicare Services Specialist III for our Local Health Operations (LHO) branch. This position will serve as the lead medical coding specialist. It will also interact with all 120 counties in the state of Kentucky and build relationships with those that work in the Local Health Departments (LHDs) in the state. This position will perform medical coding audits, keep all coding information in the system up to date and provide coding training to all health departments. You will also assist with User Meetings, system security requests and process service fee overrides. The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Requirements
- Graduate of a college or university with a bachelor's degree.
- Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations.
- Experience in the above areas will substitute for the required college on a year-for-year basis.
- Current or prior military experience will substitute for the required college on a year-for year basis.
Nice To Haves
- Certified Professional Coder (CPC) Certification
- Experience in medical billing and coding
- Good customer service skills
- Experience in training
- Proficient in Microsoft products, including Teams and Excel
Responsibilities
- Answer coding questions
- Create a yearly coding training
- Serve as back up to system security
- Perform onsite coding compliance reviews
- Assist with Yearly User Meetings
- Update DPH Administrative Reference (AR)
- Prepare reports
- Perform other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Executive
