Medicaid/Medicare Srvs Specialist III

Advertisement Closes

9/11/2026 (11:59 PM ET)

2604591

Medicaid/Medicare Srvs Specialist III

Pay Grade 15

Salary

$47,531.28 - $71,298.00 Annually

Employment Type

EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK

Click here for more details on state employment.

Hiring Agency

Cabinet for Health & Family Services | Department for Public Health

Location

275 E Main Street

Frankfort, KY 40621 USA

Description

The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.

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.

Responsibilities And Duties

• 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
  
  

Preferred Knowledge, Skills and Abilities:

• Prefer a candidate with 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
  
  

The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, of if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (CHS) at 888-897-7781 or https://www.e-verify.gov/ .

Minimum Requirements

EDUCATION: Graduate of a college or university with a bachelor's degree.

EXPERIENCE, TRAINING, OR SKILLS: 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.

Substitute EDUCATION for EXPERIENCE: NONE

Substitute EXPERIENCE for EDUCATION: 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.

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE

Working Conditions

Incumbents working in this job title primarily perform duties in an office setting.

Probationary Period

This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

If you have questions about this advertisement, please contact Amy Dunn at amy.dunn1@ky.gov or 502-564-0216.

An Equal Opportunity Employer M/F/D