21 jobs found in Charleston

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Coding Auditor-2 Charleston, South Carolina Patient Access, Records, Health Information, Medical Records & Coding Business Operations Full Time Hospital Authority (MUHA) Job Description Summary Entity: Medical University Hospital Authority (MUHA) Worker Type: Employee Worker Sub-Type: Regular Cost Center: CC002307 SYS - Hospital Coding Pay Rate Type: Hourly Pay Grade: Health-26 Scheduled Weekly Hours: 40 Work Shift Job Description The Coding Auditor performs provider audits and education per the OC compliance plan policy to ensure compliance with the Federal Documentation Guidelines. This role ensures that claims are coded accurately to optimize reimbursement and has responsibility for keeping physicians and physician assistants current on coding changes and updates. Must have at least one of the following credentials: RHIA, RHIT, CCS or CPC. CPMA preferred. 4 years minimum coding experience required. Additional Job Description Education: Bachelors Degree...

Coding Auditor-1 Charleston, South Carolina The Coding Auditor performs provider audits and education per the OC compliance plan policy to ensure compliance with the Federal Documentation Guidelines. This role ensures that claims are coded accurately to optimize reimbursement and has responsibility for keeping physicians and physician assistants current on coding changes and updates. Must have at least one of the following credentials: RHIA, RHIT, CCS or CPC. CPMA preferred. 4 years minimum coding experience required. Education: Bachelors Degree or equivalent Work Experience: 2-4 years The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance to other auditors within AHN on audit approach and analysis. Responsible for creating and overseeing orientation of auditors. Leads all hospital or physician audits/investigations, auditing support and responses related to external audit activity. ESSENTIAL RESPONSIBILITIES: Establishes and implements orientation for all members of the AHN audit compliance team. Evaluates the progress of team members including review of reports and audit activities. Works with senior management responsible for AHN-wide case management/physician programs to develop processes that meet Medicare and 3rd party payor requirements. Provides guidance to staff auditors on audit topics and reports. (20%) Conducts educational sessions for...

Become a vital part of Datavant, the leading platform for secure, accessible, and actionable health data. Our mission is to enhance health data collaboration for healthcare providers, health plans, researchers, and life sciences organizations. Join us in transforming individual patient requests and advancing AI in healthcare! As a member of our team, you'll contribute to meaningful change in the healthcare landscape from the comfort of your own home. This fully remote position offers flexibility while allowing you to impact the future of healthcare. Key Responsibilities: Utilize ICD-10-CM and ICD-10-PCS codes to assign diagnostic and procedural codes accurately. Abstract and sequence medical codes from patient records, ensuring compliance and precision in documentation. Oversee and provide feedback on the work of Level 1 & 2 Coders when applicable. Identify opportunities for documentation improvement and collaborate with relevant stakeholders to...

Job Summary Evaluate patients records, work to resolve inaccurate charges, and assign appropriate diagnoses & procedure codes using the coding systems according to HIPPA regulations. Abstract pertinent data from patients' clinical records. Review records for reimbursement purposes and to ensure quality control. Responsibilities • Read and interpret ambulatory surgery or observation or outpatient or inpatient medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-9-CM/ICD-10 and CPT-4 codes in compliance with recognized coding principles and department policies. • Determine appropriate diagnostic and procedural sequencing in compliance with UHDDS guidelines. • Effectively utilize the APCpro features of 3M with the 3M encoder and grouper software to identify appropriate assign modifiers, make appropriate changes to charges, notify departments to make changes, identify missing documentation, and prepare the account as a clean...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Job Description Summary Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002307 SYS - Hospital Coding Pay Rate Type Hourly Pay Grade Health-26 Scheduled Weekly Hours 40 Work Shift Job Description The Coding Auditor performs provider audits and education per the OC compliance plan policy to ensure compliance with the Federal Documentation Guidelines. This role ensures that claims are coded accurately to optimize reimbursement and has responsibility for keeping physicians and physician assistants current on coding changes and updates. Must have at least one of the following credentials: RHIA, RHIT, CCS or CPC. CPMA preferred. 4 years minimum coding experience required. Additional Job Description Education: Bachelors Degree or equivalent Work Experience: 2-4 years If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Job Description Summary Join our exceptional team as an Acute Occupational Therapist at MUSC Black River Medical Center! Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC003473 BLR - PT (BRMC) Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours 40 Work Shift Job Description Evaluates, administers and directs the administration of therapeutic procedures utilized in physical medicine and rehabilitation, as prescribed by a referring practitioner. Establishes goals of occupational therapy and reassess this patient's progress at regular, timely intervals, supporting findings with appropriate documentation. Assesses and treats speech and language disorders and impairments. Conducts evaluations of an individual's speech and language skills using relevant diagnostic materials and tools. Develops treatment plans that utilize appropriate intervention approaches,...

A leading healthcare company is looking for a Nurse Auditor 2 to conduct clinical audits and ensure the accuracy of medical coding. This remote position requires a current RN license and at least one year of clinical experience. Responsibilities include validating documentation, interpreting medical records, and making decisions on coding appropriateness. The role offers a competitive salary range of $78,400 - $107,800 per year and opportunities for professional development. Ideal candidates will showcase excellent judgment and customer service skills. #J-18808-Ljbffr

This is a full time remote based position that specializes in advancing product expertise and functional skills of global medical affairs teams. The AD will serve as a therapeutic area expert (i.e., Nephrology/Immunology) by leading the training supporting the GMA Business Unit products, strategy and priorities. This role will be responsible for developing and executing the core training curriculum for a new product across all launch phases as well as training New Hire MSLs & GMA personnel supporting their therapeutic area. In addition, this role will be integral in the support of the GMA Peak Performers series, focusing on upskilling the performance of Global Medical Affairs. This will require original idea proposals, slide development, execution and evaluation. Leading live and virtual classroom trainings will also be an important deliverable of this position. The AD will partner and oversee regional/local Training Leads for their therapeutic area to develop tailored...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

I. Job Summary Under minimal supervision, plans and conducts environmental compliance audits of various entities to determine compliance with Federal and State regulatory requirements, programs and internal policies with a focus environmental regulations and capacity. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each of the following essential duties satisfactorily. Other minor duties may be assigned. Plan and conduct internal audits to determine compliance with Federal and State regulations. Review facility operations and records to ensure adequacy of internal controls, compliance with procedures, consistency with established laws, rules and regulations and guidelines applicable to overall compliance for the operation. Prepare audit reports, and implement administrative and technical audit procedures for audit program activities. Review and verify audit corrective actions and...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Job Description Summary Join our exceptional team as a PRN Occupational Therapist at our Black River Medical Center location!! Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type PRN Cost Center CC003474 BLR - OT (BRMC) Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours 8 Work Shift Job Description Evaluates, administers and directs the administration of therapeutic procedures utilized in physical medicine and rehabilitation, as prescribed by a referring practitioner. Establishes goals of occupational therapy and reassess this patient's progress at regular, timely intervals, supporting findings with appropriate documentation. Assesses and treats speech and language disorders and impairments. Conducts evaluations of an individual's speech and language skills using relevant diagnostic materials and tools. Develops treatment plans that utilize appropriate intervention approaches,...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full-time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Outpatient Coder II will work remotely on a full-time basis. Responsibilities: The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. Assists Manager/Director with mentoring/training of Coder I team members and clinical practice students from various colleges. Performs other duties as assigned. Why BayCare? Our network consists of 16...

A healthcare company is seeking an experienced auditor to conduct reviews of medical records to ensure compliance with regulations. The role requires at least 5 years of experience in medical documentation and coding, along with certifications like CPC and CRC. The position offers a competitive salary ranging from $46,988 to $112,200 annually and comes with benefits including medical plans and a 401(k). #J-18808-Ljbffr

Company Overview: Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers we serve. Professional Security Shift Supervisor Now hiring for a Full Time Security Shift Supervisor in North Charleston, SC! Pay Rate: $22.00 / Hour Schedule: 0000 - 0800 Tuesday to Saturday OR Sunday to Thursday Requirements: Must be at least 21+ years of age Must have at least 2+ years of Security Professional Experience Must have supervisory experience Must be able to carry a taser on post The Shift Security Supervisor will supervise and coordinate the delivery of quality services on a specific shift at an assigned customer. The Security Shift Supervisor will act as a liaison between site supervisor, Account Manager/Field...