41 jobs found in Charleston

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

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...

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...

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 you to...

Boone Memorial Hospital is seeking a detail-oriented Coder (HIM Coder) to join the Health Information Management team. The ideal candidate will ensure accurate coding and compliance for outpatient services, requiring a CCS and CPC certification. With a focus on patient information, the role demands effective collaboration with various departments to enhance documentation quality. Applicants should have at least two years of outpatient coding experience, knowledge of coding guidelines, and excellent communication skills. This full-time position offers a chance to contribute significantly to our healthcare operations. #J-18808-Ljbffr

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

A healthcare network is seeking a remote Advanced Inpatient Coding Specialist to analyze complex inpatient documentation and assign proper diagnosis and procedural codes. This PRN position offers flexible shifts and requires strong knowledge in ICD-10 coding systems. Candidates must hold a Certified Coding Specialist (CCS) certification and have significant experience in acute care and inpatient coding. Join a team dedicated to providing compassionate service and advancing healthcare access in the community. #J-18808-Ljbffr

The Medical University of South Carolina is seeking a professional to manage coding and billing compliance operations. The candidate will provide education to physicians and staff while ensuring adherence to regulatory requirements and auditing processes. This is an on-site position requiring residence within the Tri-County area. Applicants should possess a high school diploma with at least 2 years of relevant experience, along with preferred certifications in medical coding. #J-18808-Ljbffr

Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina that provides healthcare to patients within the rural health network throughout the state of South Carolina. Job Description The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD‑10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures. Qualifications Associate’s degree in health information technology or related field or 5 years coding experience; coding certification (e.g., CPC, CCS) required. With...

Coder II-3 Coder II-3, South Carolina Patient Access, Records, Health Information, Medical Records & Coding, Business Operations, Full Time, Hospital Authority (MUHA) Job Description The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures Additional Job Description Qualifications: Associate's degree in health information technology or related field or 5 years coding experience; coding certification (e.g., CPC, CCS) required. With Associate's...

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, South Carolina) Status: PRN (non-benefit eligible, as needed) Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN (non-benefit eligible) remote position. Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates...

We are a busy, well-established orthopaedic practice seeking an experienced Medical Biller to join our dedicated administrative team. The ideal candidate is detail oriented, organized, and knowledgeable in all aspects of medical billing and revenue cycle management. If you thrive in a fast‑paced healthcare environment and are committed to providing exceptional support, we’d love to hear from you. Responsibilities Process and submit accurate medical claims to insurance carriers. Follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement. Review and resolve billing edits, claim rejections, and payment discrepancies. Verify insurance benefits and eligibility when needed. Communicate professionally with insurance companies, patients, and providers regarding billing inquiries. Maintain compliance with HIPAA and all applicable billing regulations. Work collaboratively with providers and office staff to optimize the revenue cycle. Qualifications Minimum of 3...

Medical Records Coder III Outpatient (REMOTE) 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. 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 Responsibilities The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/Director with mentoring/training of Coder I and Coder II team members and clinical practice students from various colleges....

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

South Carolina Sports Medicine in North Charleston is looking for an experienced Medical Biller to join our orthopaedic practice's administrative team. The ideal candidate will be detail-oriented and possess strong knowledge of medical billing, coding, and revenue cycle management. Key responsibilities include processing medical claims, following up on unpaid claims, and maintaining compliance with billing regulations. We offer competitive pay, health benefits, and a supportive team environment. #J-18808-Ljbffr

Job Description Job Description Salary: Hourly DOE We are a busy, well-established orthopaedic practice seeking an experiencedMedical Biller to join our dedicated administrative team. The ideal candidate is detail oriented, organized, and knowledgeable in all aspects of medical billing and revenue cycle management. If you thrive in a fast-paced healthcare environment and are committed to providing exceptional support, we'd love to hear from you. Responsibilities Process and submit accurate medical claims to insurance carriers. Follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement. Review and resolve billing edits, claim rejections, and payment discrepancies. Verify insurance benefits and eligibility when needed. Communicate professionally with insurance companies, patients, and providers regarding billing inquiries. Maintain compliance with HIPAA and all applicable billing regulations. Work collaboratively with providers and office staff to...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Humana Inc in Charleston, WV is hiring a Senior Market Consultation / Partnership Professional. This role focuses on ensuring accurate documentation and coding practices for risk adjustment programs, engaging with clinical teams and providers for continuous improvement. Candidates should possess an active RN license (BSN preferred) and coding certifications such as CPC. A strong understanding of ICD-10-CM coding and risk adjustment methodologies is essential for this position. #J-18808-Ljbffr

Job Description Our growing ophthalmology retina practice in Mount Pleasant, SC is seeking an energetic, detail-oriented Medical Biller & Coder to join our team. This role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up. This position offers stable hours, a supportive team environment, and the opportunity to expand your skills in a physician‑led specialty practice. Experience with Athena Practice Management System is preferred. Responsibilities Insurance & Payer Knowledge Understand insurance policy guidelines including COB, referrals, prior authorizations, and insurance portals Knowledge of Medicare, Medicaid, and commercial payer billing rules and regulations Communicate with...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....