84 jobs found in Columbia

Manager-EMS Billing The EMS Revenue Cycle Manager oversees the entire financial journey of patient services from verification & coding to billing & collections focusing on maximizing reimbursements minimizing denials ensuring compliance with Medicare/Medicaid managing staff and using data analytics to improve cash flow and profitability for the ambulance service. Job Requirements: Bachelor's Degree Preferred 5 Years Related Experience Preferred Why Maury: 2025 Great Place to Work & 2024 Best Place for Working Parents Medical Dental Vision Retirement Plans & PTO Educational Assistance Tuition Reimbursement & Career Advancement Navigation Employee Discounts Childcare Services Hospitots Adoption Assistance Mission Vision & Values: Mission: Clinical excellence. Compassionate care. Every patient. Every day. Vision: To be the trusted choice for health and wellness in southern Middle Tennessee by delivering a safe seamless and patient-centered experience....

Job Responsibilities At the South Carolina Department of Revenue (SCDOR), we are funding a better state to live, work, and play. Offering excellent benefits, flexible work schedules, tuition assistance, and self-development opportunities, we are a trustworthy partner to our customers and an innovative workplace that supports work-life balance and empowers our employees to reach their highest potential. Open the door to a career at the SCDOR and discover why 93% of our employees see how their work contributes to the SCDOR's success—by collecting 95% of South Carolina's general fund, our team serves with purpose and impacts the success of our community. We are looking for teammates who are: Able to communicate effectively with customers and outside organizations Organized, detail-oriented, and capable of independently prioritizing tasks Able to analyze and interpret tax laws, complex accounting, and financial documentation Able to work independently and as part of a...

Baylor Scott & White Health in Columbia, SC is hiring a Physician Compliance Auditor II. This role involves auditing compliance activities, coding accuracy checks, and training staff across various specialties. Candidates should have a Bachelor's degree or equivalent experience, at least 4 years auditing experience, and an active coding certification. The position offers a remote work model, aiming to ensure that documentation meets required standards and compliance regulations. #J-18808-Ljbffr

Job Description Summary Under the direct supervision of the Hospital Coding Supervisor, the Coder II will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. AAPC or AHIMA credential required. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC001111 SYS - Corp Revenue Cycle - RHNs Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift 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,...

Medical Office Supervisor PN Access and Authorizations Full Time Day Shift M-F 8a-5p Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its...

A healthcare institution in South Carolina is seeking a Coder III. This role is crucial for ensuring coding accuracy and providing ongoing education to team members in various healthcare settings. Responsibilities include assigning medical codes, mentoring new coders, and collaborating with supervisors on coding improvements. Candidates must have relevant coding credentials and experience, as well as strong communication skills. This position offers the flexibility of remote work. #J-18808-Ljbffr

Job Description Summary The Coder III, under the direct supervision of the Hospital Coding Supervisor, serves a dual role focusing on coding accuracy and team education. This position is responsible for abstracting medical record documentation across various settings (inpatient, outpatient, clinic, and emergency department) to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and CPT4 codes. The Coder III ensures adherence to coding compliance guidelines for accurate and timely assignment of codes, including final DRG assignment. A key aspect of the position is providing ongoing education and training to care team members to enhance coding proficiency and compliance with regulatory requirements. 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 Key Responsibilities Provide mentoring and support to new...

TALENT Software Services is seeking a professional in Columbia, SC, for validation reviews and records management in healthcare services. Responsibilities include coordinating claims adjustments, conducting validation reviews, and ensuring HIPAA compliance. Required qualifications include being a Registered Records Administrator or active RN licensure. Applicants should have strong methodological development skills and the ability to compile impactful reports. Join a dynamic team committed to quality care and innovation. #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference. Job Summary To code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. This position will perform Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. To code for multiple facilities....

Location SC Residents ONLY: 100% Remote within SC/Virtual Online Interview. Required Skills 5+ years experience in healthcare insurance; medical review, program integrity, or appeals. 5+ years experience working with IT developers/programmers in a payor environment. 5+ years experience in Medical Coding in payer environment. 3+ years clinical experience in a healthcare environment (Strong clinical assessment and critical thinking skills). 5+ years strong knowledge of ICD/CPT/HCPCS translation and coding methodologies. Preferred Skills 5+ years experience in policy remediation. 5+ years Medical Claim processing systems experience. Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and/or other medical coding software programs). Required Education Bachelor's degree in Health Information, Healthcare Administration, or related field; equivalent experience may be considered with a minimum of 3+ years of direct supervisor experience. Additional...

Job Description Summary Applicants must currently reside in the Eastern Time Zone to be considered. Job Responsibilities Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided. Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the...

Medical Biller/Coder Phenomenal specialty medical practice in the Upstate looking to add an experienced medical biller/coder with CPC to their team. Incredible benefits, including half-day Fridays! Salary: $20-$23/hour What Your Future Day Will Look Like: Review documentation to determine the appropriate codes for medical services Assign codes for services provided Ensure codes meet guidelines Benefits Offered: Excellent benefits! Type: Temp - Hire To Be a Champion in This Role, You Will Need: Current CPC certificate/AAPC Medical billing/coding experience required Epic experience preferred Excellent attention to detail We know you are more than a resume and understand your next career move needs to be the right fit! If this is your first time considering Godshall as your trusted partner, welcome! Once you have applied, we ask that you give us 1-2 business days to review your experience and skills. You will then hear back from one of our...

Front Office Supervisor Well established medical practice is looking for experienced front office supervisor with strong management experience to lead their team to success. Manage & maintain the day-to-day operations, ensuring patient needs are met with high quality service. Hiring Immediately! Salary: $BOE What your future day will look like: Conduct monthly department meetings to discuss & solve problems, building morale Responsible for hiring, training, and monitoring new staff maintain updated training materials Work closely with other supervisors to maintain physician call schedules Coordinates policy changes with clinical supervisors Benefits Offered: Medical/Dental PTO 401K w/excellent matching Type: Direct Hire To be a champion in this role, you will need: 3+ years supervisory experience in a medical setting Epic experience Ability to problem solve and work hands on with other departments Friendly, outgoing...

A healthcare facility in Columbia, SC is looking for a full-time Coding Specialist. Responsibilities include assigning ICD and CPT codes, maintaining accurate statistical documentation, and working collaboratively with clinical staff. Candidates should have 3+ years of relevant coding experience and an active AAPC or AHIMA certification. The role offers day one medical benefits and retirement plans. #J-18808-Ljbffr

The Medical Billing specialist is responsible for working all aspects of the billing cycle, specifically in Accounts receivable, payment posting, denials, appeals, etc. This role requires a keen attention to detail, knowledge of medical billing best practices, and the ability to work collaboratively across departments to resolve claim issues and improve reimbursement outcomes. Key Responsibilities Tracking claims for accuracy and timely payment. Analyze accounts receivable reports and follow up on unpaid claims and denials. Reconcile patient accounts and communicate with payers regarding disputes or appeals. Monitor and report key performance indicators for billing operations. Maintain compliance with insurance guidelines and HIPAA regulations. Qualifications Certification in Medical Billing. 2+ years of experience in medical billing or healthcare revenue cycle (Preferred). Strong understanding of CPT, ICD-10, and medical billing workflows. Proficiency in EMR and clearinghouse...

A federal court is seeking a Professional Fee Coder responsible for reviewing provider documentation and assigning ICD-10-CM, CPT, and HCPCS codes for physician professional services. Candidates should have over 3 years of coding experience and strong knowledge of coding guidelines. The role involves ensuring compliant coding practices, maintaining confidentiality, and collaborating with billing teams. An active coding certification and proficiency with EHR tools are required for this position. #J-18808-Ljbffr

A healthcare provider in Columbia, South Carolina is looking for a medical coding specialist responsible for assigning ICD and CPT codes for accurate reimbursement. The ideal candidate will have at least 3 years of coding experience, an active coding certification, and proficiency in Microsoft applications. This role requires strong collaboration with healthcare staff to maintain compliance and ensure quality in coding processes. Competitive benefits are provided from the first day of employment, including medical and dental insurance. #J-18808-Ljbffr

A healthcare organization in South Carolina seeks a Coder II to work under the Hospital Coding Supervisor. The role involves abstracting and coding medical records for various departments, ensuring adherence to ICD-10-CM/PCS, HCPCS, and CPT-4 coding standards. Candidates must possess an Associate’s degree or equivalent experience, coding certification, and strong analytical skills. Responsibilities include accurate code assignment and maintaining compliance with such guidelines in a collaborative environment. Position offers the backdrop of equal opportunity employment. #J-18808-Ljbffr

Required: Inpatient Neonatal, pediatric, and critical care professional fee coding experience Job Summary: The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines. Responsibilities include, but are not limited to: Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time and ensure documentation supports code selection. Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies. Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve...