32 jobs found in Charleston

divh2Inpatient Coder/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ph3What Were Looking For/h3pWere looking for experienced and credentialed inpatient coders to become an integral part of our team. The...

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...

divh2Outpatient Coders/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppWere looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

Outpatient Coder 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Allegheny Health Network Job Opportunity 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 and implementing these updates in daily work....

divh2Senior Inpatient HIM Coder/h2pWe are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts./ph3Requirements and Qualifications/h3pA minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

divh2Hcc (Hierarchical Condition Category) Coder/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppAs an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

divh2Inpatient Medical Coding Auditor/h2pBecome 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 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./ppIf 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...

divh2Op Coder 2/h2pHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of whats possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in peoples lives./ppWork Shift Various (United States of America)/ph2Job Summary:/h2pA new chapter awaits at Wellstar! We value your experience and want to help you continue your career in a supportive environment./ppExperience the Wellstar Difference/ppCompetitive pay benefits/ppCareer growth development programs/ppFlexible schedules/ppSupportive, team-oriented culture/ppEmployee wellness programs/ppThe OP Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include:...

Inpatient Coder Specialist - 131223 South Carolina:Charleston | Business and Administrative | Full Time Description 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: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Sign on bonuses available! 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...

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...

Coder II Coder II Remote South Carolina Patient Access, Records, Health Information, Medical Records & Coding Business Operations Full Time Hospital Authority (MUHA) Job Description Summary 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. 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-25 Scheduled Weekly...

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,...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Join Datavant, a leading data platform company revolutionizing health data exchange. Our mission ensures that every healthcare decision is guided by the right data at the right time and in the right format. As the world's foremost health data network, our platform enables secure, accessible, and actionable data, empowering healthcare stakeholders including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing, values-driven team, you'll contribute to innovative technology solutions that address some of healthcare's most challenging issues. Our diverse team brings various professional, educational, and life experiences together to achieve our ambitious goals for the healthcare sector. What You'll Be Doing: Conduct audits of coded medical charts according to the client's guidelines as assigned by the quality supervisor. Navigate multiple client guidelines with ease. Maintain a 95% quality average at the...

About Otsuka At Otsuka, we challenge limits to help others do the same. Our commitment to exceeding expectations drives us to address complex medical needs, empowering patients to transcend their conditions and achieve their daily goals. About the Role Our Omnichannel Center of Excellence is focused on fostering innovation and delivering capabilities that enhance our impact on patients and providers. We prioritize customer centricity, patient empathy, and expertise in disease education and treatment access. We are seeking a Medical Omnichannel Data Scientist with expertise in artificial intelligence, machine learning, and data integration. This role involves conceptualizing, prototyping, and developing advanced analytics models to support data-driven decision-making. The ideal candidate will collaborate closely with stakeholders to leverage analytics and machine learning techniques, enhancing communication strategies and ensuring personalized interactions with...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: This role involves comprehensive medical record reviews to extract vital medical and demographic data, accurately interpret and apply diagnoses and procedures using ICD coding systems, and contribute to reducing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES: Thoroughly review and interpret medical records, physician treatment plans, outcomes, and other relevant information to assign appropriate ICD codes for diagnoses and procedures. (65%) Abstract necessary data elements to fulfill statistical requests from the hospital, health system, and medical staff, ensuring all coded and abstracted information is accurately input into the designated system. (15%) Manage medical information efficiently and support cash flow by monitoring and addressing the unbilled coding report. (10%) Stay updated on ICD guidelines by participating in training, reviewing coding clinics,...

Summary The Charleston VA Healthcare System is seeking Medical Records Technicians (Coder-Outpatient and Inpatient)! MRT (Coders) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics and specialty centers. Responsibilities Total Rewards of a Allied Health Professional This position is located in the Health Information Management (HIM) section at the Ralph H. Johnson VA Health Care System (VAHCS). MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. MRT (Coder) may also provide education related to coding and documentation. Major duties may include, but are not limited to: Complete and accurate diagnostic and procedural coded data are necessary for research,...

Job Full Description A local medical office is seeking a full-time Medical Biller. Responsibilities/Duties: Medical Biller responsibilities include working to reconcile billing issues, working with the accounting department to ensure all accounts are up to date, and helping with the training of new employees in the billing department. You will take the data provided by the medical coders and use it to compile and submit claims to insurance companies and then subsequently bill patients. You will be responsible for collection of all monies due from patients, receive and post patient and insurance carrier payments and patient charges, assist in account receivables review, collections, weekly billings, and assist front offices in insurance carrier compliance and information and review and analyze patient accounts, and discuss financial information with patients. Additional duties will be to balance daily charges, payments, adjustments, and prepare daily deposits, make patient...

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...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...