15 data coder jobs found in Charleston

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 referred outpatient, series, and ED medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-10, ICD-9-CM, 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 claim for billing to...

A leading AI development company is seeking proficient programmers to contribute to cutting-edge AI systems. This fully remote role allows for a flexible schedule, enabling you to choose projects and work hours. Key responsibilities include solving coding problems for AI training, evaluating AI-generated code, and writing quality code snippets. Ideal candidates are fluent in English, have experience in programming languages like Kotlin and JavaScript, and possess strong writing skills. Competitive pay of up to $60/hour is offered based on performance. #J-18808-Ljbffr

Overview Position Type Full Time Description Boone Memorial Hospital is seeking a detail-oriented and motivated Coder (HIM Coder) to join our Health Information Management team. In this role, you will play a critical part in ensuring accurate coding, regulatory compliance, and timely reimbursement for outpatient services. If you have a passion for medical coding, enjoy working independently, and take pride in accuracy and attention to detail, we encourage you to apply. Essential Functions As a Coder, you will: Review medical record documentation and accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines. Abstract patient information into electronic medical record systems while ensuring data accuracy and integrity. Apply CMS regulations, payer-specific guidelines, and coding compliance standards to support ethical and accurate reimbursement. Resolve coding-related claim edits and assist with denial management. Collaborate with providers, billing...

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...

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. 1,500 Sign on Bonus 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,...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

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...

**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 and...

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for each assigned provider. You will report to the Manager, Medicare Risk Adjustment. You will design and deliver on-site educational sessions, analyze coding quality trends using data visualization tools, and collaborate with cross-functional teams to enhance documentation and data integrity across the Medicare risk adjustment program. #J-18808-Ljbffr

Benefits: Competitive salary Dental insurance Flexible schedule Free food & snacks Free uniforms Health insurance Paid time off Training & development Tuition assistance Vision insurance Pay: $20.00 - $25.00 per hour Job description: Located in Mount Pleasant, SC $20–$25 per hour Full-Time | No Weekends 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....

Summary The Health Administration Service is seeking a full-time Medical Records Technician ( Inpatient Coder) for the VA Medical Center in Charleston South Carolina. This position is located in the Health Information Management (HIM) section at the Ralph H. Johnson VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting. Responsibilities These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. The duties may include but are not limited to the following: Assigns codes to documented patient care encounters (inpatient Coder) covering the full range of health care...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community 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. Where you Come In 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 accuracy of...