42 cpc coder jobs found in Columbia

McLeod Health is seeking a professional coder to maintain accurate coding for professional claims and ensure timely reimbursement. You will review documentation to verify CPT, HCPCS, and ICD-10 CM codes in line with compliance guidelines and assist with denials and appeals to optimize revenue. The role requires 1–2 years of coding and billing experience, CPC or CPC-A certification, and strong Excel/Office skills. Travel to satellite offices may be needed as part of duties. #J-18808-Ljbffr

A health staffing agency is seeking a National Recruiter for a Certified Coding Specialist role in Columbia, SC. This full-time position involves scrubbing coding documents, educating staff, and ensuring accurate coding practices. Candidates must have an AAPC certification and strong communication skills. Onsite work is required with potential for hybrid after conversion. Competitive pay range is $24.00/hr - $26.00/hr. #J-18808-Ljbffr

MUSC Health in South Carolina seeks a coder/abstracter responsible for accurate ICD-10 and CPT coding of inpatient, outpatient, and emergency services, ensuring alignment with official guidelines. You will review medical records and assign codes to diagnoses, procedures, and conditions in accordance with HIM policies. Requires an Associate’s degree in health information technology or related field or 5 years coding experience, and a coding credential such as RHIT, CCS, or CPC. #J-18808-Ljbffr

University of Missouri-Columbia seeks a Medical Coding Specialist to review complex clinical documents and assign ICD-10-CM, CPT, and modifiers for services provided. The role involves working with payers to secure retroactive authorizations in surgical contexts. Ideal candidates hold multiple coding credentials (CCA/CCS/RHIT/RHIA/CPC) and a high school diploma with related background. Remote work options are available within the department guidelines. #J-18808-Ljbffr

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...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit in South Carolina. The role requires auditing CPT/HCPCS, ICD-10, and CMS 1500/UB04 data to ensure compliant documentation and coding. The successful candidate will provide detailed audit findings, communicate with investigators and regulators, and stay current with coding guidelines. AAPC CPC certification and 3+ years of coding or auditing experience are required. #J-18808-Ljbffr

Job Summary Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs 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...

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 59698 - MCS-C and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to...

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...

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...

We are seeking a certified Billing and Coder to fill our Hospice Medical Coder role. The primary responsibility of the Coder is to ensure accurate coding and billing practices in compliance with relevant regulations and guideline. This position will be working in the local office nearest you daily. This is a full-time, salary-based8-hr position (8:00AM-5:00PM) (Monday-Friday). About We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a Career at Your Health? Providing high quality care for our patients is the center of what we do, and...

Remote Medical Biller & CoderRooted 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.ResponsibilitiesProcess and submit medical claims accurately and on timeAssign appropriate ICD-10, CPT, and HCPCS codesReview documentation for coding complianceFollow up on denied or unpaid claims as neededCommunicate with providers, payers, or clients when necessaryMaintain HIPAA compliance and data security standardsQualificationsPreferred:Experience with medical billing, coding, or claim processingFamiliarity with EHR or billing softwareStrong attention to detail and accuracyBasic...

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. 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 Maintain strict patient and physician...

Back Inpatient Medical Coder/Auditor Healthcare Columbia , South Carolina Contract On-Site Aug 5, 2026 Location:Can live anywhere in SC or bordering NC as long as they are able to commute to the worksite location as needed Pay: $36 /hour + optional medical, dental, vision, 401(k) match Overview Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues and coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Key Responsibilities Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review,...

McLeod Health in Florence, SC seeks a Senior Inpatient Coder responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at our facilities, focusing on complex medical/surgical encounters. You will stay current with coding developments, query physicians when documentation is unclear, collaborate with Clinical Documentation Specialists, and maintain productivity with a 95% accuracy rate. #J-18808-Ljbffr

Job Summary Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs 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...

Your Health Organization is hiring a certified Billing and Coder for our Hospice Medical Coder role in Columbia, SC. This full-time position requires accurate coding and billing practices in compliance with regulations. The ideal candidate will have a national coding certification and a minimum of one year of experience in a healthcare setting. Key responsibilities include coding medical procedures and ensuring compliance with CMS and HIPAA guidelines. We offer a competitive compensation package, including benefits like 401K matching, generous PTO, and more. #J-18808-Ljbffr

Prisma Health seeks an experienced Medical Coder to abstract and validate CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. You will follow coding guidelines, stay updated on payer rules, and serve as a subject matter expert for the assigned specialty. You will utilize coding software, communicate billing concerns to leadership, and participate in education opportunities to improve accuracy and compliance. #J-18808-Ljbffr

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 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 Associate’s degree, minimum of 2-3 years of experience in coding and familiarity with coding software. Strong analytical skills and ability to resolve coding issues. Effective communication and interpersonal skills. Certifications,...

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...

Follows departmental policies for charge corrections. Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall...

Prisma Health in Columbia, SC is seeking a medical coder responsible for coding medical information using established guidelines. Candidates should have three years of coding experience in acute care or ambulatory settings and relevant certifications. The role involves coding for multiple facilities and adhering to Prisma Health's policies for accuracy and compliance. Work will be performed during the day shift. #J-18808-Ljbffr

Duties: Reviews medical documentation to perform a variety of coding validations for multiple lines of business under Medicare/TRICARE to determine accuracy of billing and payment. Reassigns and sequences diagnostic and procedural codes using universally recognized coding system as appropriate. Compiles and analyzes statistics to determine focus areas for targeted medical review activities where there is the greatest potential for inappropriate Medicare/TRICARE payments. 60% Determines methodology to identify cases for DRG, HIPPS, HCPCS, RUG, and APC validation. Conducts targeted coding, documentation reviews, and validation reviews coordinating rate adjustments and adjudication of corresponding claims. Utilizes Grouper, Rover, MDS QC tool or other appropriate software for code validation. 25% Compiles/analyzes statistics to determine focus areas for targeted medical review activities where there is the greatest potential for inappropriate Medicare/TRICARE payments demonstrating...

Become a part of our caring community 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, processes and techniques, and...