22 coding auditor jobs found in Anderson, SC

Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. Day in the Life of a Medical Coding Auditor Conducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines. Developing, implementing, and coordinating corrective action proposals and plans. Tracking completion of internal and external Plans of...

A healthcare provider is seeking a Remote Medical Coding Auditor to conduct audits of medical claims and records. The role requires CPC certification and a minimum of 5 years of coding experience. Responsibilities include preparing reports on compliance issues, assisting in training, and maintaining coding knowledge. The position offers benefits such as medical insurance, PTO, and opportunities for professional development. #J-18808-Ljbffr

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:...

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...

Title: Senior Certified Coding Auditor and Trainer Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Health, dental, vision insurance Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance Rewarding Careers What Are We Looking For? Novant Health Urgent Cares is currently seeking a...

A healthcare organization based in Columbia, SC is seeking a Senior Certified Coding Auditor and Trainer. This role involves educating staff on medical coding and documentation, overseeing coding vendor performance, and conducting chart audits to ensure accuracy. Candidates should have relevant degrees and licensure in medical coding, along with a deep knowledge of ICD10-CM and medical terminology. The position offers competitive wages, generous PTO, and benefits including health insurance and a 403B plan. #J-18808-Ljbffr

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should have RHIA, RHIT, or CCS certification and significant experience in medical coding audits. Strong analytical and communication skills are essential for success in this position. The role offers a competitive salary and benefits, contributing to overall well-being for employees. #J-18808-Ljbffr

Crossroads Treatment Centers is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environment for all employees.Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder.Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery.This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery.We are committed to bringing critical services to communities across the U.S.to improve access to treatment for over 26,500 patients.Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and...

Job Summary: Assists with implementing and maintaining a system-wide effective compliance program through performance of compliance and coding quality audits. Under indirect supervision, assures appropriateness and accurate coding assignments in accordance with federal coding regulations and guidelines. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional and facility fee documentation, coding and billing, including CMS and OIG compliance standards. Leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Prepares written reports of findings. Also responsible for providing assistance with coding inquiries from providers, coders, billing staff, etc. Monitors relevant resources and publications related to high-risk compliance areas. Serves as an audit software system administrator as assigned....

Medical Review Auditor Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. 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, outcomes, trends, and savings that directly impact medical costs and contracting rates. Manages records retrieval, release, HIPAA compliance, and all aspects of document management. Serves as expert resource on methodology and procedures for medical...

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:...

Medical Coder The coder will review documentation of providers and assign CPT codes, ICD10 codes, and modifiers for provider professional services. The coder is responsible for providing coding education to providers and completing daily billing functions. Other duties as assigned by Practice Manager. Minimum Requirements High School Diploma or equivalent Procedural and/or surgery coding experience Certified Coder-CPC or CCS-P Preferred Requirements Associate's Degree 2 years billing/coding experience Core Job Responsibilities Review provider documentation in the electronic medical record to identify incomplete documentation and communicate with provider for completion Assign appropriate ICD-10 and CPT codes Assign modifiers as appropriate Review and correct (if appropriate) provider audits Provide coding/billing education to providers Complete charge corrections Communicate and coordinate daily billing with PBS Maintain current coding knowledge and...

Job Requirements Position Summary The coder will review documentation of providers and assign CPT codes, ICD10 codes, and modifiers for provider professional services. The coder is responsible for providing coding education to providers and completing daily billing functions. Other duties as assigned by Practice Manager. Minimum Requirements Education High School Diploma or equivalent Experience procedural and/or surgery coding experience License/Registration/Certifications Certified Coder-CPC or CCS-P Preferred Requirements Preferred Education Associate's Degree Preferred Experience 2 years billing/coding experience Preferred License/Registration/Certifications N/A Core Job Responsibilities Review provider documentation in the electronic medical record to identify incomplete documentation and communicate with provider for completion Assign appropriate ICD-10 and CPT codes Assign modifiers as appropriate Review and...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

Job Description - IP Coder/Abstractor (7463-2997) IP Coder/Abstractor will code all inpatient medical records and assist with outpatient medical record coding on an as‑needed basis at Harris Regional and Swain Community Hospitals. Responsibilities include accurate coding and abstracting of inpatient records in accordance with established guidelines; reviewing and abstracting the patient record to accurately assign diagnostic and procedural codes; following up with the provider or Clinical Documentation Improvement (CDI) team as needed; performing physician queries as necessary to insure accurate coding; performing charge‑capture duties for injections and blood administration; and performing chart/coding data audits. Education Current RHIA, RHIT, and/or CCS required. Other coding certifications from accredited schools will be considered on a case‑by‑case basis. Experience Minimum of 2 years ICD‑9‑CM and CPT‑4 coding experience in an acute care facility is desired, but new...

Night Auditor / Front Desk Supervisor - Hilton Asheville Biltmore Park Picture yourself at Biltmore Farms as part of the Vanderbilt legacy of hospitality! Why join our Front Office team as a Night Auditor / Front Desk Supervisor? $18.50/hour starting pay Outstanding medical, dental, and vision benefits coverage Fun wellness program with annual bonus of up to $600 401K retirement plan with employer matching program Opportunities to earn e-tips directly from guests and clients Parental leave with up to 6 weeks available for birth, adoption, and fostering Hilton-brand hotel discounts for you, your family, and your friends YMCA membership monthly discount Paid time off and paid holidays Friendly and supportive work environments Incredible employee learning and growth opportunities Exciting employee events and activities Essential Elements As a Biltmore Farms Night Auditor / Front Desk Supervisor, you are more than just a welcoming presence, you are...

Health Information Management (HIM) Coder The Staff Pad has partnered with Blue Ridge Medical Center, located in Blue Ridge, GA and is seeking a detail-driven, experienced Health Information Management (HIM) Coder to join a growing team in a fully remote role. If you thrive in a fast-paced healthcare environment and are passionate about coding accuracy, compliance, and supporting quality patient care, this opportunity offers the flexibility and stability you've been looking for. In this role, you'll review, analyze and assign diagnostic and procedural codes for inpatient, outpatient, and/or emergency department records using ICD-10-CM, CPT, and HCPCS coding systems in accordance with official coding guidelines and facility standards. What You'll Do Review and abstract clinical documentation to assign accurate diagnosis and procedure codes Ensure compliance with federal regulations and hospital policies related to coding and billing Collaborate with physicians and clinical...

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...

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, or South Carolina) Status: Full time (non-exempt) Shift: 8:00am - 4:30pm Days: Monday through Friday Sign on bonuses available! Responsibilities The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers. Mentors and training of other Specialty Coders. Serves as a resource for the department. Performs other duties as assigned. Preferred Coding Specialties Anesthesia General Surgery Cardiothoracic Surgery Neurosurgery...

$36 per hour Columbia, SC Right to Hire Duration: 3+ Months (Possible contract to hire) Job Description: Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. 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, outcomes, trends, and savings that directly impact medical costs and contracting rates. Manages records retrieval, release, HIPAA compliance, and...

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, or South Carolina) Status: Full time (non-exempt) Shift: 8:00am - 4:30pm Days: Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on bonuses available! Responsibilities The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiersrelated to anesthesia coding and billing as well as anesthesia...

A leading healthcare provider is seeking a Specialty Coder II for a remote position focused on accurate diagnosis and procedural coding. The ideal candidate holds a Certified Professional Coder (CPC) credential and brings at least 2 years of coding experience. This role offers competitive benefits, including medical, dental, vision, and tuition assistance. The candidate will audit documentation and mentor other coders while working in a collaborative environment dedicated to medical excellence. #J-18808-Ljbffr