96 jobs found in Columbia, SC

Medical Review Auditor 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 all aspects of document management. Serves...

Medical Coder 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...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

Coder II | Responsibilities and Metrics Are you looking for your next challenge? The Virtual Business Office Associates is the perfect balance of a diverse and growing workforce that still feels like home. If you are a Coding Professional, come join our best in KLAS Extended Business Office today! Hiring remotely from: FL, GA, TX, NC, SC, VA, KY, AL. FLSA Status: Exempt What’s in it for you: Add to your portfolio by joining our fast-paced, exciting, diverse and inclusive work environment Endless growth opportunities and continuous professional development You’ll support one of the largest professional services firms in the world, with access to cutting edge automation and AI technologies to enhance your workday experience A permanent position with our company that offers stability and growth opportunities A flexible schedule that allows you to enjoy a work life balance, and leave early on Friday’s Use the latest EMR systems and utilize full portal access for the insurance...

Professional Medical Coder II (Remote Vascular Coder Position, Must reside in SC) Full Time AM Shift 8 am to 5pm Sign-On Bonus: $5000 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...

Overview 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,...

Become 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 (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...

Lexington Health is looking for a Coding Specialist to assign appropriate ICD and CPT codes for reimbursement in Columbia, South Carolina. You will have the opportunity to work from home while ensuring coding compliance and supporting the healthcare team. Ideal candidates will possess at least 3 years of professional coding experience and an active AAPC or AHIMA credential. Comprehensive benefits including medical and dental insurance from the first day of employment make this position highly attractive. #J-18808-Ljbffr

Coder II Under the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. This role involves selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines. The Coder II will contribute to coding compliance by ensuring timely and accurate assignment of codes for diagnoses and procedures, including the final DRG assignment. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. 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 Hours: 40 The...

Datavant is seeking an experienced Outpatient Coder to join our remote team. The ideal candidate will have at least 3 years of outpatient coding experience and a CCS certification. Responsibilities include reviewing medical records, assigning accurate codes, and maintaining coding accuracy standards. Flexible working hours and a collaborative environment are offered. Benefits include medical, dental, vision insurance, 401k with matching, paid time off, and professional development stipends. #J-18808-Ljbffr

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

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...

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...

A global staff augmentation firm is seeking a candidate with expertise in medical record management to conduct validation reviews and coordinate rate adjustments. This role requires an associate degree in Nursing or Health Information Management and active RN licensure. With at least 3 years of experience, the candidate will manage coding issues and HIPAA compliance while preparing detailed reports. Offered in Columbia, South Carolina, this position provides a typical office environment for effective operations. #J-18808-Ljbffr

Duration: 6+ Months 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. Responsibilities 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...

Lexingtononcology is looking for a skilled coding professional in Columbia, South Carolina, to assign appropriate ICD and CPT codes for reimbursement and statistical purposes. The ideal candidate will have at least 3 years of professional coding experience covering multiple clinical specialties and be proficient in coding guidelines. The position offers competitive benefits from day one, including medical, dental, and life insurance, 403(b) retirement plan with a match, and student loan forgiveness. #J-18808-Ljbffr

A healthcare institution in South Carolina is seeking a Coder II responsible for coding medical records across various departments. You'll select and sequence appropriate codes, ensuring compliance with guidelines. Candidates must possess a coding credential from AAPC or AHIMA, with a minimum of 2-3 years of experience preferred. Strong analytical and communication skills are essential. The position offers an hourly pay rate with a commitment of 40 hours per week. #J-18808-Ljbffr

Coding Auditor - Professional Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Physician coding Hours: Full-Time, 40 hours a week required Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire Pay: Based on experience, starting at $23.87/hour Location: Remote or onsite: At this time, you must reside in one of the following locations: Alabama Arkansas Arizona Florida Georgia Illinois Indiana Iowa Kansas Kentucky Louisiana Mississippi Missouri North Carolina New Mexico Ohio Oklahoma South Carolina Tennessee Texas Responsibilities Assists coders...

MUSC Health is looking for a Coder II to abstract inpatient, outpatient, and emergency department medical records. The successful candidate will ensure accurate and timely coding of diagnoses and procedures in compliance with official guidelines. Required qualifications include a high school diploma and certification as a Coder from a recognized body such as CPC or CCS. This role demands proven knowledge in coding standards and protocols while maintaining necessary certifications. #J-18808-Ljbffr

Job description Family-oriented physician practice management company in NE Columbia is seeking to hire experienced and driven professionals in the medical billing field. Responsibilities include the billing and account resolution aspects of revenue cycle management, providing management and clients with reports and account updates with some direct client- and patient-interaction while handling multiple projects and deadlines simultaneously. ESSENTIAL DUTIES: Review and submit claims daily within client practice management system. Apply incoming ERA and manual payments to patient accounts. Analyze and resolve insurance over payments and under payments. Conduct tracking/follow up on all outstanding claims. Denial resolution; including submission of medical records and appeals. Respond to patient & client-direct communications with a high level of customer service. Manage qualifying collection agency accounts, if applicable. Submit monthly patient...

Job Description Summary Under 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. Responsibilities Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classify using ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from AMA, AHA, and AHI MA. All work is carried out in accordance with the Health Information Management Department and MUSC-approved policies and procedures. Maintain active certification required for role. Qualifications High school diploma or equivalent (GED) and...

BayCare Health System is seeking a Remote Advanced Inpatient Coding Specialist. In this full-time role, you will analyze complex inpatient documentation and assign appropriate diagnosis and procedural codes using ICD-10 systems. The position requires a CCS certification and five years of Acute Care experience along with three years in Inpatient Coding. Join our team to thrive in a forward-thinking culture focusing on a blend of technology and compassionate service. Benefits include health insurance, 401k match, and more. #J-18808-Ljbffr

Coder II-3 Coder II-3 Location: South Carolina Job Type: Remote Departments: Patient Access, Records, Health Information, Medical Records & Coding, Business Operations Employment Type: Full Time Organization: Hospital Authority (MUHA) 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, 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. Additional Job Description: Qualifications: Associate's degree in health information technology or related field or 5 years coding...

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...