148 jobs found in Columbia, SC

Coder II-1 Coder II-1, South Carolina Job Title: Coder II-1 Requisition ID: R-0000070253 Location: Remote, South Carolina Departments: Patient Access, Records, Health Information, Medical Records & Coding, Business Operations Employment Type: Full Time 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 Education: High school diploma or equivalent required Experience: 2+ years of coding experience...

Coding Specialist Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the...

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist #2983 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about ensuring proper claim details, billing compliance, and timely claim resolution to support the organization's financial goals. We need someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. In the role of Medical Billing Specialist, you will be responsible for accurately preparing and submitting medical claims to appropriate payers Tell us about your experience in Medical Billing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly...

Job Description Job Description Title: Medical Biller (Full Cycle) Location: Columbia, SC Compensation: $17.00 – $22.00 per hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract period. About the Opportunity Addison Group is hiring a Full Cycle Medical Biller on behalf of our client for a contract-to-hire opportunity within a physician practice management environment. This is a hands-on, independent role supporting multiple clients and managing the full billing lifecycle. The position offers exposure to both operational billing work and client communication, making it ideal for someone who is confident working claims from start to finish and comfortable interacting directly with stakeholders. Key Responsibilities Submit and manage claims within designated practice management systems on a daily basis Post electronic remittance advice (ERA) and manual payments...

Job Description Job Description The Medical Billing specialist is responsible for working all aspects of the billing cycle, specifically in Accounts receivable, payment posting, denials, appeals, etc. This role requires a keen attention to detail, knowledge of medical billing best practices, and the ability to work collaboratively across departments to resolve claim issues and improve reimbursement outcomes. Key Responsibilities: Tracking claims for accuracy and timely payment. Analyze accounts receivable reports and follow up on unpaid claims and denials. Reconcile patient accounts and communicate with payers regarding disputes or appeals. Monitor and report key performance indicators for billing operations. Maintain compliance with insurance guidelines and HIPAA regulations. Qualifications: Certification in Medical Billing. 2+ years of experience in medical billing or healthcare revenue cycle (Preferred). Strong understanding of CPT, ICD-10, and medical...

Job Description Job Description Job Title: Clinical Analyst / Certified Medical Coder Location: Columbia, SC (Hybrid) Work Arrangement: 80% Remote; occasional onsite travel required Duration: 12 Months Interview: 1 Round – Virtual/Online Candidate Location: Resource can reside anywhere in the United States but must be willing to travel onsite to Columbia, SC for required meetings or training with notice from management. Travel will be at the resource's expense. Strong preference: Candidates located in South Carolina, North Carolina, or Georgia . Job Summary: The consultant will research medical coding changes, analyze their impact, and provide recommendations to policy owners, process owners, and stakeholders. The role will also support the current Medicaid Management Information System (MMIS) and may participate in future MMIS replacement initiatives. The ideal candidate will have strong experience with ICD-10, CPT, HCPCS coding, healthcare processes,...

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...

Hospice Medical Coder 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 guidelines. This position will be working in the local office nearest you daily. This is a full-time, salary-based 8-hr position (8:00AM-5:00PM) (Monday-Friday). 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. Providing high quality care for our patients is the center of what we do, and we provide the same care for...

Coding SpecialistInspire health. Serve with compassion. Be the difference.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 FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's purpose: 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 billing, when applicable.Follows departmental policies for charge...

Education Essential: At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. Summary 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 consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries and monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and Medicare...

IDE Medical Device Trials is seeking an Associate Director of Clinical Operations to lead its CRC teams across multiple sites, reporting to the VP of Clinical Operations. This hands-on leadership role oversees start-up through close-out of IDE vascular and specialty device studies, with remote work on East Coast and ~50% travel. You'll mentor CRCs, collaborate with investigators, ensure compliance with GCP and 21 CFR 812, manage enrollment and site performance, and drive study timelines and #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will perform quality reviews, audits, and educational feedback to coders and managers to ensure compliance with ICD-10-CM/PCS, CPT-4/HCPCS, and reimbursement guidelines. The ideal candidate has 5+ years in professional medical coding/reimbursement, credentials such as CCS/AHIMA or CPC/APAC, and experience with Cerner, EPIC, or 3M 360 Encompass. U.S. citizenship preferred. #J-18808-Ljbffr

Pena4 Inc is hiring an Inpatient Medical Coder (CCS certified) for 100% remote work in the United States. The role requires at least 5 years of IP PCS coding experience and a CCS certificate, with a coding assessment to be passed. The coder will work on inpatient and outpatient accounts, using ICD-10-CM/PCS, HCPCS, CPT, and other coding references to ensure accurate coding and DRG assignments. Start date is immediate and schedule is full-time weekdays. #J-18808-Ljbffr

Allegheny Health Network is seeking a hospital coder to perform thorough medical record review, assign ICD codes, and abstract data for statistics. You will help streamline cash flow by managing unbilled coding reports and staying current with ICD guideline updates. The ideal candidate has a high school diploma, at least one year of hospital coding experience, and CCS or CIC certification. Strong medical terminology knowledge and data-entry skills are required, with the ability to work well with #J-18808-Ljbffr

The coder/abstracter at Medical University of South Carolina is responsible for accurate code assignment for inpatient, outpatient, and emergency services as documented in the medical record. This role uses ICD-10 and CPT guidelines and adheres to official coding guidelines and MUSC policies. Work is in the Health Information Management Department within MUSC, with a commitment to compliance and high-quality coding. #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 Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures 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...

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. 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 consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries and monitors bill hold...

Select how often (in days) to receive an alert: Corporate Compliance Full Time Day Shift 7am - 5pm 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-bedteachinghospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcareand was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as bestin the Columbia Metroarea by U.S. News & World Report, Lexington Healthdelivers more than 4,000babies each year, performs more than 34,000surgeries annually and isthe 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 Carolinas, and an Alzheimer’s care center.Its...

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization.Every day, you will perform internal audits and provide necessary follow-up education to...

Be inspired. Be valued. Belong. At Emory HealthcareAt Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more LOCATION Remote This position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hamsphire, North Carolina, Ohio, Pennsylavnia, South Caroline, Tennessee, Texas, Virginia, Wisconsin Description This position ensures the accuracy, completeness, and compliance of medical coding and clinical documentation for...

Emory Healthcare is seeking a professional to ensure accuracy, completeness, and compliance of medical coding and clinical documentation for professional coding services. You will review patient records and collaborate with providers, coding teams, and compliance staff to support accurate coding and reimbursement. This remote role requires knowledge of ICD-10, CPT, HCPCS, and payer guidelines; you will participate in audits, deliver training, and analyze coding data to identify improvement #J-18808-Ljbffr

BJC HealthCare is hiring an Inpatient Coder I. This entry level role requires one of the following certifications: CCS, CCA, RHIA, or RHIT. The coder will assign diagnosis and procedure codes for inpatient encounters in accordance with regulatory guidelines and coding guidance. Responsibilities include data abstraction, DRG assessment, and timely code assignment. Collaboration with CDI, HIM Operations and other departments helps ensure record integrity and compliance. #J-18808-Ljbffr

Additional Information About the Role BJC is hiring for an Inpatient I Coder position. This is an entry level role. Must have one of the following certifications - CCS CCA RHIA RHIT Remote eligible states: Alabama Iowa North CarolinaArkansas Kansas OhioFlorida Kentucky OklahomaGeorgia Louisiana South CarolinaIllinois Mississippi TennesseeIndiana Missouri TexasWisconsin Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care...

MUSC Health is seeking a dedicated coder/abstracter to accurately assign codes for inpatient, outpatient, and emergency services by reviewing patient records. The role relies on ICD-10 and CPT coding systems and follows official guidelines from AMA, AHA, and AHIMA. The position is at MUSC Community Physicians (MCP) as part of Revenue Cycle; it is hourly with a 40-hour week. Candidates should have at least a high school diploma, 2+ years coding experience, and RHIT/CCS/CCA/CPC or similar #J-18808-Ljbffr