105 coder certified jobs found

Coder (Certified) Coder Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the residents of Aiken and surrounding communities since 1917. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the American Heart Association for its treatment of heart attack, heart failure and stroke, and most recently, coronary artery disease. Additionally, Aiken Regional provides comprehensive healthcare services such as behavioral health, emergency medical care, orthopedic surgeries, maternity, rehabilitation services, imaging, and wound care. Position Description: This position is responsible for coding inpatient and outpatient medical records according to ICD-10-CM and CPT in keeping with AHA coding guidelines. Codes are assigned to all diagnostic and procedural statements as documented in each patient's medical record to determine the most accurate and optimal MS-DRG...

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...

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

This range is provided by Addison Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $26.00/hr Direct message the job poster from Addison Group National Recruiter (Health Information Management) at Addison Group Certified Coding Specialist, Columbia, SC Schedule: Mon–Fri, start between 7–9 AM Location: Onsite in Columbia, SC (potential hybrid after conversion) Type of Coding: OP Profee – Urgent Care only (E/M leveling, splints, lacerations, wound care, no facility OP) Tasks: Scrubbing, LCD/NCD edits, abstracting, staff education on coding/documentation Credentials: AAPC – CPC-A accepted Soft Skills: Team player, strong communication, collaborative, work-hard mentality Seniority level Associate Employment type Full-time Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Addison Group by 2x Inferred from the...

Entity Medical University Hospital Authority (MUHA) Job Description Summary 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 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. Qualifications Associate’s degree in health information technology or related field or 5 years coding...

Senior Inpatient Coder The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters. Responsibilities: Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available. Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment. Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical...

Inpatient Coder Job Summary: The Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the smaller McLeod Health facilities representing less complex medical/surgical encounters. Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available. Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment. Codes all Obstetrics, Newborn and Behavioral Health encounters at applicable facilities if assigned by Supervisor and/or Director. Queries physicians appropriately when...

Job Description Summary Under the 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. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC004513 MCP - Revenue Cycle Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift 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...

Job Title Duration: 6+ Months Monday-Friday, 8am-4:30pm License/Certification required: RHIT, RHIA, CIC, CPMA, OR CPC We are opening these positions due to increased volume of DRG review. The normal day is DRG reviews and audits. Responsibilities 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...

Inspire Health. Serve With Compassion. Be The Difference. 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 multiple facilities. Adhere to...

Job Description Job Description Job Title: Insurance Biller and Coder   Position Summary The Insurance Biller and Coder is responsible for accurate medical coding, timely insurance claim submission, and efficient revenue cycle management. This role ensures that all services provided by Kirar Superior Healthcare are coded correctly, billed promptly, and compliant with applicable regulations. The ideal candidate demonstrates strong analytical skills, attention to detail, and a solid understanding of insurance processes to support financial integrity and patient satisfaction. Key Responsibilities Medical Coding Review clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes Ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines Identify and resolve coding discrepancies in collaboration with clinical staff Stay current with coding updates, policy changes, and industry standards Insurance Billing & Claims...

Medical Records Technician (Inpatient Coder) 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.

MRT (Coder) 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 services provided by the VAMC. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate...

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...

Coding Specialist Inspire 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 Functions All 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...

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...

Job Opportunity At AnMed Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here. Duties & Responsibilities Assigns ICD-10-CM, CPT, E/M on Emergency Room accounts. Reviews the medical record in order to select the appropriate diagnosis, secondary diagnoses and procedures. Abstracts relevant clinical information from the medical records. Participates in coding staff meetings. Assist other coders when needed. Performs other...

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 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 correct (if appropriate) provider audits Provide...

Coding Specialist Inspire 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 Functions All 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...

Medical Physician Coder The Medical Physician Coder is responsible for reviewing provider documentation and accurately assigning diagnosis and procedure codes for physician (professional billing/PB) services. The coder ensures all coding is compliant with federal regulations, payer guidelines, and organizational policies to support accurate charge capture and clean claim submission. This role utilizes the Epic electronic health record and or E Clinical Works (eCW) and coding tools to code physician encounters and works with clearinghouse platforms such as Waystar and/or FinThrive to support claim validation and error resolution. The coder collaborates with revenue cycle and clinical teams to ensure documentation supports medical necessity and coding accuracy while maintaining established productivity and quality standards. Responsibilities: Review physician documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes for professional billing services in Epic in...

Coding Specialist Inspire health. Serve with compassion. Be the difference. Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. 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. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to...

Summary: The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites. This role ensures coding accuracy, compliance with federal and payer-specific regulations, and supports timely, clean claim submission within eClinicalWorks (eCW). The Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization's FQHC compliance and reporting requirements (including UDS and Section 330 obligations where applicable).Required Vaccines and Test: Influenza, Tdap, Hep B, MMR, Varicella, TB test, and Negative Drug Test results. Additional Vaccines may be required.Essential duties and responsibilities include, but are not limited to:Strong analytical and problem-solving skillsExcellent written and verbal communication for provider queriesAbility to work independently and manage a high-volume caseload with accuracyProficiency with Microsoft...

Family Healthcare is seeking a Medical Coder to review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes for services across all clinic sites. You will ensure coding accuracy and regulatory compliance while supporting timely claim submission within eClinicalWorks. The role emphasizes minimizing denials, protecting revenue integrity, and supporting FQHC reporting obligations including UDS and Section 330 requirements. #J-18808-Ljbffr