55 cpc certified professional coder jobs found in Aiken, SC

Coder (Certified) 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...

Responsibilities Coder (Certified) 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 (Aurora Pavilion Behavioral Health), emergency medical care (main hospital and ER at Sweetwater), orthopedic surgeries, maternity, rehabilitation services(Hitchcock Rehabilitation Services), imaging, and wound care. Visit us online at: https://www.aikenregional.com 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...

Aiken Regional Medical Centers, located in Aiken, South Carolina, seeks a Certified Coder to code inpatient and outpatient records according to ICD-10-CM and CPT, following AHA guidelines. The role ensures accurate MS-DRG assignments through careful chart review and documentation interpretation. Responsibilities include reading records, using hospital encoder/grouper, and applying coding references. You may serve as a coding resource for other departments and providers in a hospital setting. #J-18808-Ljbffr

Aiken Regional Medical Centers in Aiken, South Carolina seeks an experienced medical coder to assign ICD-10-CM and CPT codes for inpatient and outpatient records in line with AHA guidelines. The coder will ensure accurate MS-DRG assignments and support hospital departments as a coding resource. The role requires a graduate of an accredited coding program with relevant inpatient/outpatient coding experience and CPC/COC/CIC/CCS/RHIT/RHIA credentials. #J-18808-Ljbffr

Trauma Surgical Profee Coder Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties....

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience * We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. * The Forensic Coder is a certified coder with expert knowledge in front and back end coding.  This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.       Job Responsibilities: Complete root cause analysis of...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible 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 values: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 providers in order to clarify...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating coding and facilitation of appeals process for all assigned denied professional service claims.All team members are expected to be knowledgeable of payer guidelines related to coding and appeal timelines.Communicates with providers regarding coding denial issues.Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals.Utilizes appropriate coding software and coding resources in order to determine correct codes.Communicates billing related issuesFollows departmental policies for charge corrections.Participates in coding educational...

Inspire health.Serve with compassion.Be the difference.Job SummaryCodes medical information into the organization billing / abstracting systems for multiple facilities.Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes.Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding.Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate.Queries...

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...

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...

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...

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...

CAREER OPPORTUNITY OFFERING:   Bonus Incentives  Paid Certifications  Tuition Reimbursement  Comprehensive Benefits  Career Advancement  This position will pay between $29.75 and $32.70/hr based on experience  Specialized Coders Wanted —$3,000 Sign‑On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.  The  Specialized Coder  is a certified coder with expert knowledge in physician coding for  Cardiology,   Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.  Job Responsibilities:    Code claims directly from the medical record/operative report according to coding guidelines....

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

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,...

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

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 Title 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 billing, when applicable. Follows...

Job Description Summary 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 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 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 experience; coding...

Medical University of South Carolina (MUSC) seeks a coder/abstracter to assign accurate codes for inpatient, outpatient, and emergency services in the medical record, following official guidelines. The role requires an associate degree in health information technology or related field or 5 years coding experience, with coding certification expected. The HIM department maintains policy and procedure adherence. #J-18808-Ljbffr

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...

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...