26 cpc certified professional coder jobs found in Greenville, SC

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,...

Inspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a summary of findings and presents reports to leadership on a monthly basis. Will assist with training coders on identified opportunities for improvement. Will also assist in preventing coding denials when applicable. 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. Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS codes using official coding guidelines and CMS guidelines and prepares a summary of findings. Performs review of all...

A healthcare organization in South Carolina is seeking a Medical Coding Auditor to enhance coding accuracy and compliance within the company. The ideal candidate will have at least 5 years of coding experience and 2 years of auditing experience, preferably focused on Mental Health and Opioid Addiction. This role includes conducting audits, preparing compliance reports, and providing coding updates. Comprehensive benefits include insurance options, 401K matching, and paid leave. This position also demands strong communication and organizational skills. #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference. Job Summary 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 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...

Outpatient Facility-Clinic Medical Coder (Multi-Specialty) Part-Time We are seeking a detail-oriented and analytical Outpatient Facility-Clinic Medical Coder (Multi-Specialty) to join our remote US-based coding team. In this role, you will be responsible for accurately assigning diagnostic and procedural codes for various medical specialties in an outpatient setting. The ideal candidate will have a strong understanding of medical coding principles and healthcare regulations. Schedule & Compensation This is a part-time position (2030 hours per week) with a pay range of $30$40 per hour. Initial training will be conducted during standard business hours (MondayFriday, 8 a.m.5 p.m.) for approximately 2030 hours per week. Following training, work hours can transition to a flexible schedule. Job Description Analyze patient medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient services across multiple specialties Ensure coding accuracy and...

A healthcare provider in South Carolina is seeking an experienced healthcare coder to conduct reviews for Hierarchical Condition Categories (HCC) coding. Responsibilities include conducting prospective and retrospective chart reviews, communicating with healthcare providers on documentation, and utilizing software tools for data capture. The ideal candidate will have a high school diploma, relevant coding certifications, and five years of professional coding experience. This position emphasizes knowledge of coding practices and contributes to improving healthcare outcomes. #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. 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. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

Medical Coder - Hematology/Oncology Clinic Duration: 12 Weeks Location: 100% Remote Job Description Review documentation of professional services in EPIC, obtain copies of chart notes, reports (i.e., admission/discharge records, patient medical records) and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services' (CMS) documentation of professional services and assign correct CPT, ICD-9-CM, and HCPCS codes. Utilizes ICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-9-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT. Enter billing information into EPIC Resolute. Establish and maintain procedures and other controls necessary in carrying out all insurance billing activity. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP)....

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

Inspire health. Serve with compassion. Be the difference. Job Summary 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. Job Description Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits. 15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%...

A leading health organization seeks a skilled candidate for HCC coding roles in Boyce Lawn, South Carolina. You will lead prospective and retrospective reviews to identify and confirm coding opportunities with providers. The role requires five years of professional coding experience along with CPC and CRC certifications. The ideal candidate will excel in communication and proficiency in healthcare coding software. Join us to inspire health and serve with compassion. #J-18808-Ljbffr

A health organization is seeking a qualified coding professional responsible for validating and reviewing codes for various medical settings. The ideal candidate will have at least 2 years of professional coding experience and a Certified Professional Coder (CPC) certification. The role includes resolving billing edits, communicating with supervisors, and participating in ongoing education related to coding practices. Join us at a dynamic healthcare organization that values transformation in healthcare service. #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a summary of findings and presents reports to leadership on a monthly basis. Will assist with training coders on identified opportunities for improvement. Will also assist in preventing coding denials when applicable. 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. Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS codes using official coding guidelines and CMS guidelines and prepares a summary of findings. Performs review of all coders within the...

Inspire health. Serve with compassion. Be the difference. Job Summary 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 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...

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. 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. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

A regional healthcare provider is seeking a qualified medical coder to validate and assign coding for various healthcare settings. The ideal candidate will adhere to compliance guidelines and communicate effectively with providers regarding coding issues. Prospective applicants should have at least two years of coding experience, certification as a Certified Professional Coder (CPC), and strong knowledge of payer guidelines. This role supports a collaborative environment aimed at improving healthcare services in the community. #J-18808-Ljbffr

A leading healthcare organization in the US is seeking an experienced Outpatient Coder II to join their remote medical coding team. The ideal candidate will have two or more years of experience, strong attention to detail, and relevant certifications. Responsibilities include accurately coding outpatient records and ensuring compliance with coding standards. This position offers competitive pay, full remote flexibility, and opportunities for professional growth. #J-18808-Ljbffr

Fully Remote Outpatient Coder II – Nuvance Health Location: Remote – Must reside in one of the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, or VA Employment Type: Full-Time | Remote Opportunity Salary Range: $26.48 – $50.49 per hour Organization: Nuvance Health Department: Professional & Facility Charging and Coding Position Summary Nuvance Health is seeking an experienced Outpatient Coder II to join our growing remote medical coding team . In this role, you will accurately code and abstract outpatient medical records for reimbursement, compliance, and statistical purposes. This position is ideal for a certified professional coder who thrives in a collaborative, fully remote environment while maintaining high standards of coding accuracy and productivity. Key Responsibilities Review, assign, and validate ICD-10-CM and CPT-4 codes for outpatient records according to official coding guidelines. Code...

Senior Coder The Senior Coder, under the direction of the Coding Manager, is responsible for the coding and abstracting of a variety of patient types. (IP, OBV, OPS, ER, IR, Endo etc.). The senior coder may also be responsible for the charging of certain revenue codes on designated patient types. The Senior Coder works with providers to ensure documentation is clear and concise to support the coding and charging. Compliant queries are written to providers if needed which become part of the legal medical record. This position is 100% remote, but applicants must be able to come on-site in Spartanburg, South Carolina for pre-employment appointments and equipment pickup. We can only consider remote applicants residing in the following US states: AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI. Minimum Requirements Education: High School Diploma or Equivalent Coding Certification Program (AHIMA or AAPC) or courses in coding, medical terminology,...

Senior Coder The Senior Coder, under the direction of the Coding Manager, is responsible for the coding and abstracting of a variety of patient types. (IP, OBV, OPS, ER, IR, Endo etc.). The senior coder may also be responsible for the charging of certain revenue codes on designated patient types. The Senior Coder works with providers to ensure documentation is clear and concise to support the coding and charging. Compliant queries are written to providers if needed which become part of the legal medical record. This position is 100% remote, but applicants must be able to come on-site in Spartanburg, South Carolina for pre-employment appointments and equipment pickup. We can only consider remote applicants residing in the following US states: AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI. Minimum Requirements Education: High School Diploma or Equivalent Coding Certification Program (AHIMA or AAPC) or courses in coding, medical terminology,...

Join to apply for the Revenue Integrity Coder role at UNC Health Become part of an inclusive organization with over 40,000 teammates whose mission is to improve the health and well‑being of the unique communities we serve. Summary The Revenue Integrity Coder determines charges for outpatient departments, inpatient, split bill and hybrid clinics, including Pardee Urgent Care charges and coding. The coder works collaboratively with Patient Financial Services, the Billing Office, clinical and other departments to ensure timely revenue capture. Responsibilities Maintain a thorough understanding of hospital outpatient and physician billing requirements, including RVU, modifiers, and continuing education for charging and coding changes. Interpret usage of HCPCS and CPT codes, research NDC and NCCI review for compliant billing, assign and verify accurate use of modifiers when clearing work queues, and follow the Revenue Integrity workflow. Ensure compliance with federal and state...

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Revenue Integrity Coder is responsible for determining charges for outpatient departments of the hospital, inpatient, split bill and hybrid clinics. Also responsible for Pardee Urgent Care charges and coding. Works collaboratively with members of Patient Financial Services, Billing Office, clinical and other departments to ensure timely revenue capture. Responsibilities: • Maintains a thorough understanding of hospital outpatient and physician billing requirements. Maintains understanding of RVU’s (Relative Value Units) which are assigned to each HCPCS or CPT code. Maintains understanding of modifiers required for professional and hospital coding. Participates in continuing education opportunities to understand charging and coding changes and updates. • Interprets usage of HCPCS and CPT...

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well‑being of the unique communities we serve. Summary The Revenue Integrity Coder is responsible for determining charges for outpatient departments of the hospital, inpatient, split bill and hybrid clinics. Also responsible for Pardee Urgent Care charges and coding. Works collaboratively with members of Patient Financial Services, Billing Office, clinical and other departments to ensure timely revenue capture. Responsibilities Maintains a thorough understanding of hospital outpatient and physician billing requirements. Maintains understanding of RVU’s (Relative Value Units) which are assigned to each HCPCS or CPT code. Maintains understanding of modifiers required for professional and hospital coding. Participates in continuing education opportunities to understand charging and coding changes and updates. Interprets usage of HCPCS and CPT codes, including...