55 cpc certified professional coder jobs found in Sumter, SC

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...

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 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...

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...

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...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor an education plan for each assigned provider. Reports to the Manager, Medicare Risk Adjustment; work from home with travel. The role involves arranging educational sessions, preparing data‑driven reports, on‑site education, and collaboration with market provider‑facing teams. Proficiency in data analytics and risk adjustment is required. #J-18808-Ljbffr

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...

A leading healthcare provider is seeking a Medical Records Outpatient Coder III to work remotely on a PRN basis. This role entails reviewing patient encounters to assign accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 systems. Candidates must have strong CPT coding skills and at least 5 years of outpatient facility coding experience. The role offers flexibility in schedule and requires a Certified Coding Specialist certification. Join a team that values trust, dignity, and clinical excellence. #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...

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...

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, or South Carolina) Status: PRN (as needed, non-benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis. Responsibilities The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/Director with mentoring/training of...

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, or South Carolina) Status: PRN (as needed, non-benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Inpatient Coder II will work remotely on a PRN (non-benefit eligible) basis. Responsibilities The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. Assists Manager/Director with mentoring/training of Coder I team members and clinical practice students from various colleges. Performs other duties as assigned. Why BayCare? Our network consists of 16 community-based hospitals, a...

A large healthcare employer is looking for a Medical Records Inpatient Coder II to work remotely on a PRN basis. This role involves assigning diagnosis and procedural codes using ICD-10 and CPT coding systems, alongside training Coder I team members. Candidates should have 2 years of coding experience and a high school diploma, with preferred certifications in CCS or RHIT. This position is flexible and supports professional growth in a collaborative environment. #J-18808-Ljbffr

A healthcare organization is seeking a Professional Medical Coder II for a remote position, ideally for residents of South Carolina. The role involves coding clinical records, ensuring compliance, and staying updated with coding standards. Candidates must have at least 3 years of professional coding experience and hold an active coding credential. This position offers competitive benefits including sign-on bonus, insurance from day one, and flexible spending accounts, while promoting a discrimination-free workplace. #J-18808-Ljbffr

MUSC Health in South Carolina seeks a coder/abstracter responsible for accurate ICD-10 and CPT coding of inpatient, outpatient, and emergency services, ensuring alignment with official guidelines. You will review medical records and assign codes to diagnoses, procedures, and conditions in accordance with HIM policies. Requires an Associate’s degree in health information technology or related field or 5 years coding experience, and a coding credential such as RHIT, CCS, or CPC. #J-18808-Ljbffr

A leading healthcare provider is seeking a Specialty Coder II for a remote position. This role involves coding diagnoses and procedures, auditing medical documents, and mentoring fellow coders. Candidates must have CPC certification and at least 2 years of coding experience, along with a background in medical office environments. The organization offers a range of benefits, including medical, dental, and tuition assistance, fostering a supportive and forward-thinking work culture. #J-18808-Ljbffr

McLeod Health is seeking an Inpatient Coder to accurately assign diagnosis and procedure codes for inpatient discharges across its facilities. The role emphasizes DRG accuracy, identifying comorbidities, and presenting on admission indicators. You will maintain productivity with a 95% accuracy benchmark, collaborate with Clinical Documentation Specialists, and stay current with coding updates through ongoing education. #J-18808-Ljbffr

Signature Performance is seeking an Inpatient Professional Fee, Profee Medical Coder with expertise in E/M ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding. Remote, nationwide position; at least 2 years of professional fee coding experience and familiarity with EHR systems preferred. The coder will review medical records, assign diagnoses and procedures, ensure codes align with official guidelines, CMS and payer rules, and support accurate reimbursement while maintaining coding quality and throughput. #J-18808-Ljbffr

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, or South Carolina) Status: Full time (non-exempt) Shift: 8:00am - 4:30pm Days: Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on bonuses available! Responsibilities The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiersrelated to anesthesia coding and billing as well as anesthesia...

Prisma Health in Columbia, SC is seeking a medical coder responsible for coding medical information using established guidelines. Candidates should have three years of coding experience in acute care or ambulatory settings and relevant certifications. The role involves coding for multiple facilities and adhering to Prisma Health's policies for accuracy and compliance. Work will be performed during the day shift. #J-18808-Ljbffr

A leading healthcare provider is seeking a Specialty Coder II for a remote position focused on accurate diagnosis and procedural coding. The ideal candidate holds a Certified Professional Coder (CPC) credential and brings at least 2 years of coding experience. This role offers competitive benefits, including medical, dental, vision, and tuition assistance. The candidate will audit documentation and mentor other coders while working in a collaborative environment dedicated to medical excellence. #J-18808-Ljbffr

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

A healthcare facility in Columbia, SC is looking for a full-time Coding Specialist. Responsibilities include assigning ICD and CPT codes, maintaining accurate statistical documentation, and working collaboratively with clinical staff. Candidates should have 3+ years of relevant coding experience and an active AAPC or AHIMA certification. The role offers day one medical benefits and retirement plans. #J-18808-Ljbffr

McLeod Health in Florence, SC seeks a Senior Inpatient Coder responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at our facilities, focusing on complex medical/surgical encounters. You will stay current with coding developments, query physicians when documentation is unclear, collaborate with Clinical Documentation Specialists, and maintain productivity with a 95% accuracy rate. #J-18808-Ljbffr