19 medical billing specialist jobs found in Aiken, SC

A healthcare organization in Augusta, GA is seeking a reliable Medical Billing Specialist to enhance its administrative team. In this full-time role, you'll support daily operations by submitting medical claims to insurance providers and verifying patient coverage. Ideal candidates will have previous medical billing experience, strong communication skills, and proficiency with EMR software. The position offers a supportive work environment and meaningful work supporting patient care and healthcare professionals. #J-18808-Ljbffr

Job Description Job Description Are you ready to take your career to the next level in a dynamic and supportive environment? A O Multispecialty Clinic is seeking motivated individuals to join our Insurance Department as Insurance Reimbursement and Prior Authorization Specialists. If you have billing experience and a passion for helping others navigate the complexities of healthcare, we want to hear from you! Key Responsibilities: -Process insurance reimbursements and prior authorizations efficiently and accurately. -Communicate with insurance companies, healthcare providers, and patients to resolve billing issues and ensure timely payments. -Maintain up-to-date knowledge of insurance policies, coding practices, and regulations. -Collaborate with the clinical team to ensure seamless patient care and billing processes. Qualifications: Previous experience in medical billing or insurance reimbursement is required, 1-2 years minimum. -Strong attention to detail and...

A regional healthcare provider is seeking a Billing Manager for patient billing and collections. The role involves managing billing processes, ensuring compliance with financial metrics, and working with teams to solve workflow issues. Candidates should have extensive experience in medical billing and strong communication, organization, and analytical skills. Competitive compensation and a supportive work environment are offered. #J-18808-Ljbffr

A leading healthcare provider is seeking an experienced individual for managing patient billing and collections. This position requires strong communication skills, excellent attention to detail, and an understanding of medical billing processes. Duties include providing billing support, resolving workflow deficiencies, and ensuring processes align with financial goals. The ideal candidate should have significant experience in medical billing, a high school diploma, and proficiency in Microsoft Office. Join an organization focused on compassionate care and professional development. #J-18808-Ljbffr

A healthcare organization in South Carolina is seeking a skilled professional to manage patient billing and collections. The role requires extensive experience in medical billing, communication, and analytical skills to ensure compliance with financial goals. Candidates should have at least eight years of relevant experience or a combination of education and experience. The position offers a collaborative environment and focuses on enhancing operational efficiency while ensuring patient satisfaction. #J-18808-Ljbffr

A healthcare service provider located in South Carolina is looking for a qualified candidate to manage patient billing and collections. The position requires significant experience in medical billing and proficiency with Microsoft Office tools. Responsibilities include ensuring that all billing processes align with financial goals and supporting practice managers in resolving billing issues. The ideal candidate should possess strong analytical skills, attention to detail, and the ability to communicate effectively with both staff and patients. Excellent benefits package offered. #J-18808-Ljbffr

A leading healthcare services company in Columbia, South Carolina is seeking a Customer Service Operations representative. The role involves verifying patient insurance, handling claims, and ensuring compliance with regulations. Ideal candidates should have 1-3 years of experience and a high school diploma or equivalent. This position offers an hourly rate between $15.75 and $18.50, along with a comprehensive benefits package, including medical coverage and paid time off. #J-18808-Ljbffr

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, Texas, and...

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...

Join our dynamic team as a Medical Coding Specialist! This remote position is perfect for experienced coders specializing in Profee Outpatient Coding. We are looking for proactive team players committed to accuracy and collaboration. Your Role: Utilize your expertise in Profee Outpatient Coding for timely and precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Conduct thorough reviews of medical documentation to accurately determine principal and secondary diagnoses and procedures based on a solid understanding of anatomy, physiology, medical terminology, and pathology. Ensure compliance with official coding guidelines and federal regulations while sequencing diagnoses and procedures according to clinical significance for appropriate reimbursement. Review discharge summaries, history and physicals, physician notes, and lab reports to code diagnoses and procedures with...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. 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 committed? Are you...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Inspire Health. Serve With Compassion. Be The Difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. 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. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs 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...

Inspire Health. Serve With Compassion. Be The Difference. Responsible for leading coding teams, coder training, work queue management, performing prebill and second-level coding reviews utilizing auditing tools and applicable software. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employs critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Maintains knowledge of CPT and HCC documentation requirements to ensure correct code assignment. Performs outpatient coding by assigning ICD-CM, CPT codes and appropriate modifiers. Reviews and responds to outpatient level denials as needed. Performs outpatient coding by assigning ICD, CPT codes and appropriate modifiers as well as attention to HCC capture. Essential Functions All team members are expected to be knowledgeable and...

Medical Coding Specialist Job Details Professional Discipline : Health and Information Management Specialty : Medical Coder Employment Type : Full Time City : Columbia State : SC Pay Range : Job Description: We are seeking a detail-oriented Medical Coding Specialist to join our team. In this role, you will review medical documentation and perform coding validations across multiple lines of business under Medicare and TRICARE. Your responsibilities will include reassignment and sequencing of diagnostic and procedural codes using universally recognized coding systems, as well as compiling and analyzing data to identify areas for targeted medical review where there is a high potential for inappropriate payments. Key Responsibilities: Review and validate medical documentation for coding accuracy. Reassign and sequence diagnostic/procedural codes as appropriate. Utilize ICD-9, DRG, APC, HIPPS, HCPCS, or RUG coding systems....

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Join to apply for the Health Information Management Inpatient Coding Auditor Sr. FT, Days, - Remote role at Prisma Health . Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work queue 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...

A healthcare provider is seeking a Medical Records Coder III to work in a PRN capacity. This remote role requires expertise in ICD-10-CM and CPT-4 coding systems and at least 5 years of outpatient coding experience. The ideal candidate will also possess a CCS certification, with an associate degree in Health Information Management preferred. This position involves reviewing coding assignments, mentoring junior coders, and ensuring accurate documentation for billing. Flexibility in work schedule is 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...