22 medical coding specialist jobs found in Columbia, SC

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...

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....

A healthcare provider in South Carolina is seeking a Provider Coding Specialist responsible for analyzing and assigning medical codes for patient accounts. Key responsibilities include ensuring compliance with coding standards and collaborating with the clinical team. Candidates should have at least 2 years of coding experience and relevant certifications. The company promotes a supportive environment and values professional growth, making it an attractive place to work in the healthcare field. #J-18808-Ljbffr

A healthcare consulting firm seeks an IT Healthcare Consultant – Business Analyst in Columbia, SC. This hybrid role focuses on CMS updates, coding changes, and stakeholder meetings. Candidates must have a BSN and be a South Carolina RN. Required skills include 5+ years in healthcare insurance, experience working with developers, and medical coding proficiency. Also preferred are policy remediation and claims processing experience. The position lasts 12 months with possible extensions. #J-18808-Ljbffr

A consulting firm in healthcare seeks an IT Healthcare Consultant – Business Analyst – Advanced for a hybrid position in Columbia, SC. This role involves maintaining coding systems and collaborating with agency stakeholders. Candidates should have extensive knowledge in medical coding and experience in healthcare insurance. A Bachelor's degree in nursing is required, along with current licensure as a Registered Nurse in South Carolina. Certification as a CPC or CCS is necessary, or the ability to obtain it within a year. #J-18808-Ljbffr

A healthcare provider in South Carolina seeks a Provider Coding Specialist to analyze and assign ICD-10-CM codes. The role requires at least 2 years of coding experience in a healthcare setting, with a preference for knowledge in orthopedic or OB/GYN coding. Candidates must hold relevant certifications and excel in communication and analytical skills. Join a mission-driven team dedicated to enhancing community health, offering a supportive workplace and great quality of life. #J-18808-Ljbffr

A healthcare provider in Columbia, South Carolina is looking for a medical coding specialist responsible for assigning ICD and CPT codes for accurate reimbursement. The ideal candidate will have at least 3 years of coding experience, an active coding certification, and proficiency in Microsoft applications. This role requires strong collaboration with healthcare staff to maintain compliance and ensure quality in coding processes. Competitive benefits are provided from the first day of employment, including medical and dental insurance. #J-18808-Ljbffr

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...

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...

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....

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...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

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...

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

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

Medical Records Coder III Outpatient (PRN) BayCare is currently searching for a new Team Member who is passionate about providing outstanding customer service to our community. This role is a PRN remote position. Position Details Location: Remote (must reside in Florida, Georgia, North Carolina, or South Carolina) Status: PRN (non‑benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday Responsibilities Review short‑stay focused encounters to accurately assign diagnosis and procedural codes using ICD‑10‑CM and CPT‑4 coding systems. Work in conjunction with various departments for missing documentation and monitor bill hold reports. Use strong medical terminology and anatomy knowledge. Assist Manager/Director with mentoring and training of Coder I and Coder II team members and clinical practice students from various colleges. Perform other duties as assigned. Required Experience Emergency room (ED) Same day surgery (ambulatory) Observation...

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...

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...