NewClinical Reimbursement Manager - RN Vi LivingClinical Reimbursement Manager - RNHilton Head Island, SC$82,487.45–$107,228.73Coordinates with rehabilitation services Program Director, Corporate Director of Clinical Reimbursement and Central Billing Office as needed to communicate case mix data required for accurate claim billing at month end. The CRM also manages the overall process and tracking of all Medicare/Managed Care case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorSC$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Billing/ Coding Administrator Carolina Macular and Retinal CareBilling/ Coding AdministratorMount Pleasant, SC$20–$25 / hourJoin a physician-led retina practice where your coding expertise directly impacts patient care and practice performance. This role offers stable hours, a small team environment, and the opportunity to expand your skills beyond routine charge entry.
Coding Coordinator ReGenesis Health CareCoding CoordinatorSpartanburg, SCThis role is responsible for reviewing coding accuracy, ensuring compliance with payer and regulatory requirements, reducing claim denials, and providing coding education to providers and staff. Join a collaborative team dedicated to supporting patients and providers while making a measurable impact in healthcare operations.
CODING SPECIALIST II Conway Medical CenterCODING SPECIALIST IIConway, SCEach employee who participates in the coding, billing or claims submission process, from the initial receipt of a physician order to the receipt of payment for services, shall accurately and honestly perform his/her functions to ensure that accurate claims are submitted, and the organization retains only those funds to which it is legally entitled. Position Summary:The Coding Specialist II (CS II) will use ICD and CPT and specialize in medical classification software to assign procedure and diagnosis codes for insurance billing for Conway Medical Center (CMC).QualificationsEducation:High school diploma required.
Medical Billing /Coding Specialist Rural Healthcare ServicesMedical Billing /Coding SpecialistAiken, SCUnder the direction of the RMCM our medical coding & billing specialist's daily duties will include maintaining billing software, appealing denied claims, and recording payment, claims follow up, and denial resolution. Essential Functions/Responsibilities: Processes billings to patients and third-party reimbursement claims; maintains supporting documentation files and current patient addresses.
IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding Specialist InterSources Inc.IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding SpecialistColumbia, SCRemoteInterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. Job Title: IT Healthcare Consultant – Business Analyst - Advanced (Clinical Analyst & Coding Specialist) ( 11013).
Coding Coordinator (REMOTE) BayCare Health SystemCoding Coordinator (REMOTE)Charleston, SCRemoteResponsibilities: The Medical Records Coding Coordinator performs reviews of medical records to assign or confirm appropriate diagnosis assignment of ICD-10-CM, ICD-10-PCS, CPT4, HCPCS and Modifiers. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
NewClinical Analyst & Coding Specialist - Contract - Columbia, SC Sunshine Enterprise UsaClinical Analyst & Coding Specialist - Contract - Columbia, SCColumbia, South CarolinaThe consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives.
NewClinical Analyst & Coding Specialist - Contract - Columbia, SC SUNSHINE ENTERPRISE USA LLCClinical Analyst & Coding Specialist - Contract - Columbia, SCColumbia, SCThe consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives.
NewMedical Coding Educator Humana IncMedical Coding EducatorSCRemote$59,300–$80,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Professional Coding Auditor-Educator West Virginia University MedicineProfessional Coding Auditor-EducatorSCEXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
NewCertified Coding Specialist/Auditor Team Lead Novant Health Urgent Cares LLCCertified Coding Specialist/Auditor Team LeadColumbia, SCThe Certified Coding Specialist/Auditor Team Lead assists the Senior Certified Coding Auditor and Trainer with monitoring the overall performance/achieving daily goals of the Coding Team, provides education to new providers on medical coding and documentation requirements, conducts additional provider documentation audits as assigned, and participates in CDI projects to provide data and reports to management related to coding and claims for Doctors Care patient encounters, manages BVC and DCAIN encounter coding. Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina.
Coding Specialist Spartanburg Regional Healthcare SystemCoding SpecialistSpartanburg, SCThe Specialist Coder is under the direction of the Director of Health Informatics, performs duties related to the record processing operation of the Medical Records Department. Completed BS, AS or correspondence program in health information field or other health care program with strong skills in medical terminology and courses in anatomy/physiology.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerSC$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Codes Enforcement Officer Berkeley County, SCCodes Enforcement OfficerMoncks Corner, SC$41,313.23–$47,510.22 / yearSpecial Requirements: International Code Council certification for property maintenance and housing inspection must be obtained within six (6) months of employment; Employee will be separated from employment if required certifications are not obtained within period of time stated and maintained throughout employment; Departmental testing may be administered during interview; A criminal background check will be completed on selected applicant if a current one (less than 3 years old) is not on file. This position requires the employee to reach with hands and arms; stand; walk; and use hands to handle, feel, finger, grasp or operate objects, tools or controls; sit; climb or balance; stoop, kneel, crouch or crawl; use mental acuity and repetitive motion; and talk and hear.
Code Enforcement Officer Willdan Group IncCode Enforcement OfficerSCFor nearly 60 years, Willdan Engineering has been a trusted partner to cities and counties across the nation, delivering innovative solutions in building & safety and public services. Now, we're seeking Full-Time Code Enforcement Officers in the Bowman, SC area to help ensure safe, vibrant, and thriving communities.
Emergency Care - Associate Veterinarian - Inman , {State_Code UsvtaEmergency Care - Associate Veterinarian - Inman , {State_CodeInman, South CarolinaAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. This hospital is open to considering veterinarians who are experienced, as well as new graduates who are looking to begin their career in emergency medicine.
Medical Biller/Financial Coordinator Kirar Superior HealthcareMedical Biller/Financial CoordinatorLadson, SCWe at Kirar Superior Healthcare transform the health of our community by helping people move freely, heal naturally, and live fully for 100 years through chiropractic care. This role works closely with providers, patients, and insurance companies to maintain compliance, maximize reimbursement, and provide excellent patient financial communication.
Front Desk Medical Biller Kirar Superior HealthcareFront Desk Medical BillerLadson, South CarolinaWe at Kirar Superior Healthcare transform the health of our community by helping people move freely, heal naturally, and live fully for 100 years through chiropractic care.”. This role ensures that all services provided by Kirar Superior Healthcare are coded correctly, billed promptly, and compliant with applicable regulations.
NewBilling Specialist / Fiscal Technician II (Central Office) State of South CarolinaBilling Specialist / Fiscal Technician II (Central Office)Richland County, SC$39,300–$53,100 / yearAs the Billing Specialist / Fiscal Technician II, you will be responsible for working on all aspects of the billing cycle specifically in accounts receivable, payment posting, working denials and submitting appeals. The Department of Behavioral Health and Developmental Disabilities offers an exceptional benefits package for full time (FTE) employees: Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children.
Billing Specialist United Surgical Partners InternationalBilling SpecialistRock Hill, SCA diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States.
Remote Medical Biller SydieraRemote Medical BillerHilton Head Island, South CarolinaRemoteThis role supports healthcare providers by helping manage insurance claims, patient billing, coding processes, and revenue cycle operations. Previous medical billing, medical coding, healthcare administration, or customer service experience is a plus but not required.
Medical Billing Specialist HEALTH CARE PARTNERSMedical Billing SpecialistConway, SCThe Medical Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The Medical Billing Specialist provides essential support throughout our organization and follows up on submitted claims and patient billing; resubmits claims and/or corrects inaccuracies.
Lab Billing Specialist- SMC Onsite Spartanburg Regional Healthcare SystemLab Billing Specialist- SMC OnsiteSpartanburg, SCThe Lab Billing Specialist works with all areas of lab billing/denials functions to assure accounts are managed accurately and timely. Updates check logs as checks are deposited and reconciles with deposit report at the end of month.
NewSystems Software Programmer Consultant InterSources Inc.Systems Software Programmer ConsultantColumbia, SCInterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. Job Overview: The consultant will serve as a medical coding SME , supporting CPT/HCPCS and ICD-10 code maintenance, researching coding changes, analyzing business rules, working with Medicaid program stakeholders, and supporting current and future MMIS enhancements.
Remote role Healthcare Business Analyst Syntricate Technologies IncRemote role Healthcare Business AnalystColumbia, SCRemoteThe current position’s focus and priority is the continued support of serving as a subject matter expert (SME), utilizing knowledge of medical coding and MMIS to support change requests while ensuring change requests and system updates result in the expected claims adjudication outcomes for the benefit of Medicaid members and providers. This project is an immediate support need that will primarily focus on providing consulting services to operations and policy staff for the current medical coding federal requirements, quarterly and intermittently, and all coding changes associated with agency initiatives to ensure compliance policy and code change alignment.
Ophthalmology Medical Biller & Coder Carolina Macula and RetinaOphthalmology Medical Biller & CoderCharleston, SC$20–$25 / hourThis role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up.
NewAdjunct Faculty, Medical Assisting South University LLCAdjunct Faculty, Medical AssistingColumbia, SCThe South University 125-year story-past, present, and future-is a history formed by the many individuals who have developed the education and spirit of community that have become our pledge to students, faculty, staff, alumni and supporters of South University. REQUIRED QUALIFICATIONS: Clinical professionals with terminal degree or Bachelor's degree in a health related field with a minimum of 18 semester credit hours completed in the teaching discipline or in a closely related discipline from an accredited program/college/university or.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)SC$43,888–$93,574 / yearThe 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. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Medical Records Coder III Outpatient (PRN/ REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (PRN/ REMOTE)Columbia, SCRemoteResponsibilities: 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. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient (REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (REMOTE)Charleston, SCRemoteResponsibilities: 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. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Billing Specialist - Physical Therapy Wellness InstituteBilling Specialist - Physical TherapyOkatie, South CarolinaPer diemWe offer specialty services to support our community, including manual-based therapy, orthopedic specialists, pelvic health specialists, and sports rehabilitation specialists, along with supervised transition to wellness activities to ensure a quality-based lifestyle. Wellness activities include yoga, massage, personal training (one-on-one and group training, TRX, HIIT), golf swing and tennis swing analysis with professional instructors, Infrared therapy, and more.
Professional Medical Coder I Lexington Medical CenterProfessional Medical Coder IWest Columbia, SCRemoteRequired Certifications/Licensure: Licensure, Registry, or Certification Required (AAPC or AHIMA coding credential required and/or specialty certification, as approved by Director); A CCA or CPC-A will only be eligible for those who have successfully completed the coding fellowship. Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina.
Professional Medical Coder II Lexington Medical CenterProfessional Medical Coder IIWest Columbia, SCRemoteRequired Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements; Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software; E/M Documentation Guideline (1995/1997/2021) experience. Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina.
Hybrid Medical Billing: Claims Specialist - Greenville, SC Crossroads Treatment CentersHybrid Medical Billing: Claims Specialist - Greenville, SCGreenville, South CarolinaCrossroads 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. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia.
Patient Services Representative F/T Day Prisma HealthPatient Services Representative F/T DayGreenville, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, PRN, Days Prisma HealthPatient Services Representative, PRN, DaysGreenville, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, FT, Days Prisma HealthPatient Services Representative, FT, DaysGreenville, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative-Blue Ridge Women's Center, FT, Days Prisma HealthPatient Services Representative-Blue Ridge Women's Center, FT, DaysSeneca, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative F/T Day Greer OB/GYN Prisma HealthPatient Services Representative F/T Day Greer OB/GYNGreer, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, Pediatric Endocrinology, FT, Days Prisma HealthPatient Services Representative, Pediatric Endocrinology, FT, DaysColumbia, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, Neurosurgical, FT, Days Prisma HealthPatient Services Representative, Neurosurgical, FT, DaysColumbia, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, Palliative Care, FT, Days Prisma HealthPatient Services Representative, Palliative Care, FT, DaysColumbia, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
NewPatient Services Representative, Family Medicine Parkridge, FT, Days Prisma HealthPatient Services Representative, Family Medicine Parkridge, FT, DaysColumbia, SCAs representative of PH Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative P/T Day - Riverside Maxwell Pointe Prisma HealthPatient Services Representative P/T Day - Riverside Maxwell PointeGreenville, South CarolinaAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, Senior Primary Care, FT, Days Prisma HealthPatient Services Representative, Senior Primary Care, FT, DaysColumbia, South CarolinaAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, PT, Days Prisma HealthPatient Services Representative, PT, DaysSimpsonville, South CarolinaAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
NewPatient Services Rep, FT-Days Prisma HealthPatient Services Rep, FT-DaysColumbia, SCAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Receivables and Revenue Operations Manager University of South CarolinaReceivables and Revenue Operations ManagerColumbia, SC$69,913–$104,870 / yearLogo Posting Number STA00466PO26 Job Family Financial and Accounting Operations and Analysis Job Function Accounts Receivable USC Market Title Accounts Receivable Manager Link to USC Market Title https://uscjobs.sc.edu/titles/160889 Job Level M2 - Managerial Business Title (Internal Title) Receivables and Revenue Operations Manager Campus Columbia Work County Richland College/Division Division of Student Affairs and Academic Support Department SAAS Finance State Pay Range G11 USC Market Range MRI - $69,913 $87,391 $104,870 Anticipated Hiring Range $69,913 - $104,870 Location of Vacancy Part/Full Time Full Time Hours per Week 37.5 Work Schedule. The Receivables and Revenue Operations Manager for Student Affairs and Academic Support (SAAS) is responsible for the development, implementation, and oversight of accounts receivable and medical/insurance billing processes across assigned units within the division.