Coding Analyst Sr. Elevance Health IncCoding Analyst Sr.Columbia, SCWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
NewCoding Analyst Sr. Elevance HealthCoding Analyst Sr.Columbia, SCWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Clinical Analyst & Coding Specialist Sunshine Enterprise USAClinical Analyst & Coding SpecialistColumbia, 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.
NewManaged Services - Revenue Cycle Coding - Senior Manager PwCManaged Services - Revenue Cycle Coding - Senior ManagerColumbia, SC$124,000–$280,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Revenue Cycle for each missing year of college is required. PwC 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 .
Systems 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.
Receivables and Revenue Operations Manager University of South CarolinaReceivables and Revenue Operations ManagerColumbia, SC$71,310–$106,965 / yearLogo Posting Number STA00639PO26 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 - $71,310 $89,137 $106,965 Anticipated Hiring Range $71,310 - $106,965 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.
Certified 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.
Receivables and Revenue Operations Manager State of South CarolinaReceivables and Revenue Operations ManagerRichland County, SCReceivables and Revenue Operations ManagerDepartment: SAAS FinanceAdvertised Salary Range:Part/Full Time: Full TimeAbout UofSCFrom the Upstate to the Lowcountry, the University of South Carolina system is transforming the lives of South Carolinians through the impact of our eight institutions and 20 locations throughout the state. Oversee billing-related configurations within the electronic health record (PnC) and integrated systems, including the claims clearinghouse (e.g., Waystar).Perks:- Competitive salary + some of the BEST benefits you can find!- 15 paid vacation days- 15 paid sick days- 13 paid holidays (including an extended December holiday)- An engaging and collaborative environment.
NewProvider Audit Specialist - LPN or RN BlueCross BlueShield of South CarolinaProvider Audit Specialist - LPN or RNColumbia, South CarolinaRequired Licenses and Certificates: Active, unrestricted RN or LPN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN or LPN license as defined by the Nurse Licensure Compact (NLC). We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
Charge Audit Analyst Sutter HealthCharge Audit AnalystColumbia, SC$42.41–$63.62 / hourPosition Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
NewField Reimbursement Manager, Neuroscience - (Atlanta, GA) - Patient Engagement & Customer Solutions (PECS) Johnson & JohnsonField Reimbursement Manager, Neuroscience - (Atlanta, GA) - Patient Engagement & Customer Solutions (PECS)Columbia, SCRequired Skills: Preferred Skills: Account Management, Analytical Reasoning, Competitive Landscape Analysis, Compliance Management, Cross-Functional Collaboration, Developing Others, Fact-Based Decision Making, Inclusive Leadership, Leadership, Market Access Reimbursement, Market Opportunity Assessment, Operational Excellence, Performance Measurement, Pricing Strategies, Relationship Building, Strategic Thinking, Team Management. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Neuroscience therapies.
NewField Reimbursement Manager, Neuroscience - (Atlanta, GA) - Patient Engagement & Customer Solutions (Pecs) Johnson & JohnsonField Reimbursement Manager, Neuroscience - (Atlanta, GA) - Patient Engagement & Customer Solutions (Pecs)Columbia, SCRequired Skills: Preferred Skills: Account Management, Analytical Reasoning, Competitive Landscape Analysis, Compliance Management, Cross-Functional Collaboration, Developing Others, Fact-Based Decision Making, Inclusive Leadership, Leadership, Market Access Reimbursement, Market Opportunity Assessment, Operational Excellence, Performance Measurement, Pricing Strategies, Relationship Building, Strategic Thinking, Team Management. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Neuroscience therapies.
Patient Services Representative, Urology, FT, Days Prisma HealthPatient Services Representative, Urology, 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, 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, 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, Family Medicine, FT, Days Prisma HealthPatient Services Representative, Family Medicine, FT, DaysColumbia, South CarolinaAs representative of GHS 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 Rep - FT, West Columbia Prisma HealthPatient Services Rep - FT, West ColumbiaColumbia, South CarolinaAs representative of GHS 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.- 20%. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, Pulmonology, FT, Days Prisma HealthPatient Services Representative, Pulmonology, 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 Service Representative, Gastroenterology and Hepatology, FT, Days Prisma HealthPatient Service Representative, Gastroenterology and Hepatology, 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.
NewPatient Services Representative, Pediatric Neurology, FT, Days Prisma HealthPatient Services Representative, Pediatric Neurology, 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.