NewPeriop Revenue Charge Coordinator, Richland, FT Days Prisma HealthPeriop Revenue Charge Coordinator, Richland, FT DaysCOLUMBIA, SCFollows established departmental guidelines and consistently, appropriately, and proactively notifies nurses, anesthesia staff and physicians of both documentation and charge capture deficits and issues needing clarification. Assists the Periop Coding Analyst to resolve specific charge capture issues with the Perioperative charge team and other departments to include Revenue Integrity, Patient Accounts and HIM.
Inpatient Medical Coder # 26-17687 US Tech Solutions, Inc.Inpatient Medical Coder # 26-17687Columbia, SCCreates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
NewSenior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsSC$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
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).
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.
Clinical 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.
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.
NewCoding Specialist - Revenue Cycle Management McLeod HealthCoding Specialist - Revenue Cycle ManagementSouth Carolina, SCThe hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health. Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses.
Medical 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.
Managed Services - Revenue Cycle Coding - Senior Manager PwCManaged Services - Revenue Cycle Coding - Senior ManagerColumbia, SC$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.
Billing 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.
NewPatient Services Representative, OBGYN 2 Medical Park, FT, Days Prisma HealthPatient Services Representative, OBGYN 2 Medical Park, 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.- 20%. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
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.
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.
NewCharge Master Analyst Sutter HealthCharge Master AnalystColumbia, SC$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
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.
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.
NewPatient 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.
Patient Services Rep, Dentistry, FT, Days Prisma HealthPatient Services Rep, Dentistry, 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 Rep Prisma HealthPatient Services RepColumbia, 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 Representative, Primary Care, Ballentine, FT Prisma HealthPatient Services Representative, Primary Care, Ballentine, FTColumbia, 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.
NewPatient Services Representative, Plastic Surgery, FT, Days Prisma HealthPatient Services Representative, Plastic Surgery, 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, Pediatric Endocrinology, FT, Days Prisma HealthPatient Services Representative, Pediatric Endocrinology, 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, OBGYN Prisma HealthPatient Services Representative, OBGYNColumbia, 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, Surgery, FT, Days Prisma HealthPatient Services Representative, Surgery, 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, Cardiothoracic Surgery, FT, Days Prisma HealthPatient Services Representative, Cardiothoracic Surgery, 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 Service Rep AMB - FT - Spine Prisma HealthPatient Service Rep AMB - FT - SpineColumbia, 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.
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.
NewBilling Lead - Accounting / Fiscal Manager I (Finance - Central Office) State of South CarolinaBilling Lead - Accounting / Fiscal Manager I (Finance - Central Office)Lexington, SC$66,400–$92,900 / yearAs the Billing Lead - Accounting / Fiscal Manager I, you will lead strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements and developmental disability services. 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.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusColumbia, SCRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. 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.
Medical Billing Specialist Midlands Neurology and Pain Associates, P.A.Medical Billing SpecialistColumbia, South CarolinaThis role requires a keen attention to detail, knowledge of medical billing best practices, and the ability to work collaboratively across departments to resolve claim issues and improve reimbursement outcomes. The Medical Billing specialist is responsible for working all aspects of the billing cycle, specifically in Accounts receivable, payment posting, denials, appeals, etc.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNColumbia, South CarolinaOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Medical Billing Specialist Physician Services USAMedical Billing SpecialistColumbia, South CarolinaResponsibilities include the billing and account resolution aspects of revenue cycle management, providing management and clients with reports and account updates with some direct client- and patient-interaction while handling multiple projects and deadlines simultaneously. Family-oriented physician practice management company in NE Columbia is seeking to hire experienced and driven professionals in the medical billing field.
Ambulatory Coder III, FT, Days, Prisma HealthAmbulatory Coder III, FT, Days,Columbia, South CarolinaCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings.
NewAmbulatory Coder III, Cardio, PRN, Days, Prisma HealthAmbulatory Coder III, Cardio, PRN, Days,Columbia, South CarolinaCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings.
Ambulatory Coder III, FT, Days, - Remote Prisma HealthAmbulatory Coder III, FT, Days, - RemoteColumbia, SCRemoteCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician''s office/clinic settings.
NewAmbulatory Coder III, Cardio, PRN, Days, - Remote Prisma HealthAmbulatory Coder III, Cardio, PRN, Days, - RemoteColumbia, SCRemoteCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician''s office/clinic settings.
NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTColumbia, SCRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. 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.
Health Information Management Inpatient Coder, FT, Days, Prisma HealthHealth Information Management Inpatient Coder, FT, Days,Columbia, South CarolinaPerforms 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 (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures.
Health Information Management Inpatient Coder, FT, Days, - Remote Prisma HealthHealth Information Management Inpatient Coder, FT, Days, - RemoteColumbia, SCRemotePerforms 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 (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures.
NewClinical Documentation Integrity Specialist I, Full-Time, Days Prisma HealthClinical Documentation Integrity Specialist I, Full-Time, DaysColumbia, South CarolinaRemoteRHIA/RHIT/CCS/CIC/or Licensure in related field of study/ Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working. Employs the query process as needed to provide accurate documentation reflective of patient's severity of illness, risk of mortality, comorbid conditions, length of stay, principal diagnosis, and present on admission (POA) status.
Clin Doc Integrity Spec II, Full-Time, Days Prisma HealthClin Doc Integrity Spec II, Full-Time, DaysColumbia, South CarolinaProvides point of care education for providers as relates to accurate capture of patient's severity of illness, risk of mortality, comorbid conditions, length of stay, principal diagnosis, and present on admission (POA) status. One of the following certifications: RHIA, RHIT, CCS, CIC or holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.
Quality Medical Auditor TRC Talent SolutionsQuality Medical AuditorColumbia, SCTemporaryThis position plays a critical role in improving documentation quality, reducing risk, and supporting overall revenue integrity. This role is responsible for ensuring the accuracy and integrity of coded medical records, identifying discrepancies, and safeguarding appropriate reimbursement.
Supervisor Patient Access and Retention Palmetto Infusion CareersSupervisor Patient Access and RetentionColumbia, South CarolinaFor our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities. The Supervisor ensures that current patient have updated eligibility and authorization information on file prior to each appointment as well as provide financial assistance options to patients and education regarding financial responsibility.
Supervisor Patient Access and Retention Palmetto Infusion Services LLCSupervisor Patient Access and RetentionColumbia, SCFor our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities. The Supervisor ensures that current patient have updated eligibility and authorization information on file prior to each appointment as well as provide financial assistance options to patients and education regarding financial responsibility.
PFS Billing Rep Prisma HealthPFS Billing RepColumbia, South CarolinaEffectively and timely identifies the root cause of non-payment denials and works with the insurance company, the patient and Prisma Health departments to find resolution to claim denials, making all necessary claim and account corrections to ensure the full reimbursement of services rendered. Works and processes the Billing functions, including resolving the Discharged Not Final Billed/Stop Bill errors that prevented the account from billing, the resolution of Claim Edits in order to submit to our Claims Clearinghouse for electronic submission.
IT Healthcare Consultant - Business Analyst - Advanced Lumen Solutions Group, Inc.IT Healthcare Consultant - Business Analyst - AdvancedColumbia, SCRemoteAccess to a virtual desktop set up (software) will be provided by Lumen s client, allowing the user access to the required systems and technology.*** . Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
Clinical Documentation Specialist Guidehouse IncClinical Documentation SpecialistSC$61,000–$101,000 / yearInitiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: "Managing an Effective Query Process," October 2008 and "Guidance for Clinical Documentation Improvement Programs", May 2010). Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant.
Medical Director MPO CVS Health CorpMedical Director MPOSC$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Inpatient Coder/Abstractor Sr - Health Information Management McLeod HealthInpatient Coder/Abstractor Sr - Health Information ManagementSouth Carolina, SCJob Summary: 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. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.