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JobsJobs in South CarolinaJobs in Market, SCHealthcare Jobs in Market, SCMedical Billing and Coding JobsCoding Jobs in Market, SC
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Coding Jobs in Market, SC

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    Jobs

    CVS Health Corp logo
    New

    Coding Data Quality Auditor CVS Health Corp

    Coding Data Quality Auditor
    SC
    • $18.50–$38.82 / hour

    Responsible 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.

    3 days ago
    InterSources Inc. logo

    IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding Specialist InterSources Inc.

    IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding Specialist
    Columbia, SC
    Remote

    InterSources 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).

    30+ days ago
    New

    Clinical Analyst & Coding Specialist - Contract - Columbia, SC Sunshine Enterprise Usa

    Clinical Analyst & Coding Specialist - Contract - Columbia, SC
    Columbia, South Carolina

    The 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.

    3 days ago
    New

    Medical Coding Educator Humana Inc

    Medical Coding Educator
    SC
    Remote
    • $59,300–$80,900 / year

    Work 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.

    3 days ago
    New

    Clinical Analyst & Coding Specialist - Contract - Columbia, SC SUNSHINE ENTERPRISE USA LLC

    Clinical Analyst & Coding Specialist - Contract - Columbia, SC
    Columbia, SC

    The 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.

    3 days ago
    PricewaterhouseCoopers LLP logo

    Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLP

    Managed Services - Revenue Cycle Coding - Senior Manager
    SC
    • $124,000–$280,000 / year

    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 . 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.

    30+ days ago
    New

    Remote AI Training Engineer - Code & Train Models DataAnnotation

    Remote AI Training Engineer - Code & Train Models
    Columbia, SC
    Remote

    This fully remote role allows you to design coding problems, evaluate AI-generated code, and contribute to the future of AI technologies. Ideal candidates should be fluent in English and have experience in programming languages such as Kotlin, Python, or Java.

    Today
    New

    Billing Specialist / Fiscal Technician II (Central Office) State of South Carolina

    Billing Specialist / Fiscal Technician II (Central Office)
    Richland County, SC
    • $39,300–$53,100 / year

    As 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.

    4 days ago
    InterSources Inc. logo
    New

    Systems Software Programmer Consultant InterSources Inc.

    Systems Software Programmer Consultant
    Columbia, SC

    InterSources 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.

    4 days ago

    Remote role Healthcare Business Analyst Syntricate Technologies Inc

    Remote role Healthcare Business Analyst
    Columbia, SC
    Remote

    The 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.

    30+ days ago
    New

    Adjunct Faculty, Medical Assisting South University LLC

    Adjunct Faculty, Medical Assisting
    Columbia, SC

    The 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.

    4 days ago
    CVS Health Corp logo
    New

    Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health Corp

    Certified Professional Coder, Special Investigations Unit (Aetna SIU)
    SC
    • $43,888–$93,574 / year

    The 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.

    3 days ago

    Medical Records Coder III Outpatient (PRN/ REMOTE) BayCare Health System

    Medical Records Coder III Outpatient (PRN/ REMOTE)
    Columbia, SC
    Remote

    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. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.

    30+ days ago

    Patient Services Representative, Palliative Care, FT, Days Prisma Health

    Patient Services Representative, Palliative Care, FT, Days
    Columbia, SC

    As 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.

    9 days ago

    Patient Services Representative, Neurosurgical, FT, Days Prisma Health

    Patient Services Representative, Neurosurgical, FT, Days
    Columbia, SC

    As 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.

    30+ days ago

    Patient Services Representative, Senior Primary Care, FT, Days Prisma Health

    Patient Services Representative, Senior Primary Care, FT, Days
    Columbia, SC

    As 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.

    30+ days ago

    Patient Services Representative, Pediatric Endocrinology, FT, Days Prisma Health

    Patient Services Representative, Pediatric Endocrinology, FT, Days
    Columbia, South Carolina

    As 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.

    15 days ago
    New

    Patient Services Representative, Family Medicine Parkridge, FT, Days Prisma Health

    Patient Services Representative, Family Medicine Parkridge, FT, Days
    Columbia, SC

    As 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.

    3 days ago

    Professional Medical Coder I Lexington Medical Center

    Professional Medical Coder I
    West Columbia, SC
    Remote

    Required 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.

    30+ days ago

    Professional Medical Coder II Lexington Medical Center

    Professional Medical Coder II
    West Columbia, SC
    Remote

    Required 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.

    30+ days ago

    Receivables and Revenue Operations Manager University of South Carolina

    Receivables and Revenue Operations Manager
    Columbia, SC
    • $69,913–$104,870 / year

    Logo 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.

    30 days ago
    New

    Processor, Claims I Mindlance

    Processor, Claims I
    Columbia, SC

    LOOKING FOR INDIVIDUAL WITH PROCESSING SKILLS SUCH AS FAMILIARITY WITH MEDICAL BILL CODING (CPTs, HCPCs, HCFA forms, etc.) AND/OR MEDICAL CLAIMS we use the term bill in workers compensation) processing experience. "5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

    1 day ago

    Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science Center

    Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)
    SC
    Remote

    Demonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture.

    30+ days ago

    Reviewer I, Medical Talent Software Services, Inc.

    Reviewer I, Medical
    Columbia, SC
    • $23 / hour

    Duties: Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. 80% May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination.

    8 days ago

    Periop Revenue Charge Coordinator, Richland, FT Days Prisma Health

    Periop Revenue Charge Coordinator, Richland, FT Days
    Columbia, SC

    Follows 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.

    30+ days ago

    Specialty Coder II (REMOTE) BayCare Health System

    Specialty Coder II (REMOTE)
    Columbia, SC
    Remote

    The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.

    30+ days ago

    Specialty Coder II - Anesthesia (REMOTE) BayCare Health System

    Specialty Coder II - Anesthesia (REMOTE)
    Columbia, SC
    Remote

    The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.

    30+ days ago
    RESOURCESOFT, INC. logo
    New

    Clinical Systems Analyst (CPC/CCS) RESOURCESOFT, INC.

    Clinical Systems Analyst (CPC/CCS)
    Columbia, SC

    We engage them in technology centric client projects that provide opportunities for them to evolve, innovate and deliver world class products and services. We partner with leading organizations to provide technology solutions within the financial, insurance, education, government, publishing, healthcare and pharmaceutical domains.

    3 days ago

    Medical Records Coder II (PRN) (REMOTE) BayCare Health System

    Medical Records Coder II (PRN) (REMOTE)
    Columbia, SC
    Remote

    Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. Responsibilities: The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports.

    30+ days ago

    Receivables and Revenue Operations Manager State of South Carolina

    Receivables and Revenue Operations Manager
    Richland County, SC

    Clickhttps://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsc.edu%2Fabout%2Foffices_and_divisions%2Fhuman_resources%2Fcareers%2Findex.php&data=05%7C01%7CKURTRS%40email.sc.edu%7Ceca45df616784275e15908dab2a706ac%7C4b2a4b19d135420e8bb2b1cd238998cc%7C0%7C0%7C638018727680845870%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=j6sQGvabHDZHDmRBFwMrq8P8QCuDmChuJ%2FH5%2F8hDRUw%3D&reserved=0 to learn more about why you should work at USC. In addition, our Palmetto College campuses in Salkehatchie, Union, Lancaster and Sumter enable students to earn associate or bachelor's degrees through a combination of in-person, online or blended learning.

    17 days ago
    New

    Inpatient Audit Specialist FT- Sign on Bonus Datavant

    Inpatient Audit Specialist FT- Sign on Bonus
    Columbia, SC
    Remote
    • $35–$45 / hour

    As 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.

    1 day ago

    Medical Billing Specialist Midlands Neurology and Pain Associates, P.A.

    Medical Billing Specialist
    Columbia, South Carolina

    This 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.

    30+ days ago

    Ambulatory Coder III, FT, Days, - Remote Prisma Health

    Ambulatory Coder III, FT, Days, - Remote
    Columbia, SC
    Remote

    Communicates 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.

    9 days ago

    Ambulatory Coder III, FT, Days, Prisma Health

    Ambulatory Coder III, FT, Days,
    Columbia, South Carolina

    Communicates 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.

    10 days ago
    Physician Services USA logo

    Medical Billing Specialist Physician Services USA

    Medical Billing Specialist
    Columbia, South Carolina

    Responsibilities 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.

    23 days ago
    New

    Profee Audit Specialist - FT Datavant

    Profee Audit Specialist - FT
    Columbia, SC
    Remote
    • $35–$45 / hour

    As 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, andlife sciences companies.

    1 day ago

    Health Information Management Inpatient Coder, FT, Days, - Remote Prisma Health

    Health Information Management Inpatient Coder, FT, Days, - Remote
    Columbia, SC
    Remote

    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 (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.

    30+ days ago

    Health Information Management Inpatient Coder, FT, Days, Prisma Health

    Health Information Management Inpatient Coder, FT, Days,
    Columbia, South Carolina

    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 (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.

    30+ days ago
    New

    Clin Doc Integrity Spec II, Full-Time, Days Prisma Health

    Clin Doc Integrity Spec II, Full-Time, Days
    Columbia, South Carolina

    Provides 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.

    3 days ago
    New

    Clinical Documentation Specialist Guidehouse

    Clinical Documentation Specialist
    South Carolina

    Initiates 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.

    3 days ago
    New

    Coder II-3 MUSC

    Coder II-3
    South Carolina

    Assign diagnostic and procedural codes using ICD-10-CM/PCS and CPT-4 classification systems in accordance with official coding guidelines from the American Medical Association (AMA), American Hospital Association (AHA), American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). The Coder II at the Medical University of South Carolina is responsible for the accurate assignment of diagnostic, procedural, and condition codes for all inpatient, outpatient, and emergency service encounters based on documentation within the patient medical record.

    1 day ago
    New

    Inpatient Medical Coder # 26-17687 US Tech Solutions, Inc.

    Inpatient Medical Coder # 26-17687
    Columbia, SC
    • $36 / hour

    Creates 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.

    3 days ago

    Quality Medical Auditor TRC Talent Solutions

    Quality Medical Auditor
    Columbia, SC
    • Temporary

    This 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.

    30+ days ago

    Supervisor Patient Access and Retention Palmetto Infusion Careers

    Supervisor Patient Access and Retention
    Columbia, South Carolina

    For 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.

    30+ days ago

    Supervisor Patient Access and Retention Palmetto Infusion Services LLC

    Supervisor Patient Access and Retention
    Columbia, SC

    For 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.

    30+ days ago

    PFS Billing Rep Prisma Health

    PFS Billing Rep
    Columbia, SC

    Effectively 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.

    30+ days ago
    New

    Clinical Documentation Specialist Guidehouse Inc

    Clinical Documentation Specialist
    SC
    • $61,000–$101,000 / year

    Initiates 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.

    2 days ago

    IT Healthcare Consultant - Business Analyst - Advanced Lumen Solutions Group, Inc.

    IT Healthcare Consultant - Business Analyst - Advanced
    Columbia, SC
    Remote

    Access 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.

    30+ days ago

    Senior Director, Healthcare Risk Management & Advisory | Forensic and Litigation Consulting FTI Consulting Inc

    Senior Director, Healthcare Risk Management & Advisory | Forensic and Litigation Consulting
    Columbia, SC

    Our multi-disciplinary team is comprised of consultants with expertise in data analytics, finance, accounting, economics, information technology and healthcare operations and regulations, and includes former healthcare executives and medical practitioners all of whom are focused on delivering meaningful results in order to manage change, mitigate risk, ensure compliance, resolve disputes, execute significant business transactions and improve performance. The healthcare industry is one of the largest, most dynamic, and complex sectors of the world economy and the HRMA team delivers strategic, analytical, financial, data mining and operational expertise through teams who understand the unique industry and regulatory environment in which our clients operate.

    8 days ago
    New

    Coder II MUSC

    Coder II
    South Carolina

    Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record.

    4 days ago
    12

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