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).
Director of Medical Coding Your Health OrganizationDirector of Medical CodingColumbia, SCEducation and Training : - Design and deliver educational programs and training sessions for coders and healthcare providers to enhance their knowledge and skills in medical coding. The ideal candidate will have 3-5 years of experience in medical coding, with a proven track record of leadership and providing education to staff coders and providers.
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.
Coding 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.
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.
Senior 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.
NewMedical Account Manager (#011290) Financial Accounting, Columbia (RICHLAND) State of South CarolinaMedical Account Manager (#011290) Financial Accounting, Columbia (RICHLAND)Columbia, SC$46,206–$62,322 / yearThis position reviews claims prior to payment authorization, monitors billing systems for discrepancies or duplicate charges, coordinates Medicaid rebilling, when necessary, conduct internal audits, verify CPT and HCPCS coding issues, ensures billing documentation aligns with clinical records, and serves as the primary point of contact for provider billing inquiries and claim status updates. Agency Specific Application Procedures: This position is recruited through governmentjobs.com only; You must apply online via the South Carolina Department of Corrections Career website www.governmentjobs.com/careers/sc/scdc to be considered as an applicant for this position.
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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)SC$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Provider 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 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.
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.
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.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistSC$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
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.
Patient Services Representative, Ophthalmology, FT, Days Prisma HealthPatient Services Representative, Ophthalmology, 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, 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, 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.