NewSoftware Developer Kforce Inc.Software DeveloperFlorence, SC$40–$50A Software Developer is responsible for writing clean, scalable code using a variety of programming languages and participating in all phases of the software development lifecycle, from concept to deployment. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
NewCoding Denial Management Associate athenahealth, Inc.Coding Denial Management AssociateColumbia, SC$50,000–$86,000 / yearJob ResponsibilitiesLead detailed claim adjudication analysis to triage rejections, denials, and payer edits; convert adjudication scenarios into consumable, effective processes that identify true root causes and lead to successful outcomes. Preferred: Revenue cycle experience working with denials, rules, payer edits, 835/ERA or EOB review, appeals/resubmissions, and claim reprocessing workflows.
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 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.
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.
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.
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.
Business Analyst - Clinical Analyst & Coding Specialist Talent Software Services, Inc.Business Analyst - Clinical Analyst & Coding SpecialistColumbia, SC$70 / hourThe position will also participate as a project team member, as assigned, for related process improvements, Medicaid Management Information System (MMIS) enhancements and provide subject matter expertise for a future MMIS replacement. Candidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive.
Hospital Coding Specialist II (Observation) WVU MedicineHospital Coding Specialist II (Observation)South CarolinaReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Hospital Coding Specialist II (Observation) West Virginia University MedicineHospital Coding Specialist II (Observation)SCReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding Specialist Datasoft TechnologiesIT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding SpecialistColumbia, SCRemoteAs the IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes. Client is seeking This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current Medicaid Management Information System.
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.
Outpatient Coding Specialist * ThisOutpatient Coding SpecialistSouth CarolinaRemoteThis is a remote/work from home position * Overview Codes all requested medical records using the most accurate and appropriate ICD-10-CM/PCS and CPT codes in accordance with regulatory coding guidelines, best practices in the industry and HIA policy and procedures. Responsibilities: Codes all requested outpatient acute care facility records using the most accurate and appropriate ICD-10-CM/PCS and CPT codes in accordance with coding guidelines.
Provider Coding Specialist Health Information AssociatesProvider Coding SpecialistSouth CarolinaRemoteCodes outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines, best practices in the industry and HIA policy and procedures. Responsibilities Codes all requested medical records using the most accurate and appropriate ICD-10-CM/PCS and CPT code assignment in accordance with coding guidelines.
Inpatient Coding Specialist * ThisInpatient Coding SpecialistSouth CarolinaRemoteThis is a remote/work from home position * Overview Codes all requested Inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with regulatory coding guidelines, best practices in the industry and HIA policy and procedures. Responsibilities Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines.
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$40,491.95–$46,565.74 / 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. The ideal team member for this hospital is a veterinarian who thrives in high -volume environments and remains calm and levelheaded under pressure!
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.
Billing Specialist United Surgical Partners International IncBilling 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 AR Specialist - Medical Billing Crossroads Treatment CentersRemote AR Specialist - Medical BillingGreenville, South CarolinaRemoteUtilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including but not limited to professional claims, governmental and/or non-governmental claims, denied claims, aged accounts, high priority accounts, high dollar accounts, reimbursements, credits, etc. Crossroads 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.
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.
NewMedical Account Manager (#011290) Financial Accounting, Columbia (RICHLAND) State of South CarolinaMedical Account Manager (#011290) Financial Accounting, Columbia (RICHLAND)Columbia, SC$48,000–$49,900 / 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.
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.
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.
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.
Adjunct 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. JOB REQUIREMENTS: 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.
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.
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.
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.
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.
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 P/T Day Prisma HealthPatient Services Representative P/T DayTaylors, 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 P/T Day - Riverside Maxwell Pointe Prisma HealthPatient Services Representative P/T Day - Riverside Maxwell PointeGreenville, 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, Surgery, FT, Days Prisma HealthPatient Services Representative, Surgery, 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, 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, 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, PT, Days Prisma HealthPatient Services Representative, PT, DaysSimpsonville, 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.
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.
Patient Services Representative, Pediatrics (Floater), FT, Days Prisma HealthPatient Services Representative, Pediatrics (Floater), 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, 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.
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 Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateSpartanburg, SCThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.