Medical Coder Humana IncMedical CoderSCRemote$59,300–$80,900 / yearTo 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. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
Inpatient Medical Coder # 26-14057 US Tech Solutions, Inc.Inpatient Medical Coder # 26-14057Columbia, SC$36 / hourCreates 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.
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.
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 II (PRN) (REMOTE) BayCare Health SystemMedical Records Coder II (PRN) (REMOTE)Columbia, SCRemoteOur 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.
Hospice Medical Coder Your Health OrganizationHospice Medical CoderColumbia, SCWe are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Provide support to the team by performing general administrative tasks, utilizing software systems effectively, and assisting other staff members as needed to enhance patient care and staff efficiency.
Specialty Coder II (REMOTE) BayCare Health SystemSpecialty Coder II (REMOTE)Columbia, SCRemoteThe 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.
Specialty Coder II - Anesthesia (REMOTE) BayCare Health SystemSpecialty Coder II - Anesthesia (REMOTE)Columbia, SCRemoteThe 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.
Coder II MUSCCoder IISouth CarolinaClassification 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.
Coder II Medical University of South CarolinaCoder IISouth CarolinaClassification 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.
Coder II-3 MUSCCoder II-3South CarolinaClassification 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.
Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science CenterSupervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)SCRemoteDemonstrated knowledge of hospital billing and reimbursement processes, including denials and appeals, third-party contracts, insurance protocols, delay tactics, systems, and workflows, as well as federal and state healthcare regulations. Monitors patient accounts for compliance with financial policies, trains staff on handling inquiries and payment plans, and implements process improvements to optimize revenue cycle management.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
Review Consultant * ThisReview ConsultantSouth CarolinaRemoteReviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy. Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits.
Trauma Registry Analyst FT, Day-Remote Prisma HealthTrauma Registry Analyst FT, Day-RemoteColumbia, SCRemoteAccurately abstracts clinical data from Emergency Management System (EMS) Patient Care Record (PCR), in-patient medical record, referring hospital records and autopsy reports including patient demographics, injury event, pre-hospital information, injury diagnoses, operative and other procedures, ED data, co-morbidities, complications, patient outcome and financial data as defined by State Trauma Registry, NTDS, and Trauma Quality Improvement Program (TQIP). Data collected by the Trauma Registry Analyst is utilized by administrators, performance improvement coordinators, researchers, and American College of Surgeons (ACS) surveyors to evaluate the quality of care provided to trauma patients, for statistical analysis, performance improvement initiatives, trauma quality improvement and research.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)SC$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.