Inpatient Medical Coder # 26-17687 US Tech Solutions, Inc.Inpatient Medical Coder # 26-17687Columbia, 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.
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.
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.
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, 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.
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.
Coder II-3 MUSCCoder II-3South CarolinaAssign 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.
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.
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.
Ambulatory 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, 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.
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.
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.
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.
NewNetwork Medical Director - (Field-Based /Remote) UnitedHealth Group Inc.Network Medical Director - (Field-Based /Remote)Columbia, SCRemote$248,500–$373,000 / yearCollaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment, CMS STARs/HEDIS, and overall population health approach to patient care in both formal presentations and off the cuff at impromptu opportunities. General knowledge of clinical programs, trends and medical management, medical care delivery systems, utilization management, disease management, analytics quality management, contracting, provider relations and customer service.
Auditor, Quality Medical Paladin Consulting, Inc.Auditor, Quality MedicalColumbia, SC$36 / hourSkills: Required Training: Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR Certified Codi. 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.
NewQuality Medical Auditor Talent Software Services, Inc.Quality Medical AuditorColumbia, SC$36 / hourMANAGER WILL CONDUCT TWO INTERVIEWS, 1ST ROUND VIA TEAMS, 2ND ROUND WILL BE ONSITE WITH MANAGER AND CODER. Please provide License/Certification required: a RHIT, RHIA, CIC, CPMA,
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.
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).
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.
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.
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.
NewCharge Master Analyst Sutter HealthCharge Master AnalystSC$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.
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.
Clinical Documentation Specialist GuidehouseClinical Documentation SpecialistSouth CarolinaInitiates 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.
CDI Specialist RN Lexington Medical CenterCDI Specialist RNWest Columbia, SCAble to conduct thorough medical record review on initial and extended-stay concurrent reviews on all selected inpatient admission and documents findings to identify MCCs/CCs, PSI, HAC, mortality second-level review, and patient length of stay that supports patient's severity of illness and risk of mortality denoting all key information utilized in the tracking process. 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.
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.