The Inline GroupNewFamily Medicine Opportunity in West Columbia, SC The Inline GroupFamily Medicine Opportunity in West Columbia, SCWest Columbia, SCAdditional Info: - Work as a lead in a collaborative and value-based care setting - our services are not volume-based, we focus on quality of care- Ongoing peer-to-peer collaboration and long-term career cultivation- Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, quality-based coders, Referral Coordinators, and more.- Visible, clinical position within an organization whose values are: Caring, Curious, Committed- Spend 100% of your time clinically focused on direct patient care, inclusive of patient-facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
The Inline GroupNewInternal Medicine Opportunity in West Columbia, SC The Inline GroupInternal Medicine Opportunity in West Columbia, SCWest Columbia, SCAdditional Info: - Work as a lead in a collaborative and value-based care setting - our services are not volume-based, we focus on quality of care- Ongoing peer-to-peer collaboration and long-term career cultivation- Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators, and more.- Visible, clinical position within an organization whose values are: Caring, Curious, Committed- Spend 100% of your time clinically focused on direct patient care, inclusive of patient-facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
ITProFoundClinical Analyst & Coding Specialist ITProFoundClinical Analyst & Coding SpecialistColumbia, SCRemoteFull timeCurrently, we do have a job opening forClinical Analyst & Coding Specialist for our direct client State of South Carolina. Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
US Tech Solutions, Inc.NewInpatient Medical Coder # 26-14057 US Tech Solutions, Inc.Inpatient Medical Coder # 26-14057Columbia, SC$36–$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.
Lexington Medical CenterProfessional 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.
Lexington Medical CenterProfessional 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.
Lexington Medical CenterVascular Medical Coder Lexington Medical CenterVascular Medical CoderWest 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.
Lexington Medical CenterFacility Medical Coder II Lexington Medical CenterFacility Medical Coder IIWest Columbia, SCRequired Training: Experience working in a combination of the following areas: ED, OPS, or IP; Completion of courses in Anatomy, Physiology, and Medical Terminology; Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software. 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.
BayCare Health SystemMedical 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.
BayCare Health SystemMedical 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.
Your Health OrganizationHospice 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.
BayCare Health SystemSpecialty 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.
BayCare Health SystemSpecialty 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.
McLeod HealthObservation Coder - Health Information Management McLeod HealthObservation Coder - Health Information 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. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services.
Medical University of South CarolinaCoder II Medical University of South CarolinaCoder IISouth Carolina, SCUnder the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. 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.
Medical University of South CarolinaCoder I Medical University of South CarolinaCoder ISouth Carolina, SCClassification 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 inpatients, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record.
Prisma HealthHealth 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.
Prisma HealthHealth 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.
InterSources Inc.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).
Talent Software Services, Inc.Business Analyst - Clinical Analyst & Coding Specialist Talent Software Services, Inc.Business Analyst - Clinical Analyst & Coding SpecialistColumbia, SC$70–$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.
Info Way Solutions LLCIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced Info Way Solutions LLCIT - SCDHHS - IT Healthcare Consultant - Business Analyst - AdvancedColumbia, SCThis role supports complex, change-driven initiatives within Medicaid operations and the current Medicaid Management Information System (MMIS), with future involvement in MMIS replacement (DASH). SCDHHS is seeking an IT Healthcare Consultant – Business Analyst (Advanced) with strong medical coding expertise and clinical experience.
Datasoft TechnologiesIT 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.
CVS Health CorpCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, SC$18.50–$38.82 / hourResponsible 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. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
Lumen Solutions Group, Inc.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.
Lumen Solutions Group IncIT Healthcare Consultant - Business Analyst - Advanced Lumen Solutions Group IncIT Healthcare Consultant - Business Analyst - AdvancedColumbia, SCFull timeICD-10 proficiency demonstrated by exam; or able to become certified within one year of employment 5+ years in healthcare insurance, medical review, program integrity, or appeals 5+ years working with IT developers/programmers in a payor environment 5+ years Medical Coding in payer environment 3+ years clinical experience in a healthcare environment with strong clinical assessment and critical thinking skills 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies 5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology Preferred Skills 5+ years experience in policy remediation 5+ years claims processing systems experience 5+ years Optum Encoder and/or other medical coding software programs ***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. Required Skills Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse Currently credentialed as CPC (Certified Professional Coder) or CCS (Certified Coding Specialist).
athenahealth IncCoding Denial Management Associate athenahealth IncCoding Denial Management AssociateColumbia, SC$50,000–$86,000 / 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. Lead 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.
Lexington Medical CenterCompliance Data Analyst Lexington Medical CenterCompliance Data AnalystWest Columbia, SCRequired Training: Strong Problem solving skills; Ability to articulate orally and in writing an understanding of complex issues and detailed action plans, while representing the organization professionally (communicates with physicians, Advanced Practice Providers (APPs), senior administrators and department staff); Advanced level of proficiency and knowledge of Microsoft Excel, Pivot tables, ICD-10 and CPT; Strong background in regulatory rules and guidelines and risk based trends in healthcare. 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.
Centene Corporation GroupClinical Investigator I (Special Investigation Unit) Centene Corporation GroupClinical Investigator I (Special Investigation Unit)SCRemote$56,200–$101,000 / yearLicenses/Certifications: Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. Ideal background includes reviewing medical records for fraud investigations, as well as experience from a specialist physician's office focused on record review and documentation quality.
Prisma HealthTrauma 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.
CVS Health CorpSenior 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.