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Provides coding support to the providers and staff by performing periodic coding reviews, conducting various coding education and training sessions. Shadows provider and coding staff to confirm coding is supported by medical record documentation and identify opportunities to improve upon documentation and coding.

Prisma Health

Provider Coding Educator, FT, Days, - Remote

Job Summary Codes all requested medical records using the most accurate and appropriate ICD-10-CM/PCS, CPT codes and DRG. Uses TruCode encoder to ensure appropriate reimbursement and accurate DRG & MSDRG assignment.

Health Information Associates

Outpatient Coding Specialist

This 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.

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Inpatient Coding Specialist

Substitutable Education & Experience (Optional): A Bachelors and 3 years of experience can be substituted for the following combinations of education/work experience: High School Diploma with 7 years of directly related experience; Associate's Degree with 5 years of directly related 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 Center

Compliance Auditor

The audit scope includes a) the regulatory and industry research needed for audit planning, b) pre and post audit meetings with stakeholders, c) cohesive audit report that communicates results and includes a corrective action plan if warranted, and d) education and training to stakeholders as needed. Bachelor's degree in a related field and a minimum of 2 years of medical billing, coding, and or audit experience or high school diploma or equivalent (GED) and 4 years of medical billing, coding, and or audit experience required; college degree preferred.

Medical University of South Carolina

MUSC

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FULL_TIME

OTHER

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

TriWest Healthcare Alliance

Program Integrity Investigator

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Reviews 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.

Review Consultant

Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services.

HopeHealth Inc

Coding Specialist

Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin. Responsible for research and resolution of all outstanding patient and insurance credit accounts, any additional A/R management research and account updates required to ensure claims are filed to the appropriate carrier or posted correctly.

Spartanburg Regional Medical Center

Specialist-Revenue Management (Remote)

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Spartanburg Regional Healthcare System

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. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services.

McLeod Health

Q/A Coordinator Imaging (PRN) - Florence

With more than 10,800 employees and 1,000+ providers, SRHS delivers advanced care through multiple hospitals, specialty centers, and a Level I Trauma Center. Spartanburg Regional Healthcare System (SRHS) is a not-for-profit, integrated health network serving communities in South Carolina and North Carolina for over 100 years.

Compliance Audit Specialist (Hybrid)

Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Are you an experienced Health Information Management Systems (HIMS) professional looking for a leadership role that combines expertise with a commitment to hospital efficiency?

Encompass Health Rehabilitation Hospital of Columbia

HIMS Supervisor

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The role uses SQL, analytical and reporting tools, healthcare data, and business knowledge to analyze and validate data, research complex issues, develop reporting and analytics solutions, support regulatory and industry submissions, and translate operational requirements into actionable insights. Clear written and verbal communication and collaboration skills, including the ability to explain financial, healthcare, and technical topics to technical and nontechnical audiences and work effectively with end users, business stakeholders, technical teams, leaders, and external partners.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior)

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. 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.

Coding Specialist - Revenue Cycle Management

As a work from homeInpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Inpatient Coding Auditor

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Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Are you an experienced Health Information Management Systems (HIMS) professional looking for a leadership role that combines expertise with a commitment to hospital efficiency?

Encompass Health Corp

This task requires the use of discretion and independent judgment; coordination of process of providing accurate and timely data to the appropriate entities involved for Medicare patients; oversight of all aspects of data collection on the IRF-PAI; presence of supporting documentation; close partnership with Chief Nursing Office, Director of Therapy Operations, Director of Case Management, Health Info Management Services (HIMS) Director/Coder, Director of Pharmacy, and Wound Care Coordinator to ensure compliance with CMS guidelines. The PASC must educate staff on proper and accurate documentation as it applies to the IRF PAI and act as the primary resource for immediate problem solving in regards to Quality Indicator coding and IRF-PAI completion.

Medical Coder Jobs in South Carolina

Provider Coding Educator, FT, Days, - Remote Prisma Health

Outpatient Coding Specialist Health Information Associates

Inpatient Coding Specialist * This

Compliance Auditor Lexington Medical Center

Compliance Auditor Medical University of South Carolina

Compliance Auditor MUSC

Program Integrity Investigator TriWest Healthcare Alliance

Review Consultant * This

Coding Specialist HopeHealth Inc

Specialist-Revenue Management (Remote) Spartanburg Regional Medical Center

Specialist-Revenue Management (Remote) Spartanburg Regional Healthcare System

Q/A Coordinator Imaging (PRN) - Florence McLeod Health

Compliance Audit Specialist (Hybrid) Spartanburg Regional Medical Center

Compliance Audit Specialist (Hybrid) Spartanburg Regional Healthcare System

HIMS Supervisor Encompass Health Rehabilitation Hospital of Columbia

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior) Blue Cross and Blue Shield Association

Coding Specialist - Revenue Cycle Management McLeod Health

Inpatient Coding Auditor HCA Healthcare

HIMS Supervisor Encompass Health Corp

Patient Assess Standards Coord Encompass Health Corp

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