Medical coder jobs in Columbia, SC

Software Guidance & Assistance, Inc., (SGA), is searching for a Risk Adjustment Coders for a Contract assignment with one of our premier Healthcare clients in Greensboro, NC. Responsibilities : The Coding Educator Risk Adjustment provides coding trainings and education as well as supports physicians, mid-levels,and support staff on how to be understand and capture HCCs for appropriate organization members. Working under general supervision, this role provides prospective and retrospective chart reviews, provider assessments, and one-on-one and group education. Abstracts diagnosis codes per THN policy from notes to be used to educate provider and staff on the importance of coding appropriately for HCC. Prepares targeted education for providers and staff with practice specific information. Acts as a coding resource for practices and responds in a timely manner to inquiries. Establishes and maintains a positive and professional working relationship with physicians, clinical, administrative and other staff as well as THN internal staff. Works with leadership team to establish EMR access within all practices. Actively participates in THN POD meetings with other THN departments and completes daily logs and other process forms as directed by supervisor. Performs other duties as assigned. Required Skills: HS Diploma/GED MUST be a Certified Professional Coder (CPC only) - no other coding certs accepted 2-5 years of Risk Adjustment coding experience required Ability to work independently in a fast paced environment own ICD10 coding books (required) Preferred Skills: CRC certification preferred SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at ******************* . SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.

Liberty Cares With Compassion At Liberty Home Care, we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients. We are currently seeking an experienced: HIM FIELD CODER Full Time (North Carolina Based) Job Summary: Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy. Entering codes into facility EHR within a 24 business hours following resident admit. Completes LHM home health and hospice intake coding as assigned. Entering codes into EHR within 24 business hours following notification. Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement. Serve as an ICD coding resource, responding to staff questions concerning ICD coding in a timely manner. Works with other departments as needed to improve documentation quality and/or to improve the processes which are related to accurate ICD code assignment. Assist with training of staff on ICD coding. Attends educational sessions pertinent to ICD coding to ensure competency in LTC, home health & hospice coding. Performs other duties as assigned. Job Requirements: Must be a high school graduate Must be a Registered Health Information Administrator/RHIA (BS) or Registered Health Information Technologist/RHIT (AAS), AHIMA Certification required Extensive knowledge of ICD-10-CM coding required 1-3 years of relevant coding experience in the LTC and/or home health and hospice setting preferred Knowledge of Medicare/Medicaid regulations preferred Must be dependable, flexible, and able to work and cooperate well with staff and have understanding, patience, and tact in working with practitioners and others. Must be able to prioritize work assignment and complete duties within specified timeframe, but also be flexible to adapt to changing priorities. Excellent computer skills Must have a valid N.C. driver's license. Must have neat professional appearance at all times. Visit *********************** for more information. Background checks/drug-free workplace. EOE. PI39077ee7b378-37***********6

Job Details Hickory Office - HICKORY, NC Full Time DayDescription ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement. Other duties may be assigned. FINANCIAL OPERATIONS & REPORTING Review medical documentation for accuracy and completeness. Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines. Ensure coding compliance with federal, state, and payer-specific requirements. Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary. Work with billing team to resolve coding-related claim rejections or denials. Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes. Assist with audits and provide feedback to improve documentation and compliance. Support process improvements to strengthen revenue cycle performance.

Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC. MSA offers competitive pay and excellent benefits 40 hours paid time off during the first year of employment Medical, Vision & Dental Insurance Company paid life insurance 401(k) retirement with a generous company match Opportunities for advancement Other great benefits This person will be responsible for submitting and re-billing claims Submits claims for all pay sources and locations as assigned. Tracks reasons for unpaid claims and re-bills claims as necessary. Files electronic and/or written appeal requests in a timely manner. Works with locations to resolve any issues that may affect billing. Job Requirements High School Diploma or General Education Degree (GED) required. Previous hospice reimbursement experience preferred. Previous medical office billing/collection experience preferred. MSA is an Equal Opportunity Employer

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing problems from EOBs and work to correct the errors in a timely manner Maintain in depth knowledge of all payers. Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close. Update patient demographic and insurance Transfer open balances to correct insurance Work with patients and guarantors to secure payment Resolves disputed claims by gathering, verifying, and providing additional information Identify problem accounts and escalate as appropriate. Write appeals and include supporting documentation Run appropriate reports and contact insurance companies to resolve unpaid claims Meet set department metrics and threshold set forth by manager. Assist with special projects and other job-related duties as needed. Minimum Qualifications High School Diploma. 2 years of Professional coding/billing experience AAPC certification preferred Experience Medicare, Medicaid and other commercial and private payers. Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people. Excellent customer service and professionalism. Maintains patient confidentiality. Proficient computer skills. Organized and efficient. Self-motivated to meet objectives Benefits: 401(k) Health, Dental and Vision insurance Employee assistance program AFLAC Paid time off

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). EXPERIENCE: 1. One (1) year of hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews 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. Codes moderately complex patient classes. 2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.). 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 548 SYSTEM HIM Coding Analysis

Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. to help train the next generation of programming-capable AI models!

Exciting Career Opportunity with Avance Care! Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC. Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients. As a Coding Specialist, you'll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk. This is a full-time role involving 8 hours weekday shifts with no weekends schedule. We operate in a busy, fast-paced environment, and we seek a candidate who thrives under such conditions. We offer a comprehensive benefits package available on the first of the month following 30 days of employment. Selected Responsibilities: Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines Effectively work with and support providers through structured communication as it related to chart documentation and coding practices Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3 rd party payers or Medicare Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience. Other Priorities: Strong verbal and written communication Knowledge of insurance practices Knowledge of CPT, HCPCs, and ICD-10 coding Time management and workload prioritization skills If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume. All offers of employment are contingent upon the successful completion of a background check and drug screen. Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements + Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 2 years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Prior auditing experience + Excellent analytical skills + Strong attention to detail and ability to review and interpret data + Excellent communication skills **Education** + GED or equivalent + AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office. With us, you'll find: A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity - we encourage you to be yourself! Enthusiasm for diverse perspectives: We're smarter and stronger when everyone has a voice and a seat at the table. We welcome unique viewpoints and ideas, and we make opportunities for you and your career to thrive. Support to feel your best and do your best: Wellness is integral to building a successful career and a rich life. That's why our benefits program supports your physical, emotional, mental and financial health, with an emphasis on work/life balance. Real rewards for real work: We offer generous compensation packages that recognize hard work and excellence. Job Description: About Farragut Square Group Farragut Square Group is a healthcare research and advisory firm serving private equity sponsors, institutional investors, and healthcare corporates. We help our clients move fast, scale smart, and stay compliant. Farragut Square is looking to expand by hiring a Medical Coding Auditor. This role is perfect for a CPC certified Auditor who thrives in a fast-paced yet thoughtful team environment. This position will report to the VP of Billing & Coding within the group. As a Medical Coding Auditor you will: Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and need for coding education. Coding reviews include practice and ASC based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, CDT, HCPCS coding and Modifier guidelines. Explain findings in a clear and concise manner to internal team members. Communicate in a way that demonstrates knowledge of regulations and requirements of CMS, payors, and Federal and state laws. Interact in a professional and courteous way with client practices to help them locate missing documents and provide necessary chart information. Qualifications: CPC designation is a must. The candidate must have audit experience, and have experience performing billing and coding reviews in the medical field CPMA and/or Inpatient Coding and Coding Instructor Credentials a plus but not required. 5+ years of current audit work within a physician practice or hospital system. Excellent communication and time management abilities, as this position is remote. Familiarity with medical and experience with outpatient medical coding guidelines and willingness to learn about the various sub-specialty coding guidelines in the outpatient setting. Examples of sub-specialties include: ophthalmology, urgent care, gastrointestinal, pain management and autism/ABA, as well as willingness to learn others specialties. Ability to use Microsoft Excel and Word. Demonstrated ability to perform in high productivity, fast-paced environment. When submitting for this position, please include an explanation of your relevant experience within the medical audit space. (250 words max) Successful candidates will be provided with outstanding career opportunities and will receive a competitive total rewards package with the opportunity to earn performance-based bonuses. Target Hiring Range $65,000 - $80,000 Please note that quoted salary ranges are not guarantees of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, experience, and geographic location. Base pay is only one part of the Total Rewards that MWE provides to compensate and recognize our staff professionals for their work. Full time positions are eligible for a discretionary bonus and a comprehensive benefits package. #LI - Hybrid #LI - JL1 #MedicalAudit #CPC #CPMA #AAPC As part of our ongoing commitment to be #AlwaysBetter for our people, clients and communities, we have created a culture of belonging that champions your individuality as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career. With McDermott, you can live a life you love both in and outside of the office. Physical Demands and Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands: While performing the duties of this job, the employee is required to sit, use hands, reach with hands and arms, stoop, talk and hear Employee must occasionally lift up to twenty (20) pounds Work Environment: Typical indoor office environment Disclaimer: The above statements are intended to describe the general nature and level of the work being performed by people within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.

PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance. *Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments. Occ Summary- The Medical Records Coder II (Inpatient) is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures. Duties and Responsibilities of this Level Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development and presentation of continuing education programs on areas of specialization. Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM, ICD-10-PCS and/or CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Required Qualifications at this Level Education: High school diploma required. Experience RHIA certification- no experience required RHIT certification- no experience required CCS certification- one year of coding experience required CPC or HCS-D certification- two years of coding experience required Degrees, Licensures, Certifications Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding RegisteredHealth Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those looking to be involved in the emerging Healthcare & Technology industry. At Advantmed, our mission is to improve the healthcare system by ensuring appropriate, quality care, and eliminating unnecessary costs. Advantmed is a privately held company founded in 2005 and composed of over 1,800 seasoned professionals aligned by one common goal: to meet our clients' evolving needs with accuracy, efficiency, and transparency. We would love to have you join our team of dedicated professionals! We encourage you to visit the details of the role by watching the video available at the following link: Medical Records Technician Our Medical Records Technicians receive company-provided laptops and portable scanners to travel to various medical facilities and hospitals for scanning patient medical records. Duties and Responsibilities: Maintain a record system for patient information and gathering documents. Use electronic systems to properly collect, organize, and manage data. Ensure medical records are organized, accurate, and complete. Create digital copies of paperwork and store records electronically. File paperwork/reports quickly and accurately. Ensure HIPAA standards are met. Follow all confidentiality guidelines, rules, and procedures. Interact with medical staff, healthcare providers, and other medical personnel. Ability to lift and carry up to 25 pounds. Additional Good-to-Have Qualifications: Previous work experience in a healthcare setting, such as a hospital, clinic, or medical office dealing with medical charts. Proficiency in Electronic Health Records (EHR) / EMR systems such as Epic, Cerner, Meditech, etc. Intermediate knowledge of medical chart structure, content, and medical terminologies. Familiarity with Word, Excel, and Outlook for documentation and communication. Ability to operate and troubleshoot common issues with printers and scanners. Strong verbal and written communication skills for interacting with healthcare professionals. Requirements Must-Have Qualifications: Valid driver's license and clean motor vehicle record. Have a car and active insurance in their name (Candidates must provide registration documentation). Willing to drive up to 60-80 miles or more (round-trip). Internet access at home. Basic PC and office equipment skills. Applicants must be available from 08:00 am to 05:00 pm respective time zone to visit required facilities. Pay Rate: $18-$21 per hour or $3 per record, whichever is higher Paid semi-monthly based on total hours worked or total records retrieved during the work period (whichever is higher). Paid mileage, reimbursement for some travel expenses, paid $50 (daily) Food Allowance, when traveling out of state & paid Flight + Hotel + Rental (if required). This is a part-time, seasonal position, with the potential for extension based on project requirements and needs

Title: Lead Certified Coding Specialist - Auditor Location: Novant Health Urgent Cares (Columbia, SC) Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages with annual market data review Incentive Pay Program Continuing Education Reimbursement Eligible employer under the Public Service Loan Forgiveness (PSLF) Program UpToDate Subscription Generous PTO 403(b) with 100% vested match Health, dental, vision insurance Health Reimbursement Account Flexible Spending Account Short term and Long-term Disability Whole and Term Life Insurance Rewarding Careers Great working environment What Are We Looking For? NHUC is currently seeking a Certified Coding Specialist and Auditor to join our Novant Health Urgent Cares Team. The Certified Coding Specialist and Auditor provides data and reports to management related to coding and claims for Doctors Care patient encounters. The Specialist educates medical and clinic staff on medical coding and documentation requirements. Do You Have What It Takes? A good candidate will bring with them: High School diploma or equivalent Two (2) years coding experience post certification Medical Coding Certification from AHIMA or AAPC Knowledge of insurance filing, coding, collections and billing policies and procedures Knowledge of the ICD9/10-CM, HCPCS, and CPT-4/5 nomenclature, coding rules and guidelines Ability to properly sequence ICD-9/10-CM codes Advanced understanding of medical terminology and body systems/anatomy and physiology and concepts of disease Ability to elicit cooperation from and work in a cooperative manner with professionals and non-professional associates Dependable in both production and attendance Ability to adapt to new software programs An ideal candidate would also have: Bachelor's degree or equivalent 5+ years' experience healthcare coding with certification Working knowledge of Cerner EMR

Job DescriptionCertified Peer Specialist Job Details Job Type Full-time Charlotte, NCDescription Certified Peer Specialist (CPS) services consist of peer support services; advocacy for Persons in Recovery (PIRs); sharing of coping skills and providing recovery information for PIRs. The CPS performs a wide range of tasks to assist PIRs in regaining control over their own recovery process. This includes but is not limited to the development of natural supports, development of social interactions in the community and management of symptoms that challenge wellness in an individual. A commitment to the RHD values should be demonstrated as job duties are performed. Reports to: Program Director/Site Supervisor Essential Duties and Functions Direct Care Delivers peer support services such as education, advocacy, and to foster engagement in treatment process Provide recovery support education for persons enrolled, staff, and family members. This may include but is not limited to: Wellness Recovery Action Plans (WRAP) for enrollees, Self-help/mutual peer support groups, training and orientation of new enrollees, training and orientation for staff and Team members. Supporting person centered interventions as identified in service plans for everyone served As appropriate, may facilitate group therapy sessions such as: WRAP Recovery Support Groups Community Meetings Symptom and Coping Skills Assist individuals with independent living preparation. Administrative Complete required documentation of services in a timely manner according to agency policy. Other Maintain one's own physical, mental, and emotional well-being so that the CPS can function appropriately in the job and can model healthy functioning to those we serve. Performs other tasks as assigned by leadership team, to support individuals' recovery. Requirements Certified Peer Specialist Certification HS Diploma/GED At least 2 years working with others in Mental Health Recovery Maintain 18 credit hours of additional training each year. Physical requirements Lifting Requirements Medium: exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects. Physical requirements Stand or Sit (stationary position) Walk Use hands or fingers to handle or feel (operate, activate, prepare, inspect, position) Climb (stairs/ladders) Talk/Hear (communicate, converse, convey, express/exchange information) See (detect, identify, recognize, inspect, assess) Pushing or Pulling Repetitive Motion Reaching (high or low) Kneel, Stoop, Crouch or Crawl (position self, move) About Company:Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment. Apis Services, Inc. and affiliate's provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.

USTECH is a global firm providing a wide-range of talent on-demand and total workforce solutions. Through the USTECH Talent Network of 100% company-owned and managed offices, we provide highly-skilled professionals whose education, skills and experience are vetted and matched to your unique hiring needs, work environment and company requirements. Our 24x7 global service delivery drives time and cost out of any recruiting and staffing process (15-30% cost reduction in most cases) across all of our services and solutions, providing you with the talent you need on-demand when, where and how you need it. Job Description Job Title : Medical Record Clerk JOB ID- : (14809) Location : Durham, NC 27713 Duration : (at first 1+ month contract) Qualifications: Candidate will need to have experience indexing medical records and scanning. This is a special short term project. Must be able to stand long periods of time and able to lift up to 50 lbs. Thanks , Asma. Additional Information All your information will be kept confidential according to EEO guidelines.

The incumbent is responsible for compiling, maintaining and retrieving medical records while adhering to medical records standard of confidentiality. This individual will assist with developing, organizing, implementing and maintaining health information systems for accurate storage and retrieval of medical information in accordance with the standards of the Lutheran Hospice, accrediting and regulating agencies.

Are you an experienced Medical Coder seeking a career growth? Are you a Certified Auditor interested in a new work opportunity? If so, then we want to connect with you! MAHEC is now accepting candidates for Medical Auditor. This integral role supports MAHEC's mission of educating the next generation of healthcare professionals by completing internal quality assessment reviews on Care Provider coding and effectively builds relationships with MAHEC Care Providers to educate and foster complete, accurate, timely, and consistent coding. The Auditor/Provider Educator is responsible for documentation to ensure compliance with national coding guidelines and MAHEC policies. We welcome experienced Medical Coders interested in becoming a Certified Professional Medical Auditor, and MAHEC offers an employer-sponsored pathway to CPMA certification if hired for the position! This is a hybrid work opportunity, with roughly 50-60% onsite work to support in-person collaboration and Medical Provider audit trainings, blended with dedicated work-from-home time for focused independent work during your work week. This full-time position is eligible for MAHEC's full Total Rewards Package, including healthcare coverage, pet insurance, up to 30 days PTO annually and more! SPECIFIC RESPONSIBILITIES: Auditing - Medical Coding Conducts quality assessment reviews as pre-billing audits and include outpatient, inpatient, and surgical records. Collaborates with the Clinical Business Office (CBO) Director and Business Office Manager to review and educate the coding team to improve accuracy, integrity and quality of patient data to ensure minimal variation in coding practices. Develops internal audit plan in collaboration with the Compliance Officer. Complete service based audits as needed. Performs pre-billing and procedure audits of evaluation and management services for patient encounters by utilizing national coding and payer specific guidelines to ensure accuracy of diagnosis codes and provider documentation; track accuracy and trend data to identify areas for improvement. Provides technical guidance and education to providers in identifying and resolving issues or errors. Reviews claim denials pertaining to coding and medical necessity issues and collaborates with key stakeholders to implement corrective actions to include education or workflow changes. Develops quality audit reports that analyze the data, identify trends/opportunities and proposes strategies for resolution and educational opportunities. Stays current of coding, compliance and billing requirements by various government/regulatory agencies and payors to effectively apply this knowledge to complex coding, quality and compliance situations. In collaboration with the Compliance Officer, helps facilitate external pre-billing audits conducted throughout the year, including but not limited to, identifying and suspending encounters, reviewing external auditor responses, follow-up with external auditor and provider education. Engages in proactive thinking by recommending actions for improving coding compliance or workflow improvement opportunities. Provider/Learner Education - Medical Coding Provides provider education based on the quality monitoring review findings and trends. Orients new Residents and other Learners as needed to appropriate medical coding practices. Assists physicians and other providers with coding presentations as needed. Meets with Residents/Learners on a regular schedule and individually on an as needed basis to review completeness and appropriateness of patient encounter documentation in compliance with coding guidelines. Education for new providers during their orientation process to ensure understanding of MAHEC billing and coding practices Responds in a timely manner to inquiries from other departments regarding patient charges, appropriate diagnosis coding and other coding questions related to the revenue cycle. Serves as a resource for department managers, staff, providers and administration to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines and regulatory requirements and new coding initiatives. Maintains open dialogue, promotes collaboration and good working relationships with all members actively engaged in the Revenue Cycle at MAHEC. KEY COMPETENCIES: Communication Skills Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient's family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families. Decision Making Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time. HealthCare Knowledge Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC's organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate. Interpersonal Skills Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others. Organizational Values Adherence to MAHEC's founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need. Problem Solving Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically. SPECIFIED SKILLS COMPUTER Must have advanced computer skills including Microsoft Office Suite. Allscripts PM/EMR Pro software experience preferred. EDUCATION AND EXPERIENCE MINIMUM QUALIFICATIONS: Two (2) years of medical coding and/or auditing experience. Proficient use and extensive working knowledge of billing procedures, application and use of ICD-10, CPT and modifiers using professional coding guidelines consistent with CMS compliance and other federal regulations. REQUIRED CERTIFICATION: Certified Professional Coder (CPC) and or Certified Coding Specialist (CCS) through an accredited certification board such as AAPC and or AHIMA. PREFERRED QUALIFICATIONS: Three (3) or more years of medical coding and auditing experience. Federally Qualified Healthcare Organization (FQHC) experience. Allscripts PM/EMR Pro software experience. DESIRED CERTIFICATION: Certified Professional Medical Auditor (CPMA). Certified Risk Adjustment Coder (CRC). SCHEDULE: On site training and regular attendance on-site is an essential function of this hybrid position. Typical MAHEC business hours are Monday - Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader. At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive. All MAHEC employees and learners will be required to receive the Flu vaccines or have an approved exemption from MAHEC's Employee Health division. MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer. Black, Indigenous, People of Color and Spanish/English bilingual persons are strongly encouraged to apply. With this in mind, studies show that women, gender diverse, and BIPOC candidates are less likely to apply unless they meet all of the qualifications listed in the job description. If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to ******************* for support in your job search process. You could be the talent we are seeking for this or other opportunities.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Position Highlights: Full-Time: Monday-Friday 8:30AM-5:00 PM EST Location: This role will be performed at one location (Columbia, SC 29203) Comfortable working in a high-volume production environment. Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status. Documenting information in multiple platforms using two computer monitors. Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance You will: Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. Maintain confidentiality and security with all privileged information. Maintain working knowledge of Company and facility software. Adhere to the Company's and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes. Assist with additional work duties or responsibilities as evident or required. Consistent application of medical privacy regulations to guard against unauthorized disclosure. Responsible for managing patient health records. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. Ensures medical records are assembled in standard order and are accurate and complete. Creates digital images of paperwork to be stored in the electronic medical record. Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/outbound calls. May assist with patient walk-ins. May assist with administrative duties such as handling faxes, opening mail, and data entry. Must meet productivity expectations as outlined at specific site. May schedules pick-ups. Other duties as assigned. What you will bring to the table: High School Diploma or GED. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written communication skills in the English language. Detail and quality oriented as it relates to accurate and compliant information for medical records. Strong data entry skills. Must be able to work with minimum supervision responding to changing priorities and role needs. Ability to organize and manage multiple tasks. Able to respond to requests in a fast-paced environment. Bonus points if: Experience in a healthcare environment. Previous production/metric-based work experience. In-person customer service experience. Ability to build relationships with on-site clients and customers. Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our .

Are you ready to make a meaningful impact in the lives of others while working in a supportive, community-focused environment? Newberry Health is seeking a full time Reimbursement Specialist to work on-site and join our exceptional team. Located in beautiful Newberry County, SC, Newberry Health is a 90-bed, acute care, independent, not-for-profit hospital recognized with the Joint Commission Gold Seal of Approval. We are proud of our strong leadership, dedicated staff, and commitment to providing high-quality care for our patients. Job Summary: Responsible for charge capture entry for select Emergency Department chargeable items and enter Observations hours for nursing units. Assist ROI (Release of Information) Specialist with scanning and responding to customer faxes. ESSENTIAL JOB FUNCTIONS: On a daily basis (business day), identifies chargeable items and enters charges for Emergency Department and Observation records. Assists in implementing solutions to reduce back-end billing errors/edits. Works collaborative with Coding, PFS and Patient Access to resolve modifier/edits Participates in continuing education and other learning experiences Works with PFS/Patient Access/Coding on other duties as assigned. Requirements Education and Experience: Previous experience in healthcare required Medical terminology required Certificates, Licenses, and Registrations: Coding/Billing certification preferred Newberry County Memorial Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.