- Tidelands Health (Myrtle Beach, SC)
- …coding /billing issues. Informs, educates, and coordinates with other Revenue Cycle, Clinical Operations, and other stakeholders regarding the coding and ... the revenue cycle + Identifies inconsistencies and works with Clinical Informatics to streamline charge capture process. + Lead...+ Will work with HR, IT Provisioning team, and coding manager/ director in all aspects of onboarding… more
- Humana (Columbia, SC)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Columbia, SC)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Columbia, SC)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by… more
- Datavant (Columbia, SC)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and...results for review by the facility or CCS HIM director . + Review disagreements on APC/DRG changes with the… more
- BayCare Health System (Charleston, SC)
- …+ **Days:** Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN (non-benefit eligible) remote position. Responsibilities: + The ... Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation...monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10… more
- BayCare Health System (Charleston, SC)
- …to 3:30 PM + **Days:** Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. _Sign on bonuses available!_ Responsibilities: ... + The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation...monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10… more
- BayCare Health System (Charleston, SC)
- …encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. + Works in conjunction with various departments for missing ... Strong utilization of medical terminology and anatomy. + Assists Manager/ Director with mentoring/training of Coder I and Coder II...of Coder I and Coder II team members and clinical practice students from various colleges. + Performs other… more
- US Tech Solutions (Columbia, SC)
- …+ Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and ... service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health… more
- CenterWell (Rock Hill, SC)
- …calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax… more