• Supervisor Provider Coding Specialist

    Tidelands Health (Myrtle Beach, SC)
    …staff oversight. **What you will do** + Leads and guides staff that performs medical coding functions and supervises the processes and systems required to ... engagement. + Responsible for maintaining current knowledge of applicable medical record and coding laws, rules, and...+ Will work with HR, IT Provisioning team, and coding manager/ director in all aspects of onboarding… more
    Tidelands Health (12/31/25)
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  • Medical Director - Medicaid (remote)

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    Humana (01/01/26)
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  • Medical Director -Payment Integrity

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (12/11/25)
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  • Medical Director - IP Claims…

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (12/11/25)
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  • Medical Records Coder III Outpatient

    BayCare Health System (Charleston, SC)
    …missing documentation and monitors bill hold reports. + Strong utilization of medical terminology and anatomy. + Assists Manager/ Director with mentoring/training ... Required 5 years of Outpatient Facility Coding + Strong CPT coding Equal Opportunity Employer Veterans/Disabled **Position** Medical Records Coder III… more
    BayCare Health System (10/10/25)
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  • ProFee Audit Specialist FT- 2,500 Sign on Bonus

    Datavant (Columbia, SC)
    …in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (11/05/25)
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  • Inpatient Coder Specialist (PRN)

    BayCare Health System (Charleston, SC)
    … Specialist is a PRN (non-benefit eligible) remote position. Responsibilities: + The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, ... and ICD-10-PCS coding systems. + Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and… more
    BayCare Health System (12/31/25)
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  • Inpatient Coder Specialist

    BayCare Health System (Charleston, SC)
    …is a full-time remote position. _Sign on bonuses available!_ Responsibilities: + The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, ... and ICD-10-PCS coding systems. + Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and… more
    BayCare Health System (10/10/25)
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  • Patient Services Coordinator-LPN

    CenterWell (Rock Hill, SC)
    …and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization log, including entering ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports… more
    CenterWell (10/11/25)
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  • Utilization Management Nurse

    US Tech Solutions (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... appeals requests using Medicare criteria. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by… more
    US Tech Solutions (12/24/25)
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