• Inpatient Coding Auditor

    BayCare Health System (Charleston, SC)
    …**Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ ... Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the… more
    BayCare Health System (05/29/25)
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  • Coding Auditor Educator

    Highmark Health (Columbia, SC)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (05/09/25)
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  • Senior Inpatient Medical Coding…

    Humana (Columbia, SC)
    …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
    Humana (08/02/25)
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  • Coding Auditor

    AnMed Health (Anderson, SC)
    …audits and provides feedback and education to providers regarding correct coding and documentation requirements. Resolves complex coding scenarios. Works ... + Minimum of 2 years CPT, HCPCS and ICD-10-CM coding experience required Preferred: + Use of typing, computer...filing, typing, etc. + Reimbursement of third-party carriers and other insurance knowledge + Additional 3 years coding Auditing… more
    AnMed Health (06/22/25)
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  • Outpatient Coding Auditor

    AnMed Health (Anderson, SC)
    Performs coding compliance audits of outpatient accounts according to coding rules and guidelines. Also assists coding manager in daily functions of ... or GED required. Current RHIA, RHIT, and/or CCS required. Must have a minimum of five (5) years outpatient coding experience in an acute care hospital setting. more
    AnMed Health (07/30/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Columbia, SC)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
    Humana (07/29/25)
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  • Inpatient DRG Quality Auditor

    Humana (Columbia, SC)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (07/25/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Columbia, SC)
    …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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