Inpatient Medical Coder/Auditor
$36 per hourCEI
Job Description
Job Description
- Location:Can live anywhere in SC or bordering NC as long as they are able to commute to the worksite location as needed
Pay:
$36 /hour + optional medical, dental, vision, 401(k) match
Overview
Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues and coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.
Key Responsibilities
- Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
- Manages records retrieval, release, HIPAA compliance, and all aspects of document management.
- Serves as expert resource on methodology and procedures for medical records and coding issues.
Required Skills
- Develops methodologies
- Follows processes
- Responds to inquiries
- Writes for impact
- Strong understanding of healthcare coding and validation review processes
- Ability to coordinate with claims and legal departments
- Excellent report creation and presentation skills
- Knowledge of HIPAA compliance and legal records management
- Effective communication skills
- Ability to work independently and as part of a team
Required Education
- Associate Degree - Nursing or Health Information Management or Graduate of an Accredited School of Nursing
Required Work Experience
- 3 years medical record management to include coding and validation review experience
Preferred Skills
- Certification such as RHIT, RHIA, CIC, CPMA, or CPC (top search credentials)
Why Should I Apply?
This role offers an opportunity to contribute to healthcare quality and cost management through validation reviews and coding expertise. Join a team focused on impactful healthcare outcomes and professional growth.
About CEI:
As a trusted technology partner, CEI delivers solutions that help our customers transform their business and achieve meaningful results. From strategy and custom application development through application management - our technology and digital experience services are tailored to meet each unique need of our customers. Our staffing solutions bring specialized skills to complement our customers' workforce and project requirements.
#ZR
#INDGEN
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Inpatient Medical Coder/Auditor in Columbia, SC vacancy
$32 - $42 per hour
...companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare,... ...Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...SuggestedHourly payReliefRemote workRelocation packageFlexible hoursDatavant
Columbia, SC2 days ago- ...Job Summary Codes medical information into the Prisma billing/abstracting systems using established... ...regulatory coding guidelines. Performs Inpatient coding including major traumas and... ...noted above, successful completion of the IP Coder Associate program or coder associate may...SuggestedRemote workShift work
Prisma Health
Columbia, SC1 day ago $36 per hour
...reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. Manages records retrieval, release, HIPAA compliance, and all aspects of document management....SuggestedHourly payWork experience placementMonday to FridayUS Tech Solutions
Columbia, SC1 day ago- Job Responsibilities The SC Public Employee Benefit Authority (PEBA) is the administrator and co-trustee of retirement and insurance programs for over half a million active and retired public employees of the State of South Carolina and their dependents. Under general ...SuggestedTemporary workRemote workFlexible hours
State of South Carolina
Columbia, SC2 days ago $71.1k - $97.8k
...Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records...SuggestedBi-weekly payContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Columbia, SC5 days ago- ...Baylor Scott & White Health in Columbia, SC seeks a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and other references. You will provide feedback to coders and ensure accurate classification. The role requires five years of coding experience...
Baylor Scott & White Health
Columbia, SC3 days ago - A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should...Remote work
Humana
Columbia, SC3 days ago - ...audits. This full-time on-site position requires conducting audits across departments, preparing detailed reports, and assisting other auditors to maximize efficiency. A Bachelor’s in a relevant field is required, and no prior experience is necessary. You will work in a...Full timeWork at office
CGS Administrators
Columbia, SC2 days ago $46.99k - $122.4k
...at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and other healthcare... ...Must possess an active CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CPMA (Certified...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursNACBA
Columbia, SC5 days ago- ...Description Our professional auditors are integral to our company's mission by ensuring the financial integrity of premium development. In this role, you will examine policyholders' operations and financial records to ensure exposures (such as payroll, sales, fixed...Local areaWork from home
Liberty Mutual Insurance
Columbia, SC2 days ago - ..., and has responsibility for oversight of railroad safety and natural gas pipeline safety in South Carolina. The ORS is seeking an Auditor to conduct analysis and testing of complex financial statements and transactions and rate case applications on investor-owned utilities...Work at officeRemote workMonday to FridayFlexible hours
State of South Carolina
Columbia, SC5 days ago $20.84 per hour
...required to discover controls for prevention of fraud. Prepare reports of findings and recommendations for management. Assist other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate...Full timeFor contractorsWork experience placementWork at officeLocal areaCGS Administrators
Columbia, SC5 days ago- Signature Performance is seeking an IT Security Administrator to join a remote, nationwide team. You will partner with Systems Administrators, Network Engineers, and Security teams to support audits, collect and validate evidence, and ensure compliance with HIPAA, SOC,...Remote work
Signature Performance
Columbia, SC4 days ago $48.3k - $65.9k
...contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational... ...) Minimum of 3 years' experience as a Certified Medical Coder Demonstrate ability to problem-solve complex coding issues...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana, Inc.
Columbia, SC5 days ago$16 per hour
...hear you, and we’re here for you! We’re seeking an Operations Auditor to work at a premier organization in Columbia, SC. Sound good?... ...Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident...Contract workTemporary workLocal area- Description Route Auditors are responsible for auditing commercial and residential routes by reviewing routes to ensure efficiency and accurate billing. This position will also look for opportunities for increased services and potential safety hazards. The Route Auditor...Contract workLocal areaWeekend work
- ...McLeod Health is seeking a professional coder to maintain accurate coding for professional claims and ensure timely reimbursement. You will review documentation to verify CPT, HCPCS, and ICD-10 CM codes in line with compliance guidelines and assist with denials and appeals...Work at office
McLeod Health
Columbia, SC2 days ago $24.65 - $27.1 per hour
...Vascular, Neurosurgery and General Surgery. * The Forensic Coder is a certified coder with expert knowledge in front and back end... ...and providers as well as strong analytic skills. Knowledge of Medical Terminology, IDC-10, CPT, and HCPCS. PC and Computer...Temporary workWork at officeLocal areaRemote workEnsemble Health Partners
Columbia, SC4 days ago- Position Title: Home Performance Technician/Energy Auditor Location: Columbia, SC Position Overview We are seeking a full-time Residential Building Performance Technician to join a quickly growing team with a progressive nonprofit in North Charleston, SC. A provider of...Full timeFor contractorsWork at officeLocal area
$24 per hour
ThirdChannel in South Carolina is hiring a Brand Representative for in-store retail audits, merchandising, and quality control visits. As a 1099 independent contractor, you'll have a flexible schedule, conducting store visits twice a month to ensure brand visibility and...Hourly payFor contractorsFreelanceImmediate startFlexible hours- ...The coder/abstracter at Medical University of South Carolina is responsible for accurate code assignment across inpatient, outpatient, and emergency services, aligning with ICD-10 and CPT guidelines. You will work under the Health Information Management Department, following...
Medical University of South Carolina
Columbia, SC2 days ago $100k
...services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and is seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and...Weekly payImmediate startRemote workWork from homeHome office2 days per week3 days per week$24 - $26 per hour
...Addison Group by 2x Inferred from the description for this job South Carolina, United States $38 - $40 3 weeks ago Professional Medical Coder I (Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus Facility Medical Coder II - (Remote Position, Must reside...Full timeRemote workRelocation packageAddison Group
Columbia, SC5 days ago$40k - $45k
...a very easy job to perform, but is quite difficult to learn. Training is paid (at a training wage) until both the company and the auditor are confident in the auditors' abilities. Most new, inexperienced auditors require 6-10 weeks of training. The physical requirements...Full timeMonday to FridayFlexible hoursNight shiftAudit Control Inventory, Inc.
Columbia, SCa month ago- ...A healthcare organization is seeking a Professional Medical Coder II for a remote position, ideally for residents of South Carolina. The role involves coding clinical records, ensuring compliance, and staying updated with coding standards. Candidates must have at least...Remote workRelocation packageFlexible hours
Lexingtononcology
Columbia, SC5 days ago $57.4k - $99k
...experience The Physician Coding Auditor develops and implements strategic needs... ...preparation and delivery of training for Medical Coders employed by Ensemble and providers that... ...Quality Review - Monitors and audits inpatient and outpatient accounts across the system...Temporary workWork at officeImmediate startRemote workEnsemble Health Partners
Columbia, SC1 day ago$86.4k
Company : enGen Job Description : JOB SUMMARY This job designs, develops, customizes, configures, enhances, implements, supports, maintains, and/or administers complex computerized finance-related systems. Collaborates with IT and finance to ensure business...For contractorsWork at officeLocal areaHighmark Health
Columbia, SC2 days ago- ...auditing, banking, financial, insurance, or tax preparation/analysis. Preferred Qualifications At least three (3) years as a professional auditor and proficient in Microsoft Excel, Word, and PowerPoint. Extensive knowledge of the principals, practices, theories and terminology...Work at officeNight shift
State of South Carolina
Columbia, SC5 days ago - Elliott Davis is seeking an Audit Senior to participate in the audit process from planning to completion for clients as part of the annual audit plan. You will plan audits, review processes, and provide recommendations to enhance policies and procedures, while supervising...
Elliott Davis
Columbia, SC2 days ago - ...State of South Carolina seeks an experienced auditor to develop and implement college-wide internal audits at Midlands Technical College Airport Campus, ensuring accuracy and compliance with state rules. You will inspect accounting files, test transactions, and interview...
State of South Carolina
Columbia, SC2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Inpatient Medical Coder/Auditor. Be the first to apply!
Related searches
- medical coder Columbia, SC
- part time remote medical coder Columbia, SC
- remote medical coder (no experience in coding) Columbia, SC
- data auditor Columbia, SC
- coding auditor Columbia, SC
- medical claims auditor Columbia, SC
- sales auditor Columbia, SC
- auditor Columbia, SC
- remote nurse auditor Columbia, SC
- compliance auditor Columbia, SC