Job Title: Clinical Nurse Auditor – Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusua
A company is looking for a Senior Auditor, Clinical Coding Review. Key Responsibilities Lead prospective claim review audits related to clinical DRG coding compliance and high dollar claim reviews Ensure payment integrity programs comply with internal and Medicare guidelines Act as Subject Matter Ex
A company is looking for an Auditor Clinical Validation Outpatient Specialty Clinical. Key Responsibilities Audit outpatient and specialty claims using medical chart coding principles and client-specific guidelines Utilize advanced audit tools and maintain productivity and quality standards Identify
A leading healthcare technology company in the U.S. seeks a Clinical DRG Auditor to perform audits and validate coding accuracy. The ideal candidate should have active RN licensure and relevant coding certifications, combined with clinical experience. The position offers opportunities for bonuses ba
A leading healthcare solutions provider is looking for a Clinical DRG Auditor to perform audits ensuring medical coding accuracy. The ideal candidate will have an active RN license and coding certification, alongside 3+ years of clinical experience. This remote role offers flexible hours and potenti
Job Summary Otsuka is a healthcare company driven by our purpose and defined by our beliefs. Otsuka DM is part of the Clinical Analytics department and supports the efficient and effective development and delivery of the clinical pipeline. The Sr. Clinical Coding Specialist represents the OPDC Data
A healthcare solutions provider is seeking a Clinical DRG Auditor to conduct audits of medical records, ensuring accurate DRG assignments. This remote role requires active RN licensure and coding certification, along with three years of clinical experience. Successful candidates will utilize proprie
Job Summary Otsuka is a healthcare company driven by our purpose and defined by our beliefs. Otsuka DM is part of the Clinical Analytics department and supports the efficient and effective development and delivery of the clinical pipeline. The Sr. Clinical Coding Specialist represents the OPDC Data
Job Summary Otsuka is a healthcare company driven by our purpose and defined by our beliefs. Otsuka DM is part of the Clinical Analytics department and supports the efficient and effective development and delivery of the clinical pipeline. The Sr. Clinical Coding Specialist represents the OPDC Data
Job Summary Otsuka is a healthcare company driven by our purpose and defined by our beliefs. Otsuka DM is part of the Clinical Analytics department and supports the efficient and effective development and delivery of the clinical pipeline. The Sr. Clinical Coding Specialist represents the OPDC Data
A leading healthcare institution in South Carolina seeks a Clinical Scheduler to manage patient scheduling and checkout duties while also performing various higher-level tasks such as transaction editing and financial coordination. The ideal candidate will have a high school degree and at least one
A leading healthcare company is seeking a Clinical DRG Auditor responsible for auditing medical records to validate coding assignments. The ideal candidate must possess an active RN license and relevant coding certifications, alongside 3+ years of clinical experience and 2+ years of coding/auditing
Job Summary Otsuka is a healthcare company driven by our purpose and defined by our beliefs. Otsuka DM is part of the Clinical Analytics department and supports the efficient and effective development and delivery of the clinical pipeline. The Sr. Clinical Coding Specialist represents the OPDC Data
Position - Contract - Hybrid (Columbia- SC) - State Government Project Need South Carolina Consultants Only - No relocation is allowed Required Skills Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) Must have current, active, and non-restricted licensure by the State of Sou
Duration: 12 months contract (With possible extension) Hybrid COMPANY / DEPARTMENT CULTURE: The position will also participate as a project team member, as assigned, for related process improvements, Medicaid Management Information System (MMIS) enhancements and provide subject matter expertise for
Who are we? Code Ninjas is the nation's fastest-growing kids coding franchise. In our center, kids ages 7-14 learn to code in a fun, non-intimidating way - by playing and building video games they love. Kids have a blast and can't wait to come back. Parents are thrilled as their children gain confid
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the management of daily operational processes, including: optimization of work assignments, timekeeping and supervision responsibilit
Become a part of our caring community and help us put health first The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment, As the Coding Educator 2 you
A company is looking for an Anesthesia Coding Specialist II. Key Responsibilities Review and code medical records for physician professional services and diagnoses, focusing on complex encounters Ensure accurate coding by following guidelines and maintaining a minimum accuracy of 95% Provide trainin
A company is looking for a Senior Analyst, Payment Integrity Disputes. Key Responsibilities Serve as a subject matter expert for reimbursement policies and payment integrity disputes Research and summarize industry coding rules, and translate findings into actionable business requirements Collaborat
Become a part of our caring community and help us put health first The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment, As the Coding Educator 2 you
A company is looking for a Coding Denial Specialist to investigate and resolve coding-related denials. Key Responsibilities Analyze coding-related denials to identify root causes and implement corrective actions Review accounts for necessary adjustments and update coding or account information as ne
A company is looking for a Radiology Coding Supervisor to oversee coding operations and lead projects in the healthcare revenue cycle. Key Responsibilities Lead projects and team members, proposing new programs and policies Manage complex projects and provide technical leadership in radiology coding
A company is looking for a Coding Supervisor to provide operational leadership for the coding team in a remote setting. Key Responsibilities Supervise and support coding staff, ensuring productivity, quality, and compliance Monitor performance metrics and address staffing or compliance issues as nee
1 weeks ago
Estimated salary for Clinical Coding in Columbia
$38,000 – $61,000/year
Estimation confidence: Low
Estimate based on market data for Columbia. Actual salaries may vary depending on experience, company, and area.