Icd jobs in columbia, sc

Hybrid in Columbia, South Carolina

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17d ago

Project Overview This is a long-running, multi-year effort that provides consulting services to operations and policy staff for the current MMIS. The focus of this role is to serve as a subject matter expert (SME), building knowledge that helps policy and process owners make the best recommendations for Medicaid members and providers. You will help staff understand CPT/HCPCS and ICD-10 coding and apply codes correctly within the Reference Administration sub-system. Key Responsibilities Initiate

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Contract

Depends on Experience

Clinical Analyst / Certified Medical Coder

Hybrid in Columbia, South Carolina

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23d ago

Job Title: Clinical Analyst / Certified Medical Coder Location: Columbia, SC (Hybrid) Work Arrangement: 80% Remote; occasional onsite travel required Duration: 12 Months Interview: 1 Round Virtual/Online Candidate Location: Resource can reside anywhere in the United States but must be willing to travel onsite to Columbia, SC for required meetings or training with notice from management. Travel will be at the resource's expense. Strong preference: Candidates located in South Carolina, North Caro

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Third Party, Contract

$65 - $70

Certified Clinical Coding Specialist

Remote

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18d ago

Hi, I am Looking for Certified Clinical Coding Specialist for my client. 80% REMOTE, resources will need to come onsite in Columbia, SC to certain trainings/meetings Required Certification - Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). 3+ years experience in healthcare Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology 3+ years

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Contract

Up to $65

Part-Time Oncology Data Specialist - Certified (remote)

Remote

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Today

Job Family: Cancer Tumor Registrar Travel Required: None Clearance Required: None What You Will Do: The remote Oncology Data Specialist will review clinical documentation as appropriate to extract data and apply ICDO-O codes. To code, stage, and abstract cases of cancer and reportable benign tumors diagnosed and/ or treated. To participate in research, education, and monitoring for quality improvement activities to ensure data integrity and compliance with the American College of Surgeons Co

Part-time

USD 68,000.00 - 113,000.00 per year

FULL TIME Senior IBM COBOL Developer

Remote

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Yesterday

Description & Requirements Maximus is seeking a FULL TIME Senior IBM COBOL Developer to support our Internal Revenue Service (IRS) client. This is a remote position. Candidates must possess an active Moderate-Risk Background Investigation (MBI). Essential Duties and Responsibilities: - Lead the development of software solutions that will meet or exceed business requirements which includes; designing and implementing modules to the system specifications, conducting unit testing, troubleshooting

Full-time

USD 55.29 per hour

Information Systems Security Manager - Federal Customer

Remote or McLean, Virginia

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Today

Job Description Information Systems Security Manager - Federal Customer (on-site 5days per week: TS/SCI Clearance required) Job summary The Cybersecurity & IA Leadership professional supports Dell Mission Operations by establishing and sustaining the security, compliance, and governance framework required for mission delivery in a classified environment. This role is responsible for overseeing information assurance processes, security documentation, audit readiness, and coordination across tec

Full-time

Entry-Level Occupational Safety and Health Data Analyst

Remote or Washington

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Today

ERG is a research and consulting firm that provides a wide range of support to federal, state, and commercial clients. ERG offers multidisciplinary teams with nationally recognized skills in engineering, science, economics, public health, informational technology, and communications. We hire people with the best minds and then provide them with a vibrant and flexible environment in which to develop their careers. The qualified individual must be highly motivated with the skills to prioritize, pe

Full-time

USD 58,000.00 - 70,000.00 per year

Senior Knowledge Graph Engineer

Remote

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Today

While technology is the heart of our business, a global and diverse culture is the heart of our success. We love our people and we take pride in catering them to a culture built on transparency, diversity, integrity, learning and growth. If working in an environment that encourages you to innovate and excel, not just in professional but personal life, interests you- you would enjoy your career with Quantiphi! About Quantiphi Quantiphi is an award-winning, AI-First digital engineering and cons

Full-time

Lead Solutions Engineer, Strategic

Remote or Boston, Massachusetts

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Today

Lead Solutions Engineer, Strategic AcuityMD is the AI platform for MedTech trusted by over 500 MedTech companies - including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology. AcuityMD ranked No. 316

Full-time

USD 140,000.00 - 170,000.00 per year

Senior Site Reliability Engineer (Arlington, VA) - Relocation Provided

Remote

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Today

Consequential Work. Dedicated People. About Onebrief Onebrief builds collaboration and AI-powered workflow software for military planning and operational coordination. Military planning is complex by nature, requiring teams to coordinate information, people, and decisions across systems and locations. Onebrief brings planning, collaboration, simulation, and AI into one connected environment, helping teams test strategies, adapt to changing conditions, and make decisions with greater clarity wh

Full-time

USD 180,000.00 - 220,000.00 per year

Clinical Coordinator

Remote or Hybrid in Florida City, Florida

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14d ago

Avanciers Incorporated is hiring a Clinical Coordinator for one of our clients. Role: Clinical CoordinatorLocation: Florida / Remote (as applicable)Experience: 15 years of clinical nursing experienceRequired License: Active, unrestricted Florida RN License or Compact RN LicenseJob Description:Reviews and investigates member and provider appeals involving clinical/medical necessity denials.Analyzes medical records, claims history, and clinical documentation against InterQual/MCG criteria to deter

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Contract

Depends on Experience

Fraud Analyst / Healthcare Domain

Remote

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Today

Summary: Validate whether the FWA detection approach surfaces real, actionable fraud/waste/abuse signal, and produce substantiated findings to support FWA product development. Responsibilities: Review claims flagged by detection logic and determine true positive vs. false positiveArticulate the specific billing pattern, code combination, or provider behavior driving each callCarry select flagged leads through to a documented, substantiated findingPartner with product and data science teams to tr

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Contract

$40 - $50

Certified Medical Coder/Auditor

Remote

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25d ago

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking aCertified Medical Coder/Medical Record Audit Specialistwith strongBehavioral Healthcoding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issues, a

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Contract

Depends on Experience

Senior Clinical Data Analyst (Healthcare Analytics)

Remote or Chicago, Illinois

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Today

As a Senior Clinical Data Analyst, you will identify operational improvement opportunities through analytics that help Tendo's customers meet or exceed their financial, quality, and operational goals. Success in this role depends on deep familiarity with inpatient workflows and how care is actually documented in the EHR, including flowsheet rows and templates, order sets and orderables, clinical notes, ADT and bed movement, results and charge capture, and the ability to translate that raw docume

Full-time

USD 97,750.00 - 132,250.00 per year

Business Analyst Health Care

Remote

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4d ago

Business Analyst Health Care The consultant will support CPT/HCPCS and ICD-10 code maintenance, Medicaid policy and process activities, and the current Medicaid Management Information System (MMIS). The ideal candidate will have strong knowledge of medical coding methodologies, healthcare processes, business requirements, and documentation. The candidate will also serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and Reference Administration activities. Key Responsibili

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Contract

Depends on Experience

RN Clinical Auditor - Behavioral Health

Remote

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25d ago

RN Clinical Auditor - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking a Registered Nurse Clinical Auditor with extensive Behavioral Healthexperience to support medical record reviews and billing compliance audits for the Indiana Health Coverage Programs (IHCP). This role evaluates quality of care, reviews medical records and program policies, identifies compliance issues, prepares audit documentation and re

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Contract

Depends on Experience

Encounters Systems Analyst II

Remote or Dayton, Ohio

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Today

Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements are achieved. Essential Functions: Perform analysis of Encounter data. Understand the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements (SLAs) are achievedSupport for Regulato

Full-time

USD 62,700.00 - 100,400.00 per year

Healthcare Claims Processor (Fully Insured)-Fully Remote

Remote

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3d ago

Elite Technical Services is seeking a Medical Claims Processors to join their Fully Insured operational team. This specialized track is responsible for establishing the baseline adjudication and processing engine for core commercial health insurance plans. This is a fast-paced, high-volume production environment well-suited for professional processors who possess sharp medical coding knowledge and exceptional systems navigation skills. Key Responsibilities: Review, investigate, and adjudicate

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Contract

Databricks Solutions Architect

Remote

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Today

Databricks Solutions Architect 100% Remote 12 months plus Core Responsibilities Some of the major responsibilities for an RSA are: Engage with customers on short- to mid-term professional services projects using the Databricks platform (data engineering, data science, cloud). Design and build reference architectures, help with production-level use cases and deployments of big data / AI applications. Collaborate with engagement/project managers, customer teams, and internal engineering/support te

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Contract

Depends on Experience

Authorization Coordinator I - REMOTE

Remote or Emeryville, California

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Today

Software Guidance & Assistance, Inc., (SGA), is searching for an Authorization Coordinator I for a Contract assignment with one of our premier Healthcare clients working remotely. Responsibilities : The Authorization Coordinator I processes patient referral requests to support timely and accurate determinations. This role reviews referrals according to standard work, health plan contracts, and utilization management protocols, forwarding requests to nurses or physicians when required. The coord

Contract

USD 25.00 - 25.00 per hour

Icd jobs in Columbia, SC, USA