Job Description
Job DescriptionMedical Coder
W2 Contract – This will convert to a full-time role.
Pay rate: $36
Location: Columbia South Carolina (on-site) - Hybrid
Hours: Monday-Friday 8:00am - 4:30pm
Do you have any of these certifications on your resume: RHIT, RHIA, CIC, CPMA, or CPC? If so… we want to talk to you!
About the Role:
Step into a key role within our healthcare organization, where you’ll help safeguard the accuracy and reliability of medical coding and billing operations. In this position, you’ll oversee detailed validation reviews across multiple business areas, drive initiatives that support cost efficiency, and uphold critical regulatory requirements including HIPAA compliance. This is an excellent opportunity to strengthen healthcare quality, support financial integrity, and expand your expertise in medical auditing and coding oversight.
Responsibilities
In this role, you will take the lead in performing detailed reviews of medical coding accuracy, including DRG, APC, and Never Event assessments across multiple business areas. Your work will help ensure that coding practices align with established standards and support overall compliance efforts. You will also be responsible for shaping and refining the strategies used to identify which cases require review, helping to increase both the efficiency and precision of the audit process.
Collaboration plays a key part in this position, particularly when working with claims teams to apply necessary rate adjustments based on the outcomes of your validations. Alongside this, you will develop and deliver monthly and quarterly reports that summarize review findings, identify trends, outline cost savings, and demonstrate how these activities influence medical spending and contract rates. These insights will be shared with leadership to guide decision making.
A significant portion of the role involves ensuring proper handling of medical records including retrieval, release management, and secure documentation practices while upholding HIPAA an d other legal requirements. You will serve as a trusted resource for teams needing guidance on records handling, coding issues, and validation practices, offering subject?matter expertise to support accuracy and compliance.
Qualifications
The ideal candidate brings hands-on experience in medical coding, billing, or auditing, with a solid understanding of DRG, APC, and healthcare compliance frameworks. Strong analytical abilities are essential, especially when developing or improving review processes. Effective communication is equally important, as the role involves frequent reporting and cross department collaboration.
A thorough understanding of HIPAA regulations and legal documentation standards is required, along with a high level of attention to detail and a commitment to accuracy. Success in this position also depends on the ability to handle multiple priorities independently while working in a fast moving environment.
What We Offer:
- Competitive salary and comprehensive benefits package.
- Opportunities for professional growth and industry certification support.
- A collaborative environment focused on innovation in healthcare quality and cost management.
- Exposure to leading-edge coding validation techniques and healthcare data analysis.
Join us in making a meaningful difference in healthcare quality and financial performance. Your expertise will help shape safer, more efficient patient care while advancing your career in medical auditing and compliance.
#INDGEN #ZR