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Senior R1 Rcm Medical Coding Jobs in South Carolina

Your Health Inc

Director of Medical Coding

Columbia, SC · On-site

$18.25 - $25/hr

... senior leadership to align coding practices with organizational goals and objectives. Qualifications: - Professional certification in medical coding (e.g., CPC, CCS, or equivalent). - 3-5 years of ...

Your Health

Director of Medical Coding

Columbia, SC · On-site

$20.75 - $28.50/hr

... senior leadership to align coding practices with organizational goals and objectives. Qualifications: - Professional certification in medical coding (e.g., CPC, CCS, or equivalent). - 3-5 years of ...

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Senior R1 Rcm Medical Coding information

What is the difference between Senior R1 Rcm Medical Coding vs Medical Coding Specialist?

AspectSenior R1 Rcm Medical CodingMedical Coding Specialist
CertificationsAHIMA/ACMEC certifications, CPC, CCSSimilar certifications, often CPC or CCS
Work EnvironmentHealthcare facilities, RCM companies, remote optionsHospitals, clinics, remote or onsite
Job ResponsibilitiesComplex coding, audits, mentoringStandard coding, claim submission
Experience LevelAdvanced, with years of experienceEntry to mid-level

Senior R1 Rcm Medical Coders typically handle complex cases, audits, and mentoring, requiring more experience and advanced certifications. Medical Coding Specialists focus on standard coding tasks and claim submissions, often at entry or mid-level. Both roles share similar certifications and work environments but differ in complexity and responsibility.

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The most popular types of R1 Rcm Medical Coding jobs in South Carolina are:

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For Senior R1 Rcm Medical Coding jobs in South Carolina, the most frequently searched job titles are:

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Senior R1 Rcm Medical Coding jobs near you

Director of Medical Coding

Your Health Inc

Columbia, SC • On-site

$18.25 - $25/hr

Other

Posted 4 days ago

Job description

Summary :
We are seeking an experienced and certified professional to join our team as the Director of Medical Coding. The ideal candidate will have 3-5 years of experience in medical coding, with a proven track record of leadership and providing education to staff coders and providers. This individual will possess comprehensive knowledge of Hierarchical Condition Categories (HCC)/Risk Adjustment and medical coding practices.
Key Responsibilities :
Leadership and Management :
- Lead and manage the medical coding team, ensuring efficient and accurate coding practices.
- Provide ongoing education and training to staff coders and healthcare providers to maintain high coding standards.
- Develop and implement coding policies and procedures to ensure compliance with industry regulations and guidelines.
Coding Quality and Compliance :
- Oversee the accuracy and integrity of coding processes, ensuring compliance with all relevant regulations and standards.
- Conduct regular audits and quality assurance reviews to identify areas for improvement and implement corrective actions as needed.
- Stay updated on the latest coding guidelines, industry trends, and regulatory changes, and communicate these updates to the coding team and providers.
Education and Training :
- Design and deliver educational programs and training sessions for coders and healthcare providers to enhance their knowledge and skills in medical coding.
- Develop training materials, manuals, and resources to support continuous learning and professional development.
HCC/Risk Adjustment Expertise:
- Ensure accurate coding and documentation for HCC/Risk Adjustment to optimize reimbursement and support value-based care initiatives.
- Collaborate with clinical and administrative teams to improve documentation practices and capture all relevant diagnoses and conditions.
Strategic Planning and Implementation :
- Contribute to the development and execution of strategic plans to enhance the efficiency and effectiveness of the medical coding department.
- Work closely with senior leadership to align coding practices with organizational goals and objectives.
Qualifications:
- Professional certification in medical coding (e.g., CPC, CCS, or equivalent).
- 3-5 years of experience in medical coding, with a minimum of 2 years in a leadership role.
- In-depth knowledge of medical coding guidelines, including ICD-10, CPT, and HCC/Risk Adjustment.
- Proven experience in providing education and training to staff coders and healthcare providers.
- Strong leadership, communication, and interpersonal skills.
- Ability to work collaboratively with multidisciplinary teams and manage multiple priorities effectively.
- Detail-oriented with a strong commitment to accuracy and compliance.
Preferred Qualifications :
- Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
- Experience with electronic health records (EHR) and coding software systems.
- Advanced certifications in medical coding or healthcare management.

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