Columbia, South Carolina, United States · Hybrid
Clinical Analyst & Coding Specialist Location: Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract Experi…
Skills: Medical Coding, ICD-10, CPT, HCPCS, Business Analysis
Columbia, South Carolina, United States · Hybrid
Business Analyst Medicaid Enterprise System (MES) Modernization Location: Columbia, SC Hybrid (4 days in office, 1 days remote). Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract Ex…
Skills: Business Analysis, Medicaid Enterprise System (MES), MITA, Requirements Gathering, State Medicaid Payer System Integration
Columbia, South Carolina, United States · On-site
$35/hr–$39/hr
Overview #LI-SM1 PRN PTA Needed for Columbia, SC Location! Why Join Reliant Rehabilitation? Joining Reliant means becoming part of a team that makes a real difference in the lives of patients and residents across a varie…
Skills: Physical Therapy Implementation, Patient Care, Treatment Planning, Clinical Documentation, Billing Practices
Columbia, South Carolina, United States · On-site
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Med Tech’s / QMAP's have the option to explore exciting opportunities for advancement in …
Skills: Medication Administration, Patient Care, Clinical Care, QMAP Certification, Healthcare Support
Columbia, South Carolina, United States · On-site
Overview ***$10,000 RECRUITMENT BONUS AVAILABLE!!!*** Bonus Potential! Monthly and Quarterly Bonus Incentives! Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient car…
Skills: Patient Evaluation, Rehabilitative Services, Therapeutic Exercise, Gait Training, Hydrotherapy
Columbia, South Carolina, United States · Remote Solely
$68k–$80k/yr
Job Highlights *This position is remote, home based out of South Carolina (must live in South Carolina to be considered). Position Summary Fundamental Clinical & Operational Services, LLC is searching for an experienced …
Skills: Managed Care Contracting, Rate Negotiations, Credentialing, Payor Strategy, SNF Claims Process
Columbia, South Carolina, United States · On-site
$47k–$63k/yr
Improving Lives. Improving Communities. LRADAC offers a wide array of prevention, intervention and treatment programs in both Lexington and Richland counties. We tailor our programs to meet the ever-changing needs of the…
Skills: Individual Counseling, Group Counseling, Crisis Intervention, Case Management, Bio-psycho-social Assessments
Columbia, South Carolina, United States · On-site
$75k–$92k/yr
Physical Therapist – Outpatient Ortho Build Your Outpatient Physical Therapy Career with us! We currently have Physical Therapist outpatient orthopedic openings across the Columbia, SC market, including North East Columb…
Skills: Outpatient Orthopedic Physical Therapy, Patient Care, Evidence-Based Care Planning, Outcomes-Driven Therapy, Clinical Documentation
Columbia, South Carolina, United States · On-site
$75k–$92k/yr
Physical Therapist – Outpatient Ortho Build Your Outpatient Physical Therapy Career with us! We currently have Physical Therapist outpatient orthopedic openings across the Columbia, SC market, including North East Columb…
Skills: Outpatient Orthopedic Physical Therapy, Patient Care, Evidence-Based Care Planning, Outcomes-Driven Therapy, Clinical Documentation
Columbia, South Carolina, United States · On-site
Part-Time Dental Hygienist – Flexible Schedule (Full-Time Opportunity Available) We’re excited to welcome a part-time dental hygienist to our growing general dental practice! This role is perfect for someone …
Skills: Clinical Hygiene Care, Patient Education, Patient Coordination, Clinical Documentation, Dental Software Proficiency
Columbia, South Carolina, United States · On-site
$132k–$238k/yr
Company Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a r…
Skills: Market Access, Site of Care Management, Reimbursement, Billing and Coding, Account Planning
Columbia, South Carolina, United States · On-site
OCCUPATIONAL THERAPIST (OT) THERAPY SERVICES Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safe…
Skills: Occupational Therapy, Patient Evaluation, Patient Assessment, Treatment Planning, Clinical Documentation
Columbia, South Carolina, United States · On-site
Inspire health. Serve with compassion. Be the difference. Job Summary Perform routine assistive tasks to assist the Registered Nurse to meet basic patient needs, unlicensed assistive personnel. Essential Functions All te…
Skills: Patient Hygiene, Nutrition and Feeding Assistance, Ambulation Support, Fall Prevention, Vital Signs Monitoring
Columbia, South Carolina, United States · On-site
$43k–$56k/yr
Become a part of our caring community You will report to the Center Administrator. This is an onsite outpatient clinic located at our Fairwold Clinic in Columbia. You will perform clinical duties such as: Discussing symp…
Skills: Vital signs, Medication administration, Vaccine administration, Phlebotomy, Specimen collection
Columbia, South Carolina, United States · On-site
$16/hr–$23/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Supervision, Customer Service, Merchandising, Inventory Management, Deductive Reasoning
Columbia, South Carolina, United States · On-site
Inspire health. Serve with compassion. Be the difference. Job Summary Greets, directs, and provides information and assistance to patients, guests and team members. Facilitates patient visitation and serves as liaison be…
Skills: Customer Service, Data Entry, Microsoft Office, Patient Screening, Patient Tracking
Columbia, South Carolina, United States · On-site
Job Description Summary Under general supervision, the Registered Nurse I provides individualized, goal-directed patient care to families and patients at a competent level utilizing the principles and practices of the nu…
Skills: Patient Care, Nursing Process, Newborn Care, Basic Life Support, Newborn Resuscitation Program
Columbia, South Carolina, United States · On-site
Job Description Summary Under general supervision, the Registered Nurse I provides individualized, goal-directed patient care to families and patients at a competent level utilizing the principles and practices of the nu…
Skills: Patient Care, Nursing Process, Neonatal Resuscitation, Advanced Cardiac Life Support, Basic Life Support
Columbia, South Carolina, United States · On-site
Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for the independent operation of the MRI equipment achieving high-quality images, maintaining an optimal level of patient care, while work…
Skills: MRI Operation, Patient Screening, Patient Care, Contrast Administration, Quality Control
Columbia, South Carolina, United States · On-site
Job Description Summary Under general supervision, the Registered Nurse I provides individualized, goal-directed patient care to families and patients at a competent level utilizing the principles and practices of the nu…
Skills: Patient Care, Nursing Process, Neonatal Resuscitation, Advanced Cardiac Life Support, Basic Life Support
Columbia, South Carolina, United States • Hybrid
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The role involves serving as a Subject Matter Expert for medical coding and Medicaid policy to support healthcare system initiatives. Key duties include coordinating code updates, analyzing operational impacts, and collaborating with technical teams for system modernization.
Requires 10+ years of experience in healthcare insurance or medical review, including specific experience in payer environments and clinical settings. Candidates must be SC residents with an RN license and CPC or CCS certification.
Clinical
Analyst & Coding Specialist
Location: Columbia,
SC Hybrid (80% remote, onsite for required trainings and meetings).
Interview Process: 1 round, Virtual/Online
Duration: 12 Months
Employment Type: Contract
Experience Required: 10+ Years
Project Scope:
Seeking an experienced Business Analyst
(Clinical Analyst & Coding Specialist) to support ongoing Medicaid
operations and healthcare system initiatives. The consultant will serve as a
Subject Matter Expert (SME) for medical coding, Medicaid policy, and business
analysis while collaborating with business and technical teams to support
coding updates, policy implementation, and business process improvements.
Key Responsibilities:
· Coordinate annual
and quarterly ICD-10, CPT, and HCPCS code updates.
· Review and
analyze coding changes to determine business and operational impacts.
· Prepare code
change documentation for stakeholder review.
· Collaborate with
business users, stakeholders, and technical teams to implement coding and
policy updates.
· Participate in
meetings related to healthcare systems modernization initiatives.
· Serve as a
Subject Matter Expert (SME) for medical coding methodologies and
Medicaid-related processes.
· Research business
rules, requirements, and workflows to develop recommendations.
· Maintain business
rules, process documentation, and requirements repositories.
· Support process
documentation, knowledge transfer, and training activities.
· Review medical
records against established criteria to determine medical necessity when
required.
· Assist with
additional healthcare and project-related initiatives.
Required Skills & Experience:
· 10+ years of
experience in healthcare insurance, medical review, program integrity, or
appeals.
· 5+ years working
with IT developers/programmers in a payer environment.
· 5+ years of
medical coding experience in a payer environment.
· 3+ years of
clinical experience in a healthcare environment.
· Strong knowledge
of ICD-10, CPT, and HCPCS coding methodologies.
· Strong knowledge
of anatomy, physiology, pharmacology, and medical terminology.
· Experience
gathering business requirements and documenting business processes.
· Excellent
analytical, communication, and stakeholder management skills.
Preferred Skills:
· Experience with
healthcare policy remediation.
· Claims processing
systems experience.
· Microsoft Office
Suite proficiency.
· Experience with
Optum Encoder or other medical coding software.
· Medicaid and
healthcare payer systems experience.
· Experience
supporting healthcare system modernization initiatives.
Education
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN).
Certification:
· Active,
unrestricted Registered Nurse (RN) license.
· Current CPC
(Certified Professional Coder) or CCS (Certified Coding Specialist)
certification.
· ICD-10
proficiency certification or ability to obtain certification within one year.
Offices: SHOP NO.-5, GSFC TOWN SHIP, MOTI KHAVADI, Jamnagar, Gujarat 361001, IN
View all jobs at Sunshine EnterpriseThere are currently 779 open healthcare positions in Columbia, SC listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Prisma Health, MUSC Health, PruittHealth, BlueCross BlueShield of South Carolina, CVS Health, among others. Browse the listings above to see every active employer.
Yes — 65 of the 779 open healthcare positions offer remote or hybrid work (23 remote, 42 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
