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IT Healthcare Consultant - Business Analyst - Advanced

Hybrid in Columbia, SC, US • Posted 1 hour ago • Updated 1 hour ago

Contract Corp To Corp

Contract W2

12 Months

Hybrid

Depends on Experience

Datasoft Technologies, Inc.

Fitment

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Job Details

Skills

Summary

IT Healthcare Consultant - Business Analyst - Advanced
Hybrid: Columbia, SC
About the Job

Duration: Long term Contract Position
Location: Hybrid: Columbia, SC
Pay rate: Hourly
Job ID: 13856

Overview:
SCOPE OF THE PROJECT:
This project is a multi-year-old effort which primarily focuses on providing consulting services
to operations and policy staff for the current Medicaid Management Information System
(MMIS).
The current position’s focus and priority is the continued support of serving as a subject
matter expert (SME), building knowledge that allows policy and process owners to make the
best recommendations for Medicaid members and providers. It is necessary to build and
sustain a strong staff who understands coding, aids staff in understanding CPT/HCPCS and
ICD-10 coding and apply the codes correctly within the Reference Administration sub-system.

Essential Responsibilities:

The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. As the IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist):
Specific duties include, but are not limited to:
• Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPC coding changes.
• Performs initial review of codes to determine scope of changes.
• Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis.
• Conducts meetings with Agency personnel, stakeholders, and process owners.
• (Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required.
• Serves as an agency subject matter expert (SME) for medical coding methodologies,
Medicaid policy, and related topics.
• Research business rules, requirements, and models to complete initial analysis and recommendations.
• Maintains business rules, requirements, and models in a repository.
• Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.
• May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role
• Other project-related duties, as assigned or required

Required Knowledge/Skills:

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 of strong knowledge of formal business process documentation

Preferred Requirements/Skills:

3+ years’ experience healthcare hospital, office and clinic setting
Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)
Other: preference for resources that are local to SC, NC, or GA. Resources can reside anywhere in the US – but must be willing to travel onsite to Columbia, SC within notice from management at the resources expense

REQUIRED EDUCATION:

Bachelor’s degree in healthcare related field An equivalent combination of experience and education may be considered with prior hiring team review and approval.

REQUIRED CERTIFICATIONS:

Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).

Additional Skills:

Written and oral communications skills, strong proficiency in English
Ability to effectively communicate with executive management, line management, project management, and team members

About our Company
DataSoft Technologies is a highly recognized provider of professional IT Consulting services in the US. Founded in 1994, DataSoft Technologies, Inc. provides staff augmentation services for Information Technology and Automotive Services. Our team member benefits include:

Paid Holidays/Paid Time Off (PTO)
Medical/Dental Insurance Group
Accident/Critical Illness Insurance
Life Insurance
401 (K)

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: datga001
Position Id: 26-01104
Posted 1 hour ago

Company Info

About Datasoft Technologies, Inc.

Datasoft Technologies, Inc. is a software development and consulting firm. Our clients rely on us for software consulting, system engineering, software development, and computer consultancy services. We provide the most competitive rates in the industry to a broad range of private and public sector clients.

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