Business Analyst(Local to SC)

Required Skills

Bachelor s degree in Health Information, Healthcare Administration, or related field; equivalent experience may be considered with a minimum of 3+ years of direct supervisor experience.

5+ years experience in healthcare insurance; medical review, program integrity, or appeals.

5+ years experience working with IT developers/programmers in a payor environment.

5+ years' experience Medical Coding in payer environment.

3+ years' clinical experience in a healthcare environment (Strong clinical assessment and critical thinking skills.)

5+ years' strong knowledge of ICD/CPT/HCPCS translation and coding methodologies.

Preferred Skills

5+ years' experience in policy remediation.

5+ years' Medical Claim processing systems experience.

Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and / or other medical coding software programs).