Clinical Analyst & Coding Specialist
Contract Corp To Corp
Contract Independent
Contract W2
12 Months
No Travel Required
On-site
$55 - $60/hr


DCode Talent
Fitment
Dice Job Match Score™
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Job Details
Skills
- ICD-10
- CCS
- ICD
- CPT
Summary
Job Summary:
- On-site position; applicants must be local.
- Requires BSN or ADN degree.
- Must have an active, non-restricted South Carolina RN license.
- Must hold current CPC or CCS certification (or obtain within one year); ICD-10 proficiency required.
- Minimum 5 years’ experience in healthcare insurance (medical review, program integrity, or appeals).
- At least 5 years working with IT developers/programmers in a payer environment.
- At least 5 years’ experience with medical coding in a payer environment.
- Minimum 3 years of direct clinical experience with strong assessment and critical thinking skills.
- At least 5 years’ knowledge of ICD, CPT, HCPCS coding, and related methodologies.
- Extensive knowledge (5+ years) of anatomy, physiology, pharmacology, and medical terminology.
- Preferred: 5+ years’ experience in policy remediation.
- Preferred: 5+ years’ experience with claims processing systems.
- Preferred: 5+ years’ experience using Optum Encoder or similar medical coding software.
- On-site position; applicants must be local.
- Requires BSN or ADN degree.
- Must have an active, non-restricted South Carolina RN license.
- Must hold current CPC or CCS certification (or obtain within one year); ICD-10 proficiency required.
- Minimum 5 years’ experience in healthcare insurance (medical review, program integrity, or appeals).
- At least 5 years working with IT developers/programmers in a payer environment.
- At least 5 years’ experience with medical coding in a payer environment.
- Minimum 3 years of direct clinical experience with strong assessment and critical thinking skills.
- At least 5 years’ knowledge of ICD, CPT, HCPCS coding, and related methodologies.
- Extensive knowledge (5+ years) of anatomy, physiology, pharmacology, and medical terminology.
- Preferred: 5+ years’ experience in policy remediation.
- Preferred: 5+ years’ experience with claims processing systems.
- Preferred: 5+ years’ experience using Optum Encoder or similar medical coding software.
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: 91166691
- Position Id: 518-43174-
- Posted 1 day ago
Company Info
About DCode Talent
At Dcode Talent, we specialize in IT staffing and consulting services, connecting skilled professionals with top companies. Our expertise spans across multiple industries, ensuring that businesses find the right talent and IT professionals achieve their career goals.
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