On of our clients is looking for the position of IT Healthcare Consultant - Business Analyst based on following
Work Location: Fully Remote
Candidate Location: Candidate MUST be a SC resident. No relocation allowed.
Required Skills (rank in order of Importance):
· 5+ years in healthcare insurance; medical review, program integrity, or appeals.
· 5+ years working with IT developers/programmers in a payor environment.
· 5+ years Medical Coding in payer environment.
· 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)
- 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies.
- 5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.
Preferred Skills (rank in order of Importance):
- 5+ years’ experience in policy remediation.
- 5+ years claims processing systems experience.
5+ years Optum Encoder and/or other medical coding software programs
Required Education:
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
Required Certifications:
Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam; or able to become certified within one year of employment.
Swati Bhardwaj
Digitek Software, Inc.
650 Radio Drive
Lewis Center, OH 43035
Work: x 3135
Fax:
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