Healthcare Business Analyst in Columbia, SC (W2 Only)

Objectives to Be Fulfilled by Candidate: 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/HCPCS coding changes.Performs initial review of codes to determine scope of changes.Prepares listings of codes changes to Reference Administr

Requisition Name: IT Healthcare Consultant - Business Analyst - Consultant Work Address Columbia, South Carolina Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Hybrid (80% remote, onsite for required training''s and meetings). Description The position we are seeking to fill is for a Certified Medical Coder. IT Healthcare Consultant Business Analyst Advanced (Clinical Analyst and Coding Specialist) Position Summ

We are seeking a Clinical Analyst & Coding Specialist to serve as a Subject Matter Expert (SME) supporting state healthcare programs and Medicaid systems. Position Details Location: Columbia, SC Work Arrangement: Hybrid (80% Remote / Onsite for required trainings & meetings) Candidate Requirement: Must be a current South Carolina Resident Interview Process: 1-Round Virtual/Online Interview The Core Role You will bridge the gap between clinical expertise, medical coding, and IT systems. Princi

Requirements 10 or more years of experience in healthcare insurance operations, medical reviews, or program integrity. Proficiency in ICD-10, CPT, and HCPCS medical coding translation methodologies. Experience with clinical nursing operations and possessing an active Registered Nurse (RN) licensure. Experience in a healthcare payer environment collaborating directly with software developers and programmers. Experience with specialized medical coding software such as Optum Encoder and enterprise