IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding Specialist

Below are the job details for your reference: Title: Clinical Analyst & Coding Specialist W2 Location: 100% Remote Duration: 12+ Months from projected start date Hrs./Wk.:40 Note: Candidate MUST be a SC resident. No relocation allowed. Scope: This resource will assist with the CPT/HCPCS and ICD-10 code maintenance. An RN is required for the medical coding reviews. However, there is actual NO coding, but more review of coding data received, either by CMS or for internal initi

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 m

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

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 med