IT Healthcare Business Analyst
Refulgent Technologies Inc.
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Job Details
Skills
- Word
- Excel
- PowerPoint
- Optum Encoder
- medical coding software
- Certified Coding Specialist
- Certified Professional Coder
- ICD/CPT/HCPCS
- anatomy
- physiology
- pharmacology
- ICD-10
- CPT/HCPCS
Summary
Job: IT Healthcare Business Analyst
Location: Columbia, SC ( 80% Remote)
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.
- Conducts meetings with Agency personnel, stakeholders, and process owners.
- (Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required.
- Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.
- May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
- 3+ years experience in healthcare
- Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies
- 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology
- 3+ years of strong knowledge of formal business process documentation.
REQUIRED CERTIFICATIONS:
Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
- 3+ years experience healthcare hospital, office and clinic setting
- Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)
REQUIRED EDUCATION
- Bachelor s degree in healthcare related field. An equivalent combination of experience and education may be considered with prior DHHS hiring team review and approval.
- Dice Id: 10379129
- Position Id: 13856
- Posted 1 hour ago
Company Info
About Refulgent Technologies Inc.
Founded in 2005 and headquartered in Charlotte, North Carolina, Refulgent Technologies Inc. is a trusted provider of IT staffing, consulting, and software development solutions. For nearly two decades, we’ve partnered with businesses across industries to deliver the right people, processes, and technologies that drive digital transformation.
Our Mission – To help our clients plan, design and deploy projects that provide unparalleled technical competitiveness, cost effectiveness, and long-term ROI.
Our Services
• IT Staffing & Contract Workforce Solutions
• Custom Software Development (Web, Mobile, Enterprise)
• Application Maintenance & QA Testing
• Project Management & IT Consulting
Industries We Serve
• Public Sector / Government
• Banking & Financial Services
• Insurance
• Retail & Manufacturing
• Energy & Utilities
• Healthcare
• Automotive & Technology
What Sets Us Apart
• Nearly 20 years of proven expertise.
• Hybrid delivery model: onsite, offsite, and offshore for flexibility and cost savings.
• Commitment to accountability, innovation, and client satisfaction.
• Strong track record of building long-term client and contractor partnerships.
Contract Staffing Needs
Project Management Professional (PMP Certified)
Architect - Enterprise, System, Application
Software Developer - .Net, Java, Power Automate, Salesforce
Data – Architect, Engineer, Administrator, Business Intelligence, Analytics
Cloud - Architect, Engineer (Azure, AWS)
Network – Architect, Engineer
Cyber Security - Architect, Engineer
IT Support – Desktop, Server Administrator
GIS (ArcGIS, ESRI)
UI/UX Designer, Developer
Scrum Master, Product Manager, Product Owner, Business System Analyst
Software Quality Analyst
AI/ML Engineer
Healthcare Specialist
Get in Touch
Discover how Refulgent Technologies Inc. can support your staffing and technology needs.
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