Responsibilities:
The Business Analyst will support the medical code change requests by researching and making recommendations to policy and process owners and stakeholders for review and approval. The position will also participate as a project team member, as assigned, for related process improvements, Medicaid Management Information System (MMIS) enhancements and provide subject matter expertise for a future MMIS replacement. The position we are seeking to fill is for a candidate with a background in healthcare and is a Certified Medical Coder.
Candidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive.
The workload and complexities of the reference administration responsibilities require additional support to maintain efficiency and to achieve defined deliverable dates. The additional position will allow us to finalize succession planning for the Reference Administration team.
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
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)
- Other: preference for resources that are local to SC, NC, or GA. Resources can reside anywhere in the US but must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.
REQUIRED EDUCATION:
Bachelor s degree in healthcare related field. An equivalent combination of experience and education may be considered with prior hiring team review and approval.
REQUIRED CERTIFICATIONS:
Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).
The interviews will be conducted by a team either in-person or via video conferencing.
ADDITIONAL SKILLS / Notes:
- Written and oral communications skills, strong proficiency in English
- Ability to effectively communicate with executive management, line management, project management, and team members
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