IT Healthcare Business Analyst (Medicaid)

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

Location: Columbia, SC Duration: 12 Months REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 10+ 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 know

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