Only Current W2 SC Residents may apply: Clinical Analyst/Coding Specialist: Virtual Interview: 100% Remote within SC: $ 84/hr W2

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 Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam; or able to become certified within one year of employment. 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+ ye

Job Title: Medical Coder/ReviewerDuration: 12 Months (With possible extension)Location: 100% Remote Responsibilities: 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 Administration staff and Medicaid Program staff for review and analysis. Conducts meetings with Agency personnel, stakeholders, and process owners. (Future) Participates in DASH (

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