Healthcare Business Analyst with medical coding Experience – Consultant _ Columbia, SC (Only locals & Independent candidates)

Role: Business Analyst - Consultant (Reference Administration Business Analyst - Consultant)

 Independent candidates only

 Experience: 9+ years

 Candidate Location: Candidate MUST be a SC resident. No relocation allowed.

Interview Process: 1 round, Virtual/Online

Work Location: Fully Remote

Required Skills

·        Bachelor’s degree in Health Information, Healthcare Administration, or related field; equivalent experience may be considered with a minimum of 3+ years of direct supervisor experience.

·        5+ years’ experience in healthcare insurance; medical review, program integrity, or appeals.

·        5+ years’ experience working with IT developers/programmers in a payor environment.

·        5+ years'' experience Medical Coding in payer environment.

·        3+ years'' clinical experience in a healthcare environment (Strong clinical assessment and critical thinking skills.)

·        5+ years'' strong knowledge of ICD/CPT/HCPCS translation and coding methodologies.

Preferred Skills

·        5+ years'' experience in policy remediation.

·        5+ years'' Medical Claim processing systems experience.

·        Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and / or other medical coding software programs).