Clinical Analyst / Medical Coding Specialist : Columbia, SC(Only Locals required)

Role: Clinical Analyst / Medical Coding Specialist

Location: Columbia, SC – Hybrid

Only locals required – no Relocation

Independent Candidates only

Experience: 8+ years

Duration of the Contract: 12 Months

Candidate must show the DL copy on video at the time of submission

Required Skills:

·       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+ 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 knowledge of anatomy, physiology, pharmacology, and medical terminology.

·        5+ years written and oral communications skills, strong proficiency in English.

Required Education:

·        Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)

Preferred Skills:

·       5+ years’ experience in policy remediation.

·       5+ years claims processing systems experience.

·       5+ years knowledge of Microsoft Office

·       5+ years Optum Encoder and/or other medical coding software programs

Required Certifications:

Must have current, active, and non-restricted licensure by the Board of Nursing as a Registered Nurse.

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.