IT Healthcare Consultant - Business Analyst(Localto SC)

Columbia, SC, US • Posted 7 hours ago • Updated 7 hours ago
Full Time
On-site
Fitment

Dice Job Match Score™

🎯 Assessing qualifications...

Job Details

Skills

  • Science
  • Nursing
  • ICD-10
  • Health Insurance
  • Health Care
  • Critical Thinking
  • Pharmacology
  • Medical Terminology
  • Microsoft Office
  • Medical Classification
  • ICD
  • HCPCS
  • Translation

Summary

Overview:

Required Skills

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

Must have current, active, and non-restricted licensure by the State of South Carolina 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.

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

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

Skills:

knowledge of ICD/CPT/HCPCS translation and coding methodologies.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10230070
  • Position Id: fb3422356c6a89dd00db86e16154af7d
  • Posted 7 hours ago
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