Healthcare Business Analyst (Remote MUST be a SC resident)

Hybrid • Posted 4 hours ago • Updated 1 hour ago
Contract W2
12 Months
Remote
Fitment

Dice Job Match Score™

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Job Details

Skills

  • anatomy
  • physiology
  • pharmacology
  • ICD
  • Bachelor of Science in Nursing
  • payer environment

Summary

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
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.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
5+ years' experience in policy remediation.
5+ years claims processing systems experience.
5+ years Optum Encoder and/or other medical coding software programs
REQUIRED EDUCATION:
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
REQUIRED CERTIFICATIONS:
Must have current, active, and non-restricted licensure by the SC 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.
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: 10530468
  • Position Id: 2026-21531
  • Posted 4 hours ago
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