NextGen Solutions Corporation
NextGen Solutions Corporation

Healthcare Consultant - Business Analyst with Min 10yrs exp (Webcam Interview) (HYBRID_only Local to South carolina)

Columbia, SC, US • Posted 15 hours ago • Updated 33 minutes ago
Full Time
On-site
$DOE
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Job Details

Skills

  • Certified Coding Speciali
  • Certified Professional Coder

Summary

Please note that this position is with our direct client
"We are looking for Healthcare Consultant - Business Analyst - Consultant (Min 10+yrs Exp) HYBRID (Web Cam Interview)
POSITION DESCRIPTION
DIRECT CLIENT Position
Number of positions: 1
Length: 12Months +
Work Address:Columbia 29201
Immediate Interviews Web Cam Interview
looking for an IT Healthcare Consultant - Business Analyst Consultant
Work Location: Hybrid (80% remote, onsite for required training and meetings).
Candidate Location: Candidate MUST be a SC resident. No relocation allowed.
Required/Desired Skills
Candidates must have ALL the "Required" skills in order to be considered for the position. "Desired" or "Highly Desired" skills are a PLUS but may NOT be required.
Skill Matrix
Experience with Business workflow processes
Required / Desired
Amount of Experience
Years of Expe Years rience
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
Required
Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
Required
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.
Required
10+ years in healthcare insurance; medical review, program integrity, or appeals.
Required
10
Years
5+ years working with IT developers/programmers in a payor environment.
Required
5
Years
5+ years Medical Coding in payer environment.
Required
5
Years
3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)
Required
3
Years
5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies.
Required
5
Years
5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.
Required
5
Years
5+ years' experience in policy remediation.
Preferred
5
Years
5+ years claims processing systems experience.
Preferred
5
Years
5+ years knowledge of Microsoft Office
Preferred
5
Years
5+ years Optum Encoder and/or other medical coding software programs
Preferred
5
Years
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: 91166778
  • Position Id: 2026-9482
  • Posted 15 hours ago

Company Info

About NextGen Solutions Corporation

NextGen Solutions has the experience to manage your growth well to ensure that all customers receive the highest level of service possible. Our strength lies in the careful selection of network consultants, expert technical skills, and dedicated customer service. We ensure our consultants have both of these essential attributes. We strive to always do what is right for the client and the employee. When these two core beliefs are combined, the end result is a collaborative work environment and a satisfied customer base.

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