Risk Adjustment Coding Specialist (CRC)

Immediate need for a talented Quality Review and Audit Analyst. This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-12948 Pay Range: $26/hr - $28.50/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Conduct medical records re

Client is looking for an IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding Specialist Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Full job description attached & required/preferred skills are stated below. Required Skills Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) M

Job Description: Only W2 resumes are accepted Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current Medicaid Management Information System (MMIS). The current positions focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process

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 m