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Medical Coding Business Analyst - REMOTE - Must have CPC or CCS Certification

RICEFW Technologies Inc

Remote or Columbia, South Carolina • Today

Easy Apply

Contract, Third Party

$$60/hr on W2

Job Details

Skills

Healthcare
Business
analyst
Medical
ICD
Clinical
HCPCS
CCS
CPC
CPT
PROFESSIONAL CODER

Summary

Interview Process: 1 round, Virtual/Online

Duration of the Contract: 12 months Possibility for Extension: Yes

Work Location: 80% remote, resources will need to come onsite in Columbia, SC to certain trainings/meetings

Candidate Location: Resource can reside anywhere in the US - must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.

Strong preference for resources that are local to SC, NC, or GA.

Objectives to Be Fulfilled by Candidate:

The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. As the IT Healthcare Consultant Business Analyst Advanced (Clinical Analyst and Coding Specialist):

Specific duties include, but are not limited to:

Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.
Performs initial review of codes to determine scope of changes.
Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis.
Conducts meetings with Agency personnel, stakeholders, and process owners.
(Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required.
Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics.
Research business rules, requirements, and models to complete initial analysis and recommendations.
Maintains business rules, requirements, and models in a repository.
Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.
May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role
Other project-related duties, as assigned or required

Required Skills (rank in order of Importance):

3+ years' experience in healthcare

Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies
3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology
3+ years of strong knowledge of formal business process documentation

Preferred Skills (rank in order of Importance):

3+ years' experience healthcare hospital, office and clinic setting
Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)
Other: preference for resources that are local to SC, NC, or GA. Resources can reside anywhere in the US but must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.

Required Education:

Bachelor's degree in healthcare related field. An equivalent combination of experience and education may be considered with prior SCDHHS hiring team review and approval.

Required Certifications:

Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).

Interview Process (who will conduct i/v, phone or in-person, how many rounds of i/v)?

The interviews will be conducted by a team either in-person or via video conferencing.

Schedule Interview: How soon can you schedule an interview (date / times)?

Once qualified resumes and candidates have been received.

ADDITIONAL SKILLS / Notes:

Written and oral communications skills, strong proficiency in English
Ability to effectively communicate with executive management, line management, project management, and team members

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: 10480008
Position Id: 2026-47487
Posted 2 hours ago

Fitment

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Skills

Healthcare
Business
analyst
Medical
ICD
Clinical
HCPCS
CCS
CPC
CPT
PROFESSIONAL CODER

Summary

Interview Process: 1 round, Virtual/Online

Duration of the Contract: 12 months Possibility for Extension: Yes

Work Location: 80% remote, resources will need to come onsite in Columbia, SC to certain trainings/meetings

Candidate Location: Resource can reside anywhere in the US - must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.

Strong preference for resources that are local to SC, NC, or GA.

Objectives to Be Fulfilled by Candidate:

The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. As the IT Healthcare Consultant Business Analyst Advanced (Clinical Analyst and Coding Specialist):

Specific duties include, but are not limited to:

Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.
Performs initial review of codes to determine scope of changes.
Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis.
Conducts meetings with Agency personnel, stakeholders, and process owners.
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Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics.
Research business rules, requirements, and models to complete initial analysis and recommendations.
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Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.
May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role
Other project-related duties, as assigned or required

Required Skills (rank in order of Importance):

3+ years' experience in healthcare

Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies
3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology
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Preferred Skills (rank in order of Importance):

3+ years' experience healthcare hospital, office and clinic setting
Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)
Other: preference for resources that are local to SC, NC, or GA. Resources can reside anywhere in the US but must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.

Required Education:

Bachelor's degree in healthcare related field. An equivalent combination of experience and education may be considered with prior SCDHHS hiring team review and approval.

Required Certifications:

Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).

Interview Process (who will conduct i/v, phone or in-person, how many rounds of i/v)?

The interviews will be conducted by a team either in-person or via video conferencing.

Schedule Interview: How soon can you schedule an interview (date / times)?

Once qualified resumes and candidates have been received.

ADDITIONAL SKILLS / Notes:

Written and oral communications skills, strong proficiency in English
Ability to effectively communicate with executive management, line management, project management, and team members

Dice Id: 10480008
Position Id: 2026-47487
Posted 2 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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