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.
- Experience with Business workflow processes
- 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.
- 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
For applications and inquiries, contact:[email protected]
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