IT Healthcare Consultant - Business Analyst - Advanced #CPC / CCS / ICD-10
Role: IT Healthcare Consultant - Business Analyst - Advanced Location: Columbia, South Carolina Max Hourly Rate: $55-$60/hr C2C Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Required Skills: 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. 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: 5+ years’ experience in policy remediation. 5+ years claims processing systems experience. 5+ years Optum Encoder and/or other medical coding software programs Pay: $60.00 - $65.00 per hour Application Question(s):
- Do you have Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
- Do you have 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.
- 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.
Work Location: Remote