Clinical Business Analyst

Columbia, IN - USA

Monthly Salary: Not Disclosed

Posted on: 18 hours ago

Vacancies: 1 Vacancy

Job Summary

Hi Candidates

Note: This position is only for W2 candidates. No C2C and 1099 candidates are acceptable.

Ive a below positionm if youre qualified then share resume to ASAP.

Job Title: Clinical Business Analyst/Clinical Analyst/Coding Specialist

Client: State of South Carolina
Location: Columbia SC

Work mode: Hybrid

Note: Candidate MUST be a SC resident. No relocation allowed.

Scope of the project:

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 owners to make the best recommendations for Medicaid members and providers.

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 medical terminology.

ADDITIONAL SKILLS:

5 years written and oral communications skills strong proficiency in English.

Required Education:

Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)

Required Certifications:

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.

Thanks!

Hi Candidates Note: This position is only for W2 candidates. No C2C and 1099 candidates are acceptable. Ive a below positionm if youre qualified then share resume to ASAP. Job Title: Clinical Business Analyst/Clinical Analyst/Coding Specialist Client: State of South Carolina Location: Co...