IT Clinical and Coding Specialist Only for South Carolina Residents

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profile Job Location:

Columbia, IN - USA

profile Monthly Salary: Not Disclosed
Posted on: 10 hours ago
Vacancies: 1 Vacancy

Job Summary

Position - Contract - Hybrid (Columbia- SC) - State Government Project
Need South Carolina Consultants Only - No relocation is 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 Qualifications:
  • 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.
If this opportunity aligns with your background and career goals please respond with your updated resume and contact details to You may also feel free to reach out at Ext. 1005.

Flexible work from home options available.




About Zirlen

Zirlen Technologies Inc A Leading IT Services company offering a wide array of solutions customized for a range of key verticals and horizontals. From strategy consulting right through to implementing IT solutions for customers Zirlen addresses the entire IT space. As a diverse end-to-end IT solutions provider Zirlen offers a range of expertise aimed at helping customers re-engineer and re-invent their businesses to compete successfully in an ever-changing marketplace.

Zirlen is a global management consulting technology services and outsourcing company. Combining unparalleled experience comprehensive capabilities across all industries and business functions and extensive research on the worlds most successful companies Zirlen collaborates with clients to help them become high-performance businesses and governments.



Required Experience:

IC

Position - Contract - Hybrid (Columbia- SC) - State Government ProjectNeed South Carolina Consultants Only - No relocation is allowedRequired SkillsBachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) Must have current active and non-restricted licensure by the State of South C...
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Key Skills

  • SQL
  • Active Directory
  • Information Technology
  • Access Points
  • System Software
  • Database
  • Infrastructure
  • Linux
  • Project Management
  • Internet
  • Troubleshoot
  • PC
  • Procedures
  • Setup
  • hardware