Clinical Analyst & Coding Specialist
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Job Location:
Columbia, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Job Title: IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding Specialist
Location: 100% Remote
Duration: 12 Months from projected start date
Job Description:
Education
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
License Must have current active and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
Certification
- 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.
