Healthcare Business Analyst CPT HCPCS Analyst (Jobs in Columbia, SC)   Requirement id 68304 Job title Analyst Job location in Columbia, SC Skills required Healthcare, Business Analyst, Medical Coding, CPT HCPCS Open Date 14-Mar-2018 Close Date Job type Not specified Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Analyst: Healthcare, Business Analyst, Medical Coding, CPT HCPCS Start date : 04/09/2018 Deadline : 03/21/2018 Client : Department of Health and Human Services Description : SCOPE OF THE PROJECT: This project is a multi-year effort which primarily focuses on replacing an aging Medicaid MMIS infrastructure and enhancing the medical coding structure. It is necessary to build and sustain a strong Medical Coding staff who understands coding, aids staff in understanding CPT/HCPCS and ICD-10 coding, and applies the codes correctly within the Reference Administration sub-system. OBJECTIVES TO BE FULFILLED BY CANDIDATE: The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. Specific duties include, but are not limited to: • Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes o Performs initial review of codes to determine scope of changes. o Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis • Conducts meetings with Agency personnel and other affected parties • Serves as a team expert on Medical Coding methodologies, Medicaid Policy and related topics. • Researches business rules, requirements, and models. • Maintains business rules, requirements, and models in a repository. • Other project-related duties. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 15 years experience in healthcare insurance; medical review, program integrity, or appeals. • 5 years experience working with IT developers/programmers in payer environment. • 5 years experience Medical Coding in payer environment. • Strong knowledge of ICD/CPT/HCPCS translation • Strong knowledge of ICD/CPT/HCPCS coding methodologies • Extensive knowledge of anatomy, physiology, pharmacology and medical terminology. • Superb written and oral communications skills, strong proficiency in English is required. • Strong knowledge of formal business process documentation. • Ability to effectively communicate to executive management, line management, project management, and team members. PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): • Experience in policy remediation. • Claims processing systems experience. • Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and or other medical coding software programs). REQUIRED EDUCATION: RN or LPN/Medical Coding Certification REQUIRED CERTIFICATIONS: Current nursing license in South Carolina. Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam.   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 68304 while calling.   Other jobs in SC: Beaufort (1), Blythewod (2), Blythewood (3), Charleston (17), Columbia (37), Greenville (4), Hartsville (2), North Charleston (2), Overland Park (1), San Francisco (1), SENECA (4), South Carolina (1), Spartanburg (3), Unknown (2), Healthcare job openings in Columbia, SC Jobs List Quality Assurance Tester Advanced - 8480-1 Create date: 15-Nov-2018 Start Date :12/11/2018 Submission Deadline :11/22/2018 Client Info :Department of Health and Human Services Description : Responsible for performing tests on technical solutions to isolate and solve issues. 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