Medical Coding Business Analysis Analyst (Jobs in Columbia, SC)   Requirement id 57508 Job title Analyst Job location in Columbia, SC Skills required Healthcare Insurance IT Software/Systems, Clinical Experience, ICD/CPT/HCPCS Coding Methodologies, Medical Coding Business Analysis Open Date 28-Oct-2016 Close Date Job type Not specified Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Analyst: Healthcare Insurance IT Software/Systems, Clinical Experience, ICD/CPT/HCPCS Coding Methodologies, Medical Coding Business Analysis Start Date : 11/21/2016 Submission Deadline : 11/07/2016 Client Info : Department of Health and Human Services Description : DAILY DUTIES / RESPONSIBILITIES: Clinical Analyst is responsible for analyzing and documenting medical and reimbursement policies; business processes; reports; and fraud and abuse strategies to identify dependencies or logical alignments, and recommending appropriate code changes. The consultant may also author these changes or review the work of others. The consultant will work with Project Manager, members of the legacy Medicaid Management Information System (MMIS) and Medicaid Eligibility Determination System (MEDS) teams, as well as the Replacement MMIS team. Additionally, the consultant will engage agency executives, business users, actuaries, and clinical staff to identify and perform necessary activities required for project implementation. The consultant will document plans, findings, and recommendations in writing and via oral presentations and will ensure that all deliverables are completed with high quality and in a timely fashion. Other duties as assigned. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): Clinical Analyst role has three major attributes: clinical knowledge, people skills, and domain knowledge in healthcare insurance and healthcare coding and translation. Candidates must display excellence in all areas. • Clinical experience as a registered nurse or nurse practitioner. • Knowledge and experience in healthcare insurance payment methodologies. • Knowledge of and experience using common coding schemes, particularly ICD, but also including CPT, DRG, HCPCS, etc. • Understanding of IT development and implementation projects. • Vendor management experience. • Superb written and oral communications skills, including the ability to give presentations to executive management. Strong proficiency in English is required. • Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary. • Willingness and ability to effectively engage with people and organizations on a continuous basis. PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): • Medical coding experience is a significant plus. • Experience with an insurance payer (Medicaid or Medicare preferred) would be a plus. REQUIRED EDUCATION: Bachelors degree in nursing is required. MSN or MBA would be a plus. REQUIRED CERTIFICATIONS: Current nursing licensure in any state. Medical coding certification would be a significant plus.   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 57508 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 Insurance IT Software/Systems job openings in Columbia, SC Jobs List Business Analyst / Subject Matter Expert-5787-1 Create date: 19-Nov-2014 Description: A Replacement MMIS Subject Matter Expert (SME) is responsible for evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The majority of the system development work will be outsourced to .... (This job is for - Medicaid Jobs in SC Columbia Analyst - (in Columbia, SC)) Business Analyst - 5015-1 Create date: 14-Jun-2013 [Note: Start Date: June 24, 2013] [Note: POSSIBILITY OF EXTENSION - Yes ] [Note: Submission Deadline: 6/20/2013] Description: Responsibilities: • Development of a training curriculum that covers aspects of an innovative new eligibility and enrollment technical system, as well as the polic.... (This job is for - Jobs in SC Columbia Analyst - (in Columbia, SC))         (Analyst: Healthcare Insurance IT Software/Systems, Clinical Experience, ICD/CPT/HCPCS Coding Methodologies, Medical Coding Business Analysis in Columbia, SC)

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