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Specialist
(Jobs in Columbia, SC)
 
Requirement id 42774
Job title Specialist
Job location in Columbia, SC
Skills required Medical Coding, Healthcare Insurance Operations, ICD/CPT/HCPCS Coding Methodologies,
Open Date 22-Jan-2015
Close Date
Job type Not specified
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Specialist: Medical Coding, Healthcare Insurance Operations, ICD/CPT/HCPCS Coding Methodologies,

Description:

The ICD-10 initiative is among the most complex IT projects taken on by the States Department of Health and Human Services. This project is a multi-year effort to enhance many of the States aging Medicaid business processes and associated systems.
• Translation of ICD-9 codes to ICD-10 codes
• Develop business rules via interviews, translation of governing documents and other means.
• Conduct meetings with Agency personnel and other affected parties impacted by the transition.
• Serve as team expert on Medical Coding methodologies, Claim Adjudication, Reference, Medicaid Policy and related topics.
• Research business rules, requirements, and models.
• Maintain business rules, requirements, and models in a repository.
• Other project-related duties.

Required Skills:

* Medical Coding
* Healthcare Insurance Operations
* ICD-9/ICD-10 - International Statistical Classification of Diseases and Related Health Problems
* Strong knowledge of ICD/CPT/HCPCS coding methodologies

Desired Skills:

* MS Office (Word, Excel, PowerPoint, Visio)
* Claim processing testing experience in the healthcare industry (preferably Medicaid)
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 42774 while calling.
 
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(Specialist: Medical Coding, Healthcare Insurance Operations, ICD/CPT/HCPCS Coding Methodologies, in Columbia, SC)
     
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