Healthcare Experience Medical Coding ICDCPTHCPCS Coding Methodologies Specialist   Requirement id 150851 Job title Specialist Job location in Columbia, SC Skills required Verbal Communication, Written Communication Skills, Business Data Models, Healthcare Experience Medical Coding ICD Open Date 10-Dec-2024 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Specialist: Verbal Communication, Written Communication Skills, Business Data Models, Healthcare Experience Medical Coding ICD Job Title: Reference Administration Business Analyst And Coding Specialist - Lead-11453-1 No of Submissions : 2 Start date : 01/14/2025 Submission deadline : 12/17/2024 Client Info : Department of Health and Human Services Note: Q) INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/v)? A) The interviews will be conducted by a team either in-person or via video conferencing. Q) SCHEDULE INTERVIEW: How soon can you schedule an interview (date / times)? A) Once qualified resumes and candidates have been received. Description : ***Please read this request in detail - the following are needed - please do not submit candidates that do not have everything listed.** Current nursing license in South Carolina and/or multi-State license AND 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. SCOPE OF THE PROJECT: This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current MMIS. The current positions focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. A long-term plan includes participating and providing guidance in the administrative approach for the replacement management system. 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. • Performs initial review of codes to determine scope of changes. • Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis. • Conducts meetings with Agency personnel, stakeholders, and process owners. • (Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required. • Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics. • Researches business rules, requirements, and models to complete initial analysis and recommendations. • Maintains business rules, requirements, and models in a repository. • Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated. • Other project-related duties. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 5 years experience in healthcare insurance; medical review, program integrity, or appeals. • 5 years experience working with IT developers/programmers in a payor environment. • 5 years experience Medical Coding in payer environment. • 3 years clinical experience in a healthcare 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 with executive management, line manage   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 150851 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), Verbal Communication job openings in Columbia, SC Jobs List Finance Business Analyst-11483-1 Create date: 12-Dec-2024 Job Title: SAS/ MMIS / Functional Team Lead Consultant/Finance Business Analyst-11483-1 No of Submissions : 2 Start date : 1/6/2025 Submission deadline : 12/19/2024 Client Info : Department of Health and Human Services Note: Q) INTERVIEW PROCESS(who will conduct i/v, phone or in-pers.... (This job is for - Medicaid Jobs in SC Columbia Analyst - (in Columbia, SC)) PROJECT MANAGER - 11460-1 Create date: 26-Nov-2024 No of Submissions : 2 Start date : 1/6/25 Submission deadline : 12/5/2024 Client Info : SC Department of Public Health (DPH) Description : The purpose of this IT expenditure is to hire a project manager for the next three years to assist with and oversee the procurement, development, and implem.... (This job is for - job Jobs in SC COLUMBIA Manager - (in Columbia, SC)) Business Analyst- Intermediate-11458-1 Create date: 26-Nov-2024 No of Submissions : Start date : 12/23/2024 Submission deadline : 12/4/2024 Client Info : Department of Health and Human Services Note: Q) (who will conduct i/v, phone or in-person, how many rounds of i/v)? A) The interviews will be conducted via Microsoft Team. Video will be requir.... (This job is for - job Jobs in SC Columbia Analyst - (in Columbia, SC)) SYSTEMS ANALYST-11443-1 Create date: 06-Nov-2024 No of Submissions : 2 start date : DEC. 5, 2024 submission deadline : 11/13/2024 client info : SC Department of Public Health (DPH) Note: ****Please read**** * 50% remote; 50% in-person * Government experience In-person interview - Please ensure your candidates can accept .... (This job is for - job Jobs in SC COLUMBIA Analyst - (in Columbia, SC)) INFORMATION SYSTEMS ARCHITECT - ADVANCED-11439-1 Create date: 01-Nov-2024 No of Submissions : Start date : 11/18/2024 Submission deadline : 11/1/2024 9:15:27 AM Client Info : Department of Revenue Note: Q) INTERVIEW PROCESS (phone, video, or in-person, how many rounds of i/vs, etc.)? A) 1, 2, possibly 3 interviews via phone and/or video. Localcandidates.... (This job is for - job Jobs in SC Columbia Architect - (in Columbia, SC))    Verbal Communication job openings in other states Jobs List Technician III - 136525 Create date: 22-Oct-2024 Bid Limit Per Vendor : 2 Start date : 11/11/2024 End Date : 02/28/2025 Submission deadline : 10/28 at 4:00PM CST. Client Info : UW - System Administration Note : * Interview Process: Microsoft Teams interviews - 30 minutes (20 minutes with 10 minutes for candidate questions).... (This job is for - Stakeholders Jobs in WI Madison Consultant - (in Madison, WI)) Help Desk Specialist -125316 Create date: 23-Feb-2024 start date :03-04-2024 submission deadline :3/1/2024 client info :Commonwealth of Massachusetts - Boston Description : The health profession eLicensing Help Desk Specialist will be responsible for assisting external customers (licensees) of the BHP.... (This job is for - Troubleshoot Jobs in MA Boston Specialist - (in Boston, MA)) Certified Project Manager III -126649 Create date: 29-Jan-2024 Start date : 03/11/2024 End Date : 06/30/2024 Submission deadline : February 5th at 4:00PM CST. Client Info : * WISCONSIN ONLY POSTING: POSTING IS FOR WISCONSIN BASED CANDIDATES ONLY (OR THOSE WILLING TO RELOCATE TO WISCONSIN WITHIN 30 DAYS OF THE START DATE). Candidates that are NOT located IN WI.... (This job is for - job Jobs in WI Madison Manager - (in Madison, WI)) DHHS Business Analyst- Expert (726058) Create date: 11-Jan-2024 Hybrid Start date :01/02/2024 End Date :01/01/2025 Submission deadline :01/17/2024 Client Info : NCDHHS-PH Description : ------------------------------------------------------ Business Analyst - Expert Level The North Carolina (NC) Department of Health and Human Services (.... (This job is for - job Jobs in NC Raleigh Analyst - (in Raleigh, NC)) Developer III-121235 Create date: 01-Dec-2023 Start date :11-27-2023 End date :04-30-2024 Submission deadline :12/6/2023 Client info :Prime Therapeutics - Minneapolis * Note: REMOTE Description : The main function of an analyst/developer is to develop and design web applications a.... (This job is for - job Jobs in MN Minneapolis Developer - (in Minneapolis, MN))    Verbal Communication job openings in SC Jobs List DATA ARCHITECT CONSULTANT -10996-1 Create date: 31-Oct-2023 Start date : 11/16/2023 Submission deadline : 11/2/2023 Client Info : Department of Administration Note : Q) INTERVIEW PROCESS (phone, video or in-person, how many rounds of i/vs, etc)? A) Hiring manager will conduct panel interviews in person, via video conference or via phone. Des.... (This job is for - job Jobs in SC COLA Consultant - (in COLA, SC)) Project Manager - Advanced-10278-1 Create date: 15-Feb-2022 Start Date :03/1/2022 Submission Deadline :02/22/2022 Client Info : Trident Technical College Note : * INTERVIEW PROCESS (WHO WILL CONDUCT I/V, PHONE OR IN-PERSON, HOW MANY ROUNDS OF I/VS)? Initial round of phone interviews with in-person interview preferred before final sele.... (This job is for - job Jobs in SC NorthCharleston Manager - (in North Charleston, SC)) CONFIGURATION MANAGEMENT TECHNICIAN - 9603-1 Create date: 17-Nov-2020 Start Date :12/14/2020 Submission Deadline :11/24/2020 Client Info : Clemson University Note : * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? Phone interviews will be conducted. One round of interviews is expected. * SCHEDULE INT.... (This job is for - job Jobs in SC CLEMSON Consultant - (in CLEMSON, SC)) Project Manager - Advanced - 9548-1 Create date: 20-Oct-2020 Start Date :11/2/2020 Submission Deadline :10/27/2020 Client Info : Trident Technical College Note : * INTERVIEW PROCESS (WHO WILL CONDUCT I/V, PHONE OR IN-PERSON, HOW MANY ROUNDS OF I/VS)? Initial round of phone interviews with in-person interview preferred before final selection job Jobs in SC NorthCharleston Manager - (in North Charleston, SC)) QUALITY ASSURANCE ANALYST-ADVANCED - 9413-1 Create date: 10-Jul-2020 Start Date :08/17/2020 Submission Deadline :07/17/2020 Client Info : Clemson University Note : * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? Phone interviews will be conducted. One round of interviews is expected. * SCHEDULE INTERVIEW: .... (This job is for - job Jobs in SC SENECA Analyst - (in SENECA, SC)) (Specialist: Verbal Communication, Written Communication Skills, Business Data Models, Healthcare Experience Medical Coding ICD in Columbia, SC)

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