IT Healthcare Consultant - Business Analyst - Advanced #CPC / CCS / ICD-10

Role: IT Healthcare Consultant - Business Analyst - Advanced

Location: Columbia, South Carolina

Max Hourly Rate: $55-$60/hr C2C

Candidate Location: Candidate MUST be a SC resident. No relocation allowed.

Required Skills:

Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)

Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.

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.

5\+ years Optum Encoder and/or other medical coding software programs

Pay: $60\.00 - $65\.00 per hour

Application Question(s):

• Do you have Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
• Do you have active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
• 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 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.

Work Location: Remote