IT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced
Location: Columbia, SC (20% onsite)
Required Skills
5+ yrs healthcare insurance (medical review / appeals / program integrity)
5+ yrs working with IT developers in payer environment
5+ yrs medical coding (payer side)
3+ yrs clinical healthcare experience
5+ yrs ICD-10 / CPT / HCPCS knowledge
Strong anatomy, physiology, pharmacology, medical terminology
Additional
Strong written & verbal English communication
Preferred
Policy remediation experience
Claims processing systems
MS Office
Optum Encoder / coding software
Education
BSN or ADN
Certifications
Active RN License – South Carolina
CPC or CCS certification
ICD-10 certified or within 1 year.
