Business Analyst – Advanced (Clinical Analyst & Coding Specialist)

ExecRecruitment • Columbia, SC

7h

About The Position

Business Analyst - Advanced OBJECTIVES TO BE FULFILLED BY CANDIDATE: The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. As the IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist): 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. Research 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. May serve as a back-up to review patient records against established criteria to determine medical necessity. Other project-related duties.

Requirements

• 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
• 5+ years written and oral communications skills, strong proficiency in English
• 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

Nice To Haves

• 5+ years’ experience in policy remediation
• 5+ years claims processing systems experience
• 5+ years knowledge of Microsoft Office
• 5+ years Optum Encoder and/or other medical coding software programs

Responsibilities

• Assist with the CPT/HCPCS and ICD-10 code maintenance
• 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
• 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
• Research 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
• May serve as a back-up to review patient records against established criteria to determine medical necessity
• Other project-related duties

Benefits

• Long-Term Stability: Join us on a multi-year opportunities with room to grow.
• Comprehensive Health Coverage: Access quality healthcare benefits to keep you and your family well.
• Future Planning: Enroll in our 401(k) program and invest in your financial security.
• GC Assistance: We support immediate Green Card processing, if required.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level