IT Clinical and Coding Specialist - Only for South Carolina Residents
About The Position
Position - Contract - Hybrid (Columbia- SC) - State Government Project Need South Carolina Consultants Only - No relocation is 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 Qualifications: 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. If this opportunity aligns with your background and career goals, please respond with your updated resume and contact details to [email protected]. You may also feel free to reach out at 972-433-6033, Ext. 1005. Flexible work from home options available. About Zirlen Zirlen Technologies Inc, A Leading IT Services company, offering a wide array of solutions customized for a range of key verticals and horizontals. From strategy consulting right through to implementing IT solutions for customers, Zirlen addresses the entire IT space. As a diverse end-to-end IT solutions provider, Zirlen offers a range of expertise aimed at helping customers re-engineer and re-invent their businesses to compete successfully in an ever-changing marketplace. Zirlen is a global management consulting, technology services and outsourcing company. Combining unparalleled experience, comprehensive capabilities across all industries and business functions, and extensive research on the world’s most successful companies, Zirlen collaborates with clients to help them become high-performance businesses and governments.
Requirements
- 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.
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.
Benefits
- Flexible work from home options available.
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What This Job Offers
Education Level
Associate degree
