Job Description

Please note that this position is with our direct client " We are looking for Healthcare Consultant - Business Analyst - Consultant (Min 10+yrs Exp) HYBRID ( Web Cam Interview) POSITION DESCRIPTION DIRECT CLIENT Position Number of positions: 1 Length: 12Months + Work Address: Columbia 29201 Immediate Interviews Web Cam Interview looking for an IT Healthcare Consultant - Business Analyst Consultant Work Location: Hybrid (80% remote, onsite for required training and meetings). Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Required/Desired Skills Candidates must have ALL the "Required" skills in order to be considered for the position. "Desired" or "Highly Desired" skills are a PLUS but may NOT be required.

• Experience with Business workflow processes Required / Desired
• Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) Required
• Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Required
• 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. Required
• 10+ years in healthcare insurance; medical review, program integrity, or appeals. Required
• 5+ years working with IT developers/programmers in a payor environment. Required
• 5+ years Medical Coding in payer environment. Required
• 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.) Required
• 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies. Required
• 5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology. Required
• 5+ years' experience in policy remediation. Preferred
• 5+ years claims processing systems experience. Preferred
• 5+ years knowledge of Microsoft Office Preferred
• 5+ years Optum Encoder and/or other medical coding software programs Preferred

For applications and inquiries, contact:hirings@openkyber.com

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