What are the responsibilities and job description for the Healthcare Business Analyst in Columbia, SC (W2 Only) position at Elegant Enterprise Wide Solutions?
Location: Columbia, SC
Duration: 12 Months
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
10 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.
10 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 (RANK IN ORDER OF IMPORTANCE):
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
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
REQUIRED EDUCATION:
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
REQUIRED CERTIFICATIONS:
Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
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.