IT Healthcare Consultant - Business Analyst - Advanced

Lumen Solutions Group, Inc.

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 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 with 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

5+ years' experience in policy remediation
5+ years claims processing systems experience
5+ years Optum Encoder and/or other medical coding software programs

***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. The contractor must have their own equipment. Access to a virtual desktop set up (software) will be provided by Lumen's client, allowing the user access to the required systems and technology.***

Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

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Vacancy posted 1 day ago

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