IT Clinical and Coding Specialist - Only for South Carolina Residents

ZIRLEN TECHNOLOGIES INCORPORATED

Job Description

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 View email address on ziprecruiter.com. You may also feel free to reach out at View phone number on ziprecruiter.com.

Apply

Vacancy posted 4 days ago

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