IT Healthcare Business Analyst

Job: IT Healthcare Business Analyst

Location: Columbia, SC ( 80% Remote)

Specific duties include, but are not limited to:

• Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.
• Performs initial review of codes to determine scope of changes.
• Conducts meetings with Agency personnel, stakeholders, and process owners.
• (Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required.
• Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.
• May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• 3+ years experience in healthcare
• Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies
• 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology
• 3+ years of strong knowledge of formal business process documentation.

REQUIRED CERTIFICATIONS:

Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• 3+ years experience healthcare hospital, office and clinic setting
• Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)

REQUIRED EDUCATION

• Bachelor s degree in healthcare related field. An equivalent combination of experience and education may be considered with prior DHHS hiring team review and approval.