Excelraise, LLC is a leading provider of full-service IT solutions and a talent management company headquartered in Denver, CO. At Excelraise, we specialize in IT staffing solutions tailored for government and federal clients across the USA.

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Excelraise, LLC is seeking an IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist) for our client in Columbia, SC.

• The Business Analyst will support the medical code change
  requests by researching and making recommendations to policy and process owners and
  stakeholders for review and approval.
• Duties – The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code
  maintenance. As the IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst
  and Coding Specialist).
• Hybrid (20% onsite – must be available to come onsite periodically)
• Candidate Location: Candidate MUST be a SC resident. No relocation allowed.

Skills

• 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.)
• Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN).

PREFERRED SKILLS 

• 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 knowledge of ICD/CPT/HCPCS translation and coding methodologies.
• 5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.

ADDITIONAL SKILLS:

• 5+ years written and oral communications skills, strong proficiency in English.