Only Current W2 SC Residents may apply: Clinical Analyst/Coding Specialist: Virtual Interview: 100% Remote within SC: $ 84/hr W2

Required 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).
• 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.

Required Education

• 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.
• 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.