MMIS Medical Coding ICDCPTHCPCS Coding Methodologies Consultant (Jobs in Columb   Requirement id 99520 Job title Consultant Job location in Columbia, SC Skills required Written And Verbal Communication Skills, Mapping Business Process Flow, Healthcare Operations, MMIS Medical Coding ICDCPTHCPCS Coding M Open Date 25-Oct-2019 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Consultant: Written And Verbal Communication Skills, Mapping Business Process Flow, Healthcare Operations, MMIS Medical Coding ICDCPTHCPCS Coding M start date:11/28/2019 submission deadline:11/1/2019 client info : Department of Health and Human Services Description: This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current MMIS while also participating in the planning for a new reference administration approach for the replacement system projects. It is necessary to build and sustain a strong Medical Coding staff who understands coding, aids staff in understanding CPT/HCPCS and ICD-10 coding and applies the codes correctly within the Reference Administration sub-system. OBJECTIVES TO BE FULFILLED BY CANDIDATE: The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. 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. • Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis • Conducts meetings with Agency personnel and other affected parties • Participate in Replacement MMIS project meetings as needed where reference administration expertise is required. • Serves as a team expert on Medical Coding methodologies, Medicaid Policy and related topics. • Researches business rules, requirements, and models. • Maintains business rules, requirements, and models in a repository. • Other project-related duties. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 15 years experience in healthcare insurance; medical review, program integrity, or appeals. • 5 years experience working with IT developers/programmers in payer environment. • 5 years experience Medical Coding in payer environment. • Strong knowledge of ICD/CPT/HCPCS translation • Strong knowledge of ICD/CPT/HCPCS coding methodologies • Extensive knowledge of anatomy, physiology, pharmacology and medical terminology. • Superb written and oral communications skills, strong proficiency in English is required. • Strong knowledge of formal business process documentation. • Ability to effectively communicate to executive management, line management, project management, and team members. PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): • Experience in policy remediation. • Claims processing systems experience. • Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and or other medical coding software programs).   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 99520 while calling.   Other jobs in SC: Beaufort (1), Blythewod (2), Blythewood (3), Charleston (17), Columbia (37), Greenville (4), Hartsville (2), North Charleston (2), Overland Park (1), San Francisco (1), SENECA (4), South Carolina (1), Spartanburg (3), Unknown (2), Written And Verbal Communication Skills job openings in Columbia, SC Jobs List BUSINESS ANALYST- ADVANCED - 11173-1 Create date: 24-Apr-2024 Candidate Submission Limit Per Supplier : 2 Start date : 05/30/2024 Submission deadline : 5/1/2024 Client info : Health & Environmental Control Department (DHEC) Note : * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? - An interview panel wi.... (This job is for - MS Office Jobs in SC COLUMBIA Analyst - (in Columbia, SC)) CLIENT TECHNOLOGIES TECHNICIAN - INTERMEDIATE - 11189-1 Create date: 12-Apr-2024 Start date : 05/13/2024 Submission deadline : 4/19/2024 Client info : Department of Social Services Note : * INTERVIEW PROCESS (WHO WILL CONDUCT I/V, PHONE OR IN-PERSON, HOW MANY ROUNDS OF I/VS)? - INTERVIEW WILL BE BY INTERVIEW PANEL, IN PERSON OR SKYPE/TEAMS WITH VIDEO. * SCHED.... (This job is for - job Jobs in SC COLUMBIA Consultant - (in Columbia, SC)) SYSTEMS ANALYST- PROJECT LEAD - 11150-1 Create date: 11-Mar-2024 Start date : 04/05/2024 Submission deadline : 3/18/2024 Client info : Health & Environmental Control Department (DHEC) Note : * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? - An interview panel will conduct one initial round of in person, video, or pho.... (This job is for - job Jobs in SC COLUMBIA Analyst - (in Columbia, SC)) SYSTEMS ANALYST- PROJECT LEAD - 11148-1 Create date: 06-Mar-2024 Start date : 03/29/2024 Submission deadline : 3/13/2024 Client info : Health & Environmental Control Department (DHEC) Note : * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? - An interview panel will conduct one initial round of in person, video, or pho.... (This job is for - job Jobs in SC COLUMBIA Analyst - (in Columbia, SC)) SECURITY ENGINEER - 11102-1 Create date: 19-Jan-2024 Job Title : SECURITY ENGINEER (CYBER OPERATIONS AND THREAT MANAGEMENT LEAD) Start date : FEBRUARY 27, 2024 Submission deadline : 1/26/2024 Client info : Department of Health and Human Services Note : * INTERVIEW PROCESS (phone, video or in-person, how many rounds of i/vs, etc)? - In.... (This job is for - job Jobs in SC COLUMBIA Engineer - (in Columbia, SC))    Written And Verbal Communication Skills job openings in other states Jobs List Travel RN - 62790 Create date: 21-May-2024 No of Submissions : 4 Start date : 07/10/2024 End date : 10/05/2024 Submission deadline : 06/03/2024 Client info : TN TDOC Note : * Position Location : On Site Description : Work Activities Guiding, D.... (This job is for - Healthcare Jobs in TN Nashville Consultant - (in Nashville, TN)) Business Analyst/Consultant IV - 130615 Create date: 20-May-2024 * No of Portal Submissions: 1 Start date : 7/1/2024 End date : 06/30/2025 Submission deadline : 8/17/23 at 4:00PM CST. Note: * POSTING IS FOR WISCONSIN BASED CANDIDATES ONLY (OR THOSE WILLING TO RELOCATE TO WISCONSIN WITHIN 30 DAYS OF THE START DATE). * Candidates that are N.... (This job is for - SDLC Jobs in WI Madison Analyst - (in Madison, WI)) Desktop Inventory Specialist - 62637 Create date: 25-Apr-2024 No of Submissions : 4 Start date : 05/31/2024 End date : 05/31/2025 Submission deadline : 05/02/2024 Client info : ATL - AIM Aviation Services Note : * Position Location : On Site Description : To obtain highly.... (This job is for - job Jobs in GA Atlanta Consultant - (in Atlanta, GA)) Administrative Services Assistant - 62315 Create date: 29-Feb-2024 Start date : 03/25/2024 End date : 06/30/2024 Submission deadline : 03/13/2024 Client info : TN TennCare Note : * Position Location : On Site Description : Enrollment functions: Reviews enrollment details and effective da.... (This job is for - job Jobs in TN Nashville Administrator - (in Nashville, TN)) Project Manager III - 127697 Create date: 27-Feb-2024 Start date : 04/08/2024 End date : 06/30/2024 Submission deadline : Tuesday, March 5th at 4:00PM CST. Client info : DCF Note : * Interview Process: Teams with camera on. PLEASE NOTE: A real-time screenshot photo of the candidate MUST be uploaded to candidates bid upon confirming the intervie.... (This job is for - job Jobs in WI Madison Manager - (in Madison, WI))    Written And Verbal Communication Skills job openings in SC Jobs List INFORMATION SECURITY ANALYST - ENTRY - 11185-1 Create date: 10-Apr-2024 Start date : 5/1/2024 Submission deadline : 4/17/2024 Client info : Clemson University Note : * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? Frank Monteleone will perform phone interviews. An in person follow up interview will include Frank Monteleone, Ben Spark.... (This job is for - Cybersecurity Jobs in SC Seneca Analyst - (in SENECA, SC)) TECHNICAL PROJECT MANAGER - 10491-1 Create date: 12-Aug-2022 start date:9/8/2022 End date:12 MONTHS FROM START DATE. submission deadline:8/16/2022 client info: Department of Transportation Description: TAKE DIRECTION FROM SCDOT OFFICE OF PUBLIC TRANSIT AND SCDOT IT SERVICES SOFTWARE DEVELOPMENT GROUP, PROVIDE EN.... (This job is for - job Jobs in SC Colombia Manager - (in Colombia, SC)) IT HEALTHCARE DEVELOPMENT TOOLS ADMINISTRATOR - 10399-1 Create date: 03-Jun-2022 start date:6/23/2022 submission deadline:6/8/2022 client info : Clemson University Note: * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? * Phone interviews will be conducted. Anticipate one round of interviews. .... (This job is for - job Jobs in SC Colombia Administrator - (in Colombia, SC)) CONFIGURATION MANAGEMENT TECHNICIAN -10349-1 Create date: 14-Apr-2022 Start Date :05/16/2022 Submission Deadline :04/21/2022 Client Info :Clemson University Note : * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? Phone interviews will be conducted. One round of interviews is expected. * SCHEDUL.... (This job is for - job Jobs in SC SENECA Consultant - (in SENECA, SC)) PROJECT MANAGER - 10255-1 Create date: 01-Feb-2022 Start Date :02/21/2022 Submission Deadline :02/8/2022 Client Info : Greenville Technical College Note : * INTERVIEW PROCESS (WHO WILL CONDUCT I/V, PHONE OR IN-PERSON, HOW MANY ROUNDS OF I/VS)? TWO ROUNDS OF ZOOM INTERVIEWS * SCHEDULE INTERVIEW: HOW SOON CAN YOU SCHEDULE.... (This job is for - job Jobs in SC GREENVILLE Manager - (in Greenville, SC)) (Consultant: Written And Verbal Communication Skills, Mapping Business Process Flow, Healthcare Operations, MMIS Medical Coding ICDCPTHCPCS Coding M in Columbia, SC)

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