CPT HCPCS CCS CPC Certification IT Developer Medical Coding Consultant (Jobs in C   Requirement id 158703 Job title Consultant Job location in Columbia, SC Skills required CPT, HCPCS, Medical Terminologies, CCS CPC Certification IT Developer Medic Open Date 20-Jul-2026 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type --- Apply    Email Recruiter: coolsoft Job Description Consultant: CPT, HCPCS, Medical Terminologies, CCS CPC Certification IT Developer Medic Start date : 08/27/2026 End Date : 12 Months from projected start date Submission deadline: 7/27/2026 5:00:00 PM Client Info : SCDHHS Note: *Interview Process: 1 round, Virtual/Online *Possibility for Extension: Yes *Work Location: Hybrid (80% remote, onsite for required trainings and meetings). *Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Description: The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. 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. The position will also participate as a project team member, as assigned, for related process improvements, Medicaid Management Information System (MMIS) enhancements and provide subject matter expertise for a future MMIS replacement. The position we are seeking to fill is for a Certified Medical Coder. Candidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive. SCOPE OF THE PROJECT: This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current Medicaid Management Information System (MMIS). The current positions focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. PRE-EMPLOYMENT CHECKS? State mandatory - Criminal, Credit and E-Verify background checks OBJECTIVES TO BE FULFILLED BY CANDIDATE: 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): 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, stakeholders, and process owners. • (Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required. • Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics. • Research business rules, requirements, and models to complete initial analysis and recommendations. • Maintains business rules, requirements, and models in a repository. • 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 review patient records against established criteria to determine medical necessity. • Other project-related duties. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 10+ 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   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 158703 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),    CPT job openings in other states Jobs List NCDIT - Specialist- Mid Level (680446) Create date: 26-Apr-2022 Start Date :05/16/2022 End Date :05/16/2023 Submission Deadline :05/02/2022 Client Info :NCDIT Description : ***This is a remote position for the duration of the engagement. If the candidate is local theyd like him or her to come onsite to collect equipment. If not, they will ship the can.... 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