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 --- Apply    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 SYSTEMS SOFTWARE PROGRAMMER -11679-1 Create date: 13-May-2025 Start date : 7/1/2025 Submission deadline : 5/21/2025 Client Info : Department of Revenue Note: Q) INTERVIEW PROCESS (phone, video, or in-person, how many rounds of i/vs, etc.)? A) 1, 2, possibly 3 interviews via phone and/or video. Local candidates can be in-person Description : <.... (This job is for - PMP Jobs in SC Columbia Consultant - (in Columbia, SC)) SAP FUNCTIONAL TEAM LEAD CONSULTANT - 11655-1 Create date: 05-May-2025 Start Date :6/6/2025 End Date :Duration 12 months from start date Submission Deadline :5/12/2025 Client Info: Department of Administration Note: * INTERVIEW PROCESS (phone, video or in-person, how many rounds of i/vs, etc)? * In person or telephone interview with hiring.... (This job is for - job Jobs in SC COLUMBIA Consultant - (in Columbia, SC)) Systems Administrator - Advanced-11619-1 Create date: 24-Mar-2025 Start date : 4/17/2025 Submission deadline : 4/1/2025 Client Info : Department of Revenue Note: Q) INTERVIEW PROCESS (phone, video, or in-person, how many rounds of i/vs, etc)? A) One to two rounds of in-person interviews (video or phone options available as needed, but not preferred) Teamwork Jobs in SC Columbia Administrator - (in Columbia, SC)) BUSINESS ANALYST-ADVANCED-11575-1 Create date: 21-Feb-2025 No of Submissions : 2 Start date : 03/05/2025 Submission deadline : 2/28/2025 Client Info : SC Department of Public Health (DPH) Note: Q) INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? A) An interview panel will conduct one initial round of in.... (This job is for - job Jobs in SC COLUMBIA Analyst - (in Columbia, SC)) Business Analyst Project Lead-11452-1 Create date: 10-Dec-2024 No of Submissions : 2 Start date : 01/14/2025 Submission deadline : 12/18/2024 Client Info : Department of Health and Human Services Note: Q) INTERVIEW PROCESS(who will conduct i/v, phone or in-person, how many rounds of i/v)? A) The interviews will be conducted by a team either in-p.... (This job is for - MMIS Jobs in SC Columbia Analyst - (in Columbia, SC))    Written And Verbal Communication Skills job openings in other states Jobs List VSP - Help Desk Analyst 4 - (774531) Create date: 08-Aug-2025 Start Date :9/1/2025 End Date :06/30/2026 Submission Deadline :08/13/2025 Client Info : VSP Note: * Please Submit your Best two candidates * Candidates must be able to work on site. * Local Candidates Strongly Preferred. * Please submit your top .... (This job is for - job Jobs in VA NorthChesterfield Analyst - (in North Chesterfield, VA)) Quality Assurance Analyst II - 145009 Create date: 30-Jul-2025 Start Date :8/25/2025 End Date :06/30/2026 Submission Deadline :8/6/25 at 4:00 PM CST. Client Info : DOA Note: * Onsite or Remote? Candidates MUST be a CURRENT WI resident. NO RELOCATION ALLOWED. 100% remote within the State of Wisconsin. * Interview Process: 1 round.... (This job is for - job Jobs in WI Madison Analyst - (in Madison, WI)) NCDIT - Boomi Developer - Senior (767930) Create date: 22-Jul-2025 Start date : 08/18/2025 End Date : 10/20/2025 Submission deadline : 07/24/2025 Client Info : NCDIT Note: * Agency Interview Type : Webcam Interview Only * Hybrid Description : **This is a hybrid position. The candidate will be required to be onsite three days a.... (This job is for - BOOMI Jobs in NC Raleigh Developer - (in Raleigh, NC)) Scrum Master - 64637 Create date: 11-Jul-2025 Start Date :8/11/2025 End Date :02/28/2026 Submission Deadline :08/01/2025 Client Info : CO CDHS Note: * Hybrid Position * Candidate Must Be Local Description: Business Innovation, Technology, and Security (BITS) is responsible for managing .... (This job is for - job Jobs in CO Denver Consultant - (in Denver, CO)) Project Manager - 64559 Create date: 18-Jun-2025 Start date : 07/01/2025 End Date : 06/30/2026 Submission deadline : 06/23/2025 Client Info : CT DAS Note: * Position Location : Remote Description : Project Execution. You excel in taking ownership and guiding projects from initiation to successful completion within co.... (This job is for - job Jobs in CT Hartford Manager - (in Hartford, CT))    Written And Verbal Communication Skills job openings in SC Jobs List WEB/INTERNET ENGINEER-PROJECT LEAD - 11697-1 Create date: 13-Jun-2025 Start date : 6/25/2025 Submission deadline : 6/23/2025 Client Info : SC Department of Public Health (DPH) Note: Q) INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? A) An interview panel will conduct one initial round of in person, video, or phone conference.... (This job is for - job Jobs in SC CAYCE Engineer - (in CAYCE, SC)) BUSINESS ANALYST ADVANCED - 11570-1 Create date: 17-Feb-2025 No of Submissions : 2 Start date : 3/7/2025 Submission deadline : 2/25/2025 Client Info : Department of Administration Note: Q) INTERVIEW PROCESS (phone, video or in-person, how many rounds of i/vs, etc)? A) Initial round of phone interviews with in-person interview preferred before .... (This job is for - job Jobs in SC COLA Analyst - (in COLA, SC)) 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)) (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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