Critical Thinking HCPCS Consultant (Jobs in Columbia, SC)   Requirement id 157114 Job title Consultant Job location in Columbia, SC Skills required Healthcare Insurance, IT Developer, Medical Coding, Critical Thinking HCPCS Open Date 17-Feb-2026 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type --- Apply    Email Recruiter: coolsoft Job Description Consultant: Healthcare Insurance, IT Developer, Medical Coding, Critical Thinking HCPCS Start date : 03/10/2026 End Date : 12 Months from projected start date Submission deadline : 2/23/2026 5:00:00 PM Client Info : SCDHHS Note: * Interview Process: 1 round, Virtual/Online * Duration of the Contract: 12 months * Possibility for Extension: Yes * Work Location: Hybrid (20% onsite - must be available to come onsite periodically) * Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Description : 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 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.   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 157114 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), Healthcare Insurance job openings in Columbia, SC Jobs List Project Manager - Project Lead - 8490 Create date: 22-Oct-2025 Start date : 11/18/2025 End Date : 12 Months from projected start date Submission deadline : 10/30/2025 5:00:00 PM Client Info : SCDHHS Note: * Interview Process: 1 round, Virtual/Online * Duration of the Contract: 12 months * Possibility for Extension: Yes <.... (This job is for - job Jobs in SC Columbia Manager - (in Columbia, SC)) Quality Assurance Tester - Advanced - 10615-1 Create date: 03-Nov-2022 start date:11/29/2022 End date: 12 months from start date submission deadline: 11/10/2022 client info : Department of Health and Human Services Note: * INTERVIEW PROCESS: * 1st round telephone interview conducted by appropriate team members. 2nd round interviews will be a video conference.... (This job is for - job Jobs in SC Columbia Tester - (in Columbia, SC)) Project Manager - 10395-1 Create date: 03-Jun-2022 start date:7/1/2022 submission deadline:6/8/2022 client info : Department of Health and Human Services Note: * INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)? * Interviews will be completed via Webex job Jobs in SC Columbia Manager - (in Columbia, SC)) Business Analyst - 6273-1 Create date: 12-Oct-2015 Description: The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the State of South Carolina. It is a multi-year effort to replace the States aging Medicaid Eligibility Determination System and other member management applications with a with a multi-tier application environment that requi.... 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