Medical Coder RN

2 weeks ago


Columbia, United States InterBase Corporation Full time
Job DescriptionJob Description

Hi,

 

I am looking for SME - Medical Coding, RN / LPN & MMIS for my client.

 

This position requires an individual with strong analytical skills and experience in:

Ø Managing multiple work efforts simultaneously

Ø Medical Coding

Ø Nursing

Ø Time management skills

Ø CPT/HCPCS and ICD-10 translation

Ø Ability to write and understand business and functional requirements.

This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current MMIS.

The consultant 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.

Consultant with structured background in business rules or claims processing, preferably Government Operations and Managed Care background.

Required Skills:

· Five years’ experience in healthcare insurance; medical review, program integrity, or appeals.

· 5 years’ experience working with IT developers/programmers in a payor environment.

· 5 years’ experience Medical Coding in payer environment

Required Education:

RN or LPN/Medical Coding Certification

Required Certifications:

Current nursing license in South Carolina. Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam.

Company DescriptionInterbase Corporation has been working with various Clients since past 26 years. Delivered and supporting nations some of the largest funded IT projects.Company DescriptionInterbase Corporation has been working with various Clients since past 26 years. Delivered and supporting nations some of the largest funded IT projects.
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