Healthcare Medical Terminology Business Process Analyst

Job overview

The Healthcare Medical Terminology Business Process Analyst role is hybrid, with 80% remote work and onsite training or meetings in Columbia, SC; compensation is DOE, with no numeric amount specified. The role supports the South Carolina Department of Health & Human Services, the state's Medicaid agency. The analyst supports medical code change requests and reference administration by researching coding changes and making recommendations for policy and process owners. The work also contributes to process improvements, MMIS enhancements, and planning for a future MMIS replacement, helping stakeholders apply medical codes correctly.

What you'll do

• Support CPT/HCPCS and ICD-10 code maintenance
• initiate annual and quarterly CMS coding updates
• review codes to determine the scope of changes
• research and recommend actions to policy and process owners
• contribute as assigned to process improvements, MMIS enhancements, and future replacement planning
• provide coding subject matter expertise to support correct application of codes.

What we're looking for

Skills & competencies

healthcare business analyst

medical terminology

medical coding

cpt

hcpcs

icd-10

medicaid

mmis

80% remote

columbia sc

scdhhs

certified medical coder

Work arrangement

• Weekend coverage required

Why this role

Requires a Certified Medical Coder background and knowledge of CPT/HCPCS and ICD-10 coding; remote work includes onsite Columbia training and meetings.

About the employer

COOLSOFT is hiring for this role. Industry: Administration of General Economic Programs. Sector: 92.