Clinical Analyst / Certified Medical Coder

Job overview

The Clinical Analyst / Certified Medical Coder role is hybrid, with 80% remote work and occasional onsite travel to Columbia, SC for meetings or training. Candidates may reside anywhere in the United States, but travel to Columbia is required with notice and is at the resource’s expense. Compensation is not specified. The 12-month role supports Medicaid coding and the Medicaid Management Information System. The consultant researches coding changes, analyzes their effects, and provides recommendations to policy owners, process owners, and stakeholders. The role maintains business rules and documentation, supports training and process documentation, and may participate in future MMIS replacement initiatives and claim escalation research after gaining proficiency.

What you'll do

• Initiate annual and quarterly CMS updates for ICD-10 and CPT/HCPCS coding changes
• review code changes and determine scope and impact
• prepare code-change information for Reference Administration and Medicaid Program staff
• meet with agency personnel, stakeholders, and process owners
• serve as a subject matter expert in medical coding methodologies and Medicaid policy
• research business rules, requirements, and models and provide recommendations
• maintain business rules and documentation
• support process documentation and training content
• participate in future DASH/MMIS replacement meetings as needed
• support claim escalation research after gaining proficiency
• manage multiple work efforts and collaborate across business, technical, policy, and operational teams.

What we're looking for

Skills & competencies

clinical analyst

certified medical coder

hybrid

80% remote

columbia sc

intersources

medicaid

mmis

icd-10

cpt

hcpcs

cpc

ccs

12-month duration

Work arrangement

• Weekend coverage required

Why this role

80% remote with occasional onsite travel to Columbia, SC at the resource’s expense; 12-month duration; current CPC or CCS credential required; candidates may reside anywhere in the United States.

About the employer

InterSources Inc. is hiring for this role. Industry: Administrative Management and General Management Consulting Services. Sector: 54.