Business Analyst, Healthcare Coding

Job overview

Compensation is $78–$0 per year. The Business Analyst, Healthcare Coding role is listed in West Columbia, SC; the posting says the resource may reside anywhere in the United States but must be willing to travel to Columbia, SC at their own expense when requested. : the XML’s monthly pay figure conflicts with the listing’s annual pay unit, so no reliable compensation amount is stated. The role supports the South Carolina Department of Health and Human Services’ Medicaid Reference Administration work. The analyst maintains and reviews medical coding references and advises policy and process owners on code changes. The work supports accurate application of CPT/HCPCS and ICD-10 codes in the Medicaid Management Information System, related process improvements, and future system replacement efforts.

What you'll do

• Initiate annual and quarterly CMS coding updates
• review codes to determine the scope of changes
• prepare code-change listings for staff review
• meet with agency personnel, stakeholders, and process owners
• serve as a subject matter expert in coding methodologies and Medicaid policy
• research business rules and requirements and make recommendations
• maintain rules, requirements, and models
• support process documentation and training content
• potentially back up claim-escalation research after proficiency is demonstrated.

What we're looking for

Skills & competencies

business analyst

healthcare coding

west columbia sc

south carolina medicaid

cpt

hcpcs

icd-10

medical coding

cpc or ccs

mmis

reference administration

healthcare consulting

Work arrangement

• Weekend coverage required

Why this role

The posting requires current CPC or CCS credentialing and a healthcare-related bachelor’s degree or an approved equivalent combination of education and experience. Travel to Columbia, SC may be required at the resource’s expense.

About the employer

Novalink Solutions LLC is hiring for this role. Industry: Administration of Public Health Programs. Sector: 92.