Healthcare Coding & Business Analytics Lead (Remote)

Cornerstonetechtalent; Columbia (SC); Remote; USD 70,000 - 100,000; Full time

Job summary

Cornerstonetechtalent is seeking an experienced Healthcare Business Analyst – Medical Coding to support coding programs and Medicaid system initiatives within a large healthcare environment. This role blends medical coding with business analysis, focusing on CPT/HCPCS and ICD-10 maintenance, documentation, and recommendations.

The ideal candidate holds CPC or CCS, with 3+ years of healthcare experience and the ability to translate coding changes into clear requirements and documentation.

Qualifications

• CPC or CCS credential required.
• Minimum 3 years in healthcare.
• Deep knowledge of ICD-10, CPT, HCPCS coding.
• Experience documenting business processes and requirements.
• Bachelor's degree in a healthcare-related field.

Responsibilities

• Manage ICD-10 and CPT/HCPCS updates yearly or quarterly.
• Assess coding changes for scope and impact.
• Prepare coding-change documentation for stakeholders.
• Serve as SME on coding methodologies and Medicaid policy.
• Help stakeholders apply CPT/HCPCS and ICD-10 codes.
• Research business rules and develop analyses.
• Maintain process documentation in repositories.
• Facilitate meetings with stakeholders and team members.
• Support healthcare system processes requirements.
• Participate in Medicaid MMIS modernization initiatives.
• Collaborate to keep training materials up to date.
• Assist with claims-escalation research after training.

Skills

Analytical skills

Research skills

Communication skills

Documentation skills

Time management

Collaboration

Education

Bachelor's degree in healthcare-related field

Equivalent combination of education and experience

Tools

Optum Encoder

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Cornerstonetechtalent is seeking an experienced Healthcare Business Analyst – Medical Coding to support coding programs and Medicaid system initiatives within a large healthcare environment. This role blends medical coding with business analysis, focusing on CPT/HCPCS and ICD-10 maintenance, documentation, and recommendations.

The ideal candidate holds CPC or CCS, with 3+ years of healthcare experience and the ability to translate coding changes into clear requirements and documentation.