Medical Coding Specialist / Clinical Analyst

DaMar Staffing; United States; A distancia; USD 85.000 - 105.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, dental, disability, and life保险

401(k) with match

Descripción de la vacante

SYSTEMTEC is seeking a Clinical Coding Business Analyst to work remotely on EST hours, collaborating with healthcare, policy, operations, and technology teams. You will document requirements, evaluate business impacts, and support improvements across ICD-10, CPT, and HCPCS updates.

The role requires CPC or CCS certification, 3+ years in healthcare, and the ability to travel to Columbia, SC for onsite meetings at the candidate's own expense. Competitive benefits and 401(k) with match are included.

Formación

• Authorized to work in the U.S. without sponsorship
• 3+ years of healthcare experience
• 3+ years of ICD-10, CPT, and HCPCS experience
• 3+ years of documenting and maintaining business processes
• Ability to travel to Columbia, SC for onsite meetings at candidate's expense

Responsabilidades

• Coordinate and review annual and quarterly ICD-10, CPT, HCPCS updates and assess business impact
• Prepare code-change reports and recommendations for policy, operations and stakeholders
• Conduct research and analysis of healthcare coding requirements and system functionality
• Serve as SME on medical coding methodologies and Medicaid processes
• Maintain business requirements, process documents, and training materials

Conocimientos

Analytical skills

Research skills

Communication skills

Stakeholder collaboration

Educación

Bachelor's degree in healthcare

CPC or CCS certification

Herramientas

Optum Encoder

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Descripción del empleo

SYSTEMTEC is seeking a Clinical Coding Business Analyst for a remote opportunity for candidates working EST hours. Candidate will provide clinical coding and business analysis expertise within a complex healthcare environment, supporting the review, interpretation, and implementation of ICD-10, CPT, and HCPCS updates. The role will partner with healthcare, policy, operations, and technology stakeholders to document requirements, evaluate business impacts, and support ongoing healthcare system improvements.

Required Qualifications of the Clinical Coding Business Analyst:

• Applicants must be authorized to work for any employer in the U.S. We are unable to provide sponsorship or work with Third-Party agencies.
• Bachelor's degree in a healthcare-related field.
• Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification.
• 3+ years of professional experience in healthcare.
• 3+ years of experience with ICD-10, CPT, and HCPCS coding methodologies and code translation.
• 3+ years of knowledge and practical application of anatomy, physiology, pharmacology, and medical terminology.
• 3+ years of experience developing and maintaining formal business process documentation.
• Strong analytical, research, communication, and stakeholder collaboration skills.
• Ability to translate complex healthcare and coding requirements into clear business rules, processes, and recommendations.
• Ability to travel to Columbia, South Carolina, for required onsite meetings and training at the candidate's own expense.

Preferred Skills/Experience of the Clinical Coding Business Analyst:

• Experience in hospital, physician office, and/or clinical healthcare settings.
• Familiarity with Microsoft Word, Excel, and PowerPoint.
• Experience with Optum Encoder or comparable medical coding software.
• Experience supporting Medicaid, healthcare claims, or healthcare information systems.
• Experience with system modernization, process improvement, or business analysis initiatives.
• Candidates located in South Carolina, North Carolina, or Georgia are strongly preferred.

Responsibilities of the Clinical Coding Business Analyst:

• Coordinate and review annual and quarterly updates to ICD-10, CPT, and HCPCS coding standards, assessing changes and their potential business impact.
• Prepare code-change reports and recommendations for policy, operations, administrative, and other stakeholder groups.
• Conduct research and analysis of business rules, requirements, workflows, and processes related to healthcare coding and system functionality.
• Serve as a subject matter expert on medical coding methodologies, healthcare terminology, and related Medicaid processes.
• Maintain business requirements, process documentation, models, training materials, and related information within established repositories.
• Participate in stakeholder meetings, system enhancement initiatives, process improvement efforts, and future healthcare technology modernization activities.

Work Location:

Remote. EST hours.

Compensation / Benefits:

Full-Time Employment with SYSTEMTEC means competitive compensation, access to health, dental, disability, and life coverage, and 401(k) with match.

Please note: SYSTEMTEC is not set up to employ workers in the states of California, New York, and New Jersey.