Remote Healthcare IT Analyst & Coding Specialist (CPC/CCS)

Technix LLC; Columbia (SC); Hybrid; USD 90,000 - 130,000; Part time

Job summary

Technix LLC seeks an IT Healthcare Consultant - Advanced - Clinical Analyst to support Medicaid MMIS through expert CPT/HCPCS and ICD-10 coding knowledge. The ideal candidate will translate codes to claims processing and maintain business rules and documentation.

Travel to Columbia, SC is required for trainings, with 80% remote work flexibility for qualified candidates. Applicants should have healthcare experience, CPC/CCS credentials, and strong collaboration skills to work with policy staff

Qualifications

• 3+ years of experience in healthcare.
• Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies.
• 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology.
• 3+ years of strong knowledge of formal business process documentation.
• Experience in hospital, clinic or office settings preferred.

Responsibilities

• Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.
• Performs initial review of codes to determine scope of changes.
• Prepares listings of code changes for Reference Administration staff and Medicaid Program staff for review and analysis.
• Conducts meetings with Agency personnel, stakeholders, and process owners.
• (Future) Participates in DASH (Replacement MMIS) project meetings, as needed.
• Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics.
• Research business rules, requirements, and models to complete initial analysis and recommendations.
• Maintains business rules, requirements, and models in a repository.
• Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.
• May serve as a back‑up to other roles within the bureau to support claim escalations research, once proficiency is demonstrated.

Skills

Healthcare IT

Medical Coding

CPT/HCPCS ICD-10

Time management

Stakeholder collaboration

Education

Bachelor's degree in healthcare

Tools

Microsoft Office

Optum Encoder

Medical coding software

Job description

Technix LLC seeks an IT Healthcare Consultant - Advanced - Clinical Analyst to support Medicaid MMIS through expert CPT/HCPCS and ICD-10 coding knowledge. The ideal candidate will translate codes to claims processing and maintain business rules and documentation.

Travel to Columbia, SC is required for trainings, with 80% remote work flexibility for qualified candidates. Applicants should have healthcare experience, CPC/CCS credentials, and strong collaboration skills to work with policy staff