United States onlyCurrently, we do have a job opening for Clinical Analyst Coding Specialist for our direct client State of South Carolina. The position details are given below. If you are interested, please e-mail me at sanya.s@itprofound.com.
Job Details
Title: 11013_IT - SCDHHS - IT Healthcare Consultant -Advanced - Clinical Analyst Coding Specialist
Client : State Of SC, SCDHHS
Address :1201 Main Street Suite 600 ,Columbia , South Carolina 29201
Type : Remote
Start Date : 06/23/2026
Duration: 12 months
Work Location: Fully Remote
Interview Process:1 round, Virtual/Online
Candidate location:Candidate MUST be a SC resident. No relocation allowed.
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
- 5 years in healthcare insurance; medical review, program integrity, or appeals.
- 5 years working with IT developers/programmers in a payor environment.
- 5 years Medical Coding in payer environment.
- 3 years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)
- 5 years knowledge of ICD/CPT/HCPCS translation and coding methodologies.
- 5 years knowledge of anatomy, physiology, pharmacology, and medical terminology.
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
- 5 years’ experience in policy remediation.
- 5 years claims processing systems experience.
- 5 years Optum Encoder and/or other medical coding software programs
REQUIRED EDUCATION:
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
REQUIRED CERTIFICATIONS:
Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam; or able to become certified within one year of employment.
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