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*Position: Sr. **Business Analyst (Must Have 15 Years of Exp don’t send me Profiles less than 15 years of EXP) * *Location: Columbia, SC* *Duration: 12 months* *REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):* • 15 years’ experience in healthcare insurance; medical review, program integrity, or appeals. • 5 years’ experience working with IT developers/programmers in payer environment. • 5 years’ experience Medical Coding in payer environment. • Strong knowledge of ICD-9/ICD-10 translation • Extensive knowledge of anatomy, physiology, pharmacology and medical terminology. • Strong knowledge of ICD/CPT/HCPCS coding methodologies • Superb written and oral communications skills, strong proficiency in English is required. • Strong knowledge of formal business process documentation. • Ability to effectively communicate to executive management, line management, project management, and team members. *PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):* • Experience in policy remediation. • Claims processing systems experience. • Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and or other medical coding software programs). *Category * *Name * *Required * *Importance * *Level * *Last Used * *Experience * MMIS - Medicaid Management Informaiton System Healthcare Insurance Operations Yes 1 MMIS - Medicaid Management Informaiton System ICD-9/ICD-10 - International Statistical Classification of Diseases and Related Health Problems Yes 1 Packaged Applications MS Office (Word, Excel, PowerPoint, Visio) No 1 Quality Assurance (QA) Claim processing testing experience in the healthcare industry (preferably Medicaid) No 1 Specialties Medical Coding Yes 1 4 - 6 Years Specialties Strong knowledge of ICD/CPT/HCPCS coding methodologies Yes 1 *Thanks & Regards* *Nithin N* *IT Recruiter* *Integrated Technology Services, Inc.,* *2201 Cooperative Way, Suite 600, Herndon VA 20171 || * *http://www.its-incorp.com* <http://www.its-incorp.com/> *Phone: 7032494461 || 7032494461 Ext: 210* *Email: **[email protected]* <[email protected]>* || Gtalk: * *[email protected]* <[email protected]>
