*Please submit resumes to go...@metasenseusa.com*

We have a contract opportunity for a Business Analyst who *MUST have
experience with the ICD 9 to ICD 10 conversion.    ICD = International
Classification of Disease.*


*If you have a candidate have him or her sign the attached Letter of
Representation with the correct requirement number and return to me ASAP.*


*Start Date:* April 2010

*Duration:* 12+ months

*Location:* Columbia, SC


*Specific Duties and Responsibilities*

* *

*ICD10 Business Analyst*

SC Medicaid seeks expert in Business Analysis to serve as primary analyst to
define business requirements and business process and policy changes related
to the South Carolina Medicaid conversion from the existing ICD9 formats to
the future ICD10 format, which is required by CMS on October 1, 2013.

Individual must possess the following:

   - Business Analysis experience in a health care delivery system
   - Knowledge of Medicaid is preferable
   - Excellent written and verbal communication skills
   - Ability to effectively work and communicate, in both oral and written,
   with all levels of the Agency from frontline workers to Executive Staff as
   well as the Contractor(s)
   - Independent and deadline-oriented, with ability to translate broad and
   complex concepts to diverse audiences.

Scope of Work:

·         Gain understanding of SC Medicaid policy and billing requirements
and document needed changes to policy and billing manuals related to ICD10,
through facilitation with internal SCDHHS program areas.

·         Analyze and document Medicaid reimbursement issues related to
implementation of ICD10 and ensure these issues are documented and addressed
in the approach to ICD10

·         Analyze and document ICD10 requirements related to data elements,
data exchange and data transmission to SCDHHS stakeholders

·         Incorporate a vendor management plan in strategic planning to
include a vendor impact analysis to document how each vendor is affected by
ICD10 and create approach to address these vendor issues

·         Document business needs for ICD10 resulting from the HIPAA 5010
gap analysis

·         The final solution for SC Medicaid may include the use of an ICD9
to ICD10 crosswalk.  This analyst will coordinate the development of the
crosswalk solution.

·         Information gathering during requirements activities must be
translated into a comprehensive requirements document to be used by Clemson
University to develop the system approach to ICD10

·         Determine needed ICD10 training for both internal staff and
Medicaid provider groups, and assist in the development of training

·         Other related duties as assigned

*Thanks & Regards,*

* *


*Metasense Inc*

*NJ Minority Certified Company***

100 Technology Way, Suite 320

Mt. Laurel, NJ 08054

(856) 475-0555 Fax

MetaSense Inc. is a Professional Services, Staff Augmentation, Web Design,
Call Center, BPO Company with offices located in Mt. Laurel, NJ. MetaSense
specializes in the delivery of cost effective, high-value Information
Technology and Business Solutions since its inception in 1999.

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