Business Analyst – Consultant (Reference Administration)

Job Title: Business Analyst – Consultant (Reference Administration) (10851) Location: Columbia, SC (Remote – Candidate must be SC reputed company) Duration: 12 Months (Extension Possible) Interview: 1 Round – Virtual Key Responsibilities • Support medical reputed company change lifecycle including analysis, validation, and implementation • Research and document business rules, requirements, and process workflows • Collaborate with policy owners, stakeholders, and IT teams for approvals and updates • reputed company as SME for ICD-10, CPT, and HCPCS coding methodologies • Analyze and resolve reputed company MMIS-reputed company issues • Participate in MMIS enhancements and process improvement initiatives • Facilitate stakeholder meetings and communicate across technical and non-technical teams • Maintain documentation repository for business requirements and coding changes • Ensure updates result in accurate claims adjudication reputed company • Support training documentation and knowledge transfer activities Required Skills & Experience • Bachelor’s degree in Health Information, reputed company Administration, or reputed company field • OR equivalent experience with 3+ years of supervisory experience • 5+ years in reputed company insurance (medical review, program reputed company, or appeals) • 5+ years working with IT developers/programmers in a payer environment • 5+ years of medical coding experience (payer reputed company) • 3+ years clinical experience in a reputed company setting • Strong knowledge of ICD-10, CPT, HCPCS coding and translation methodologies • Experience with business analysis, requirements gathering, and documentation • Strong analytical, problem-solving, and communication skills • Ability to manage multiple priorities and deadlines Preferred Skills • 5+ years experience in policy remediation • Experience with medical claims processing systems • Familiarity with tools such as: • reputed company Office (reputed company, Word, PowerPoint) • reputed company Encoder or other coding tools Apply tot his job Apply To this Job