Senior Healthcare Business Analyst – Medical Coding (CPC/CCS)

Location: Columbia, South Carolina, United States; hybrid work

Company

hirify.global provides technology and business services, with opportunities to collaborate with clients and multidisciplinary teams.

What you will do

• Initiate and review annual and quarterly CMS updates covering ICD-10 and CPT/HCPCS coding changes.
• Prepare code-change listings for Reference Administration and Medicaid Program staff.
• Research business rules, requirements, and models and develop initial analyses and recommendations.
• Maintain business rules, requirements, and models in a repository.
• Collaborate with agency personnel, stakeholders, process owners, and project teams.
• Support process documentation, training content updates, and claim escalation research after achieving proficiency.

Requirements

• Bachelor’s degree in a healthcare-related field or an approved equivalent combination of education and experience.
• Current CPC or CCS credential required.
• At least 3 years of healthcare experience.
• Strong knowledge of ICD-10, CPT, HCPCS translation, and medical coding methodologies.
• At least 3 years of experience with anatomy, physiology, pharmacology, medical terminology, and formal business process documentation.
• Strong analytical, collaboration, relationship-building, and multitasking skills.

Nice to have

• Healthcare experience in hospital, office, and clinic settings.
• Knowledge of Microsoft Word, Excel, and PowerPoint.
• Experience with Optum Encoder or other medical coding software.
• Clinical background.

Culture & Benefits

• Collaboration with experts, clients, and high-performing teams.
• Long-term career development and professional development opportunities.
• Group medical, dental, and vision coverage.
• Paid time off and paid holidays.
• 401(k) matching, life and disability insurance, wellness programs, and other benefits.
• Commitment to inclusion, diversity, and a workplace free from discrimination and harassment.