Healthcare Medical Terminology Business Process Analyst

Healthcare Medical Terminology Business Process Analyst

(Jobs in Columbia, SC)

Requirement id 159219

Job title Analyst

Job location in Columbia, SC

Skills required Healthcare, ICD/CPT/HCPCS Coding Methodologies, Pharma Experience, Medical Terminology Business Process

Open Date 30-Sep-2026

Close Date

Job type Contract

Duration 12 Months

Compensation DOE

Status requirement ---

Job interview type ---

Email Recruiter:coolsoft

Job Description Analyst: Healthcare, ICD/CPT/HCPCS Coding Methodologies, Pharma Experience, Medical Terminology Business Process

Start date :10/27/2026

End Date :12 Months from projected start date

Submission deadline :10/7/2026

Client Info :SCDHHS

Note:

*Interview Process: 1 round, Virtual/Online

*Possibility for Extension: Yes

*Work Location: 80% remote, resources will need to come onsite in Columbia, SC to certain trainings/meetings

*Candidate Location: Resource can reside anywhere in the US - must be willing to travel onsite to Columbia

Description:

COMPANY / DEPARTMENT CULTURE:

The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. The Business Analyst will support the medical code change requests by researching and making recommendations to policy and process owners and stakeholders for review and approval. The position will also participate as a project team member, as assigned, for related process improvements, Medicaid Management Information System (MMIS) enhancements and provide subject matter expertise for a future MMIS replacement. The position we are seeking to fill is for a candidate with a background in healthcare and is a Certified Medical Coder.

Candidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive.

WHY IS THIS POSITION OPEN (new role, increased workload, new dept., resignation, promotion)?

The workload and complexities of the reference administration responsibilities require additional support to maintain efficiency and to achieve defined deliverable dates. The additional position will allow us to finalize succession planning for the Reference Administration team.

WHAT TYPES OF STAFFING CHALLENGES OR HEADACHES HAVE YOU EXPERIENCED IN THE PAST?

• This position requires an individual with strong analytical skills and experience in:

• Managing multiple work efforts simultaneously

• Medical Coding

• Clinical background – not required but could be beneficial

• Time management skills

• CPT/HCPCS and ICD-10 translation knowledge and ability to learn how medical codes link to claims processing

• Ability to understand business and functional requirements

• Please ensure that your candidates have strength in these areas. Candidates with hospital, office, or clinic settings experience will be beneficial.

• The candidate must have strong collaboration and relationship building skills.

• Experience in healthcare or degree to align with healthcare environment

SCOPE OF THE PROJECT:

This project is a multi-year-old effort which primarily focuses on providing consulting services to operations and policy staff for the current Medicaid Management Information System (MMIS).

The current positions focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. It is necessary to build and sustain a strong staff who understands coding, aids staff in understanding CPT/HCPCS and ICD-10 coding and apply the codes correctly within the Reference Administration sub-system.

POSITION:

IT Healthcare Consultant – Business Analyst - Advanced

PRE-EMPLOYMENT CHECKS?

State mandatory - Criminal, Credit and E-Verify background checks

OBJECTIVES TO BE FULFILLED BY CANDIDATE:

The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. As the IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist):

Specific duties include, but are not limited to:

• Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.

• Performs initial review of codes to determine scope of changes.

• Prepares li

Call502-379-4456 Ext 100for more details. Please provide Requirement id: 159219 while calling.

EOE Protected Veterans/Disability