Critical Thinking HCPCS Consultant

Critical Thinking HCPCS Consultant (Jobs in Columbia, SC) Requirement id 157114 Job title Consultant Job location in Columbia, SC Skills required Healthcare Insurance, IT Developer, Medical Coding, Critical Thinking HCPCS Open Date 17-Feb-2026 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type --- Email Recruiter:coolsoft Job Description Consultant: Healthcare Insurance, IT Developer, Medical Coding, Critical Thinking HCPCS Start date : 03/10/2026 End Date : 12 Months from projected start date Submission deadline : 2/23/2026 5:00:00 PM Client Info : SCDHHS Note: Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Hybrid (20% onsite - must be available to come onsite periodically) Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Description : 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 listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis. Conducts meetings with Agency personnel, stakeholders, and process owners. (Future) Participates in DASH project meetings, as needed, where reference administration expertise is required. Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics. Research business rules, requirements, and models to complete initial analysis and recommendations. Maintains business rules, requirements, and models in a repository. Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated. May serve as a back-up to review patient records against established criteria to determine medical necessity. Other project-related duties. Call502-379-4456 Ext 100for more details. Please provide Requirement id: 157114 while calling. EOE Protected Veterans/Disability

Created: 2026-03-10