Business Analyst - Advanced - Clinical Analyst, Columbia, SC, US

Business Analyst - Advanced - Clinical Analyst

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 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 (Replacement MMIS) 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 other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role
- Other project-related duties, as assigned or required

Required Skills (rank In Order Of Importance)

- 3+ years’ experience in healthcare





- Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies
- 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology
- 3+ years of strong knowledge of formal business process documentation

Preferred Skills (rank In Order Of Importance)

- 3+ years’ experience healthcare hospital, office and clinic setting

- Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)
- Other: preference for resources that are local to SC, NC, or GA. Resources can reside anywhere in the US – but must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.

Required Education

- Bachelor’s degree in healthcare related field. An equivalent combination of experience and education may be considered with prior SCDHHS hiring team review and approval.

Required Certifications

- Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).

ADDITIONAL SKILLS / Notes

- Written and oral communications skills, strong proficiency in English
- Ability to effectively communicate with executive management, line management, project management, and team members

Benefits At IntelliBee

- Long-Term Stability: Join us on a multi-year opportunities with room to grow.
- Comprehensive Health Coverage: Access quality healthcare benefits to keep you and your family well.
- Future Planning: Enroll in our 401(k) program and invest in your financial security.
- GC Assistance: We support immediate Green Card processing, if required.

Date Posted:30-Sep-2026

📌 Business Analyst - Advanced - Clinical Analyst (Colombia)
🏢 Intellibee
📍 Colombia