Clinical Analyst​/Medical Coding Specialist

SYSTEMTEC
is seeking a Clinical Analyst / Medical Coding Specialist
for a remote opportunity for candidates working EST hours.

Candidate will provide clinical coding and business analysis expertise within a complex healthcare environment, supporting the review, interpretation, and implementation of ICD-10, CPT, and HCPCS updates. The role will partner with healthcare, policy, operations, and technology stakeholders to document requirements, evaluate business impacts, and support ongoing healthcare system improvements.

• Applicants must be authorized to work for any employer in the U.S. We are unable to provide sponsorship or work with Third-Party agencies.
• Bachelor’s degree in a healthcare-related field.
• Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification.
• 3+ years of professional experience in healthcare.
• 3+ years of experience with ICD-10, CPT, and HCPCS coding methodologies and code translation.
• 3+ years of knowledge and practical application of anatomy, physiology, pharmacology, and medical terminology.
• 3+ years of experience developing and maintaining formal business process documentation.
• Strong analytical, research, communication, and stakeholder collaboration skills.
• Ability to translate complex healthcare and coding requirements into clear business rules, processes, and recommendations.
• Ability to travel to Columbia, South Carolina, for required onsite meetings and training at the candidate’s own expense.

• Experience in hospital, physician office, and/or clinical healthcare settings.
• Familiarity with Microsoft Word, Excel, and PowerPoint.
• Experience with Optum Encoder or comparable medical coding software.
• Experience supporting Medicaid, healthcare claims, or healthcare information systems.
• Experience with system modernization, process improvement, or business analysis initiatives.
• Candidates located in South Carolina, North Carolina, or Georgia are strongly preferred.

• Coordinate and review annual and quarterly updates to ICD-10, CPT, and HCPCS coding standards, assessing changes and their potential business impact.
• Prepare code-change reports and recommendations for policy, operations, administrative, and other stakeholder groups.
• Conduct research and analysis of business rules, requirements, workflows, and processes related to healthcare coding and system functionality.
• Serve as a subject matter expert on medical coding methodologies, healthcare terminology, and related Medicaid processes.
• Maintain business requirements, process documentation, models, training materials, and related information within established repositories.
• Participate in stakeholder meetings, system enhancement initiatives, process improvement efforts, and future healthcare technology modernization activities.

Remote. EST hours.

• Full-Time Employment with SYSTEMTEC means competitive compensation, access to health, dental, disability, and life coverage, and 401(k) with match.

Please note: SYSTEMTEC is not set up to employ workers in the states of California, New York, and New Jersey.