CPT HCPCS CCS CPC Certification IT Developer Medical Coding Consultant at COOLSOFT
Columbia, SC
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Jul 20, 2026
Columbia, SC
Jul 22, 2026
What this job asks for AI summary
A contract Business Analyst / Certified Medical Coder role supporting South Carolina's state Medicaid agency, focused on maintaining and updating ICD-10, CPT, and HCPCS code sets within the existing Medicaid Management Information System (MMIS) and contributing to a future MMIS replacement. Day-to-day work involves reviewing annual and quarterly code changes, advising policy and process owners, and serving as an internal subject matter expert on medical coding and Medicaid policy. Suited to experienced healthcare coders with a background in payer environments and collaboration with IT developers.
Senior level · 10+ years · Columbia, SC · Contract
We read this from the posting text with AI. Skim the description below before ruling yourself out.
Why we read it this way (7)
The role title is 'Consultant' but the actual function is IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist), bridging medical coding SME work with MMIS/IT developer collaboration. 15-1211 (Computer Systems Analysts) is the closest SOC given the BA/systems analysis duties; however, the dominant day-to-day work is medical coding and clinical analysis, making this a borderline classification.
Compensation is listed as 'DOE' (Depends on Experience) — no numeric range provided.
The posting requires the candidate to be a South Carolina resident; no relocation is permitted. Work is hybrid (80% remote, 20% onsite in Columbia, SC for required trainings and meetings) — marked as not fully remote.
CCS and CPC are listed as required certifications (not software tools), but are captured as skills because they are named credentials that gate the role.
The '5+ years working with IT developers/programmers in a payor environment' requirement is a role-level experience gate, not tied to a specific named technology, so it is reflected in the overall years minimum context rather than as a discrete skill.
The 'PREFERRED' section in the posting is blank — no preferred skills were enumerated beyond the required list.
Posting is for a contract engagement — the market benchmarks below price full-time roles, so read the comp comparison with that in mind.
Read the full posting
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