RN Clinical Analyst & Coding Specialist (Business Analyst)

RN Clinical Analyst & Coding Specialist Contract:

12 months (extension possible) |

Interview:

1 round (virtual) |

Work:

Fully Remote but must reside in the state of South Carolina TEKsystems is seeking an experienced RN + Certified Coding Specialist to support medical code change governance across Medicaid policy and systems. This role is ideal for someone who enjoys research, analysis, and recommending policy/system actions—not production coding. You'll partner closely with internal stakeholders and IT teams to evaluate code changes and drive accurate implementation within a Medicaid Management Information System (MMIS). Why this role is open This is a new/additional position supporting complex reference administration responsibilities and deliverable timelines, while also strengthening coverage and succession planning for the team. What you'll do (Key Responsibilities) Lead annual and quarterly CMS updates for ICD-10, CPT, and HCPCS code changes. Perform initial analysis to determine scope and impact of code changes. Prepare code change listings for reference administration and Medicaid program teams for review and analysis. Facilitate working sessions with agency personnel, stakeholders, and process owners to review findings and align on recommended actions. Serve as a coding methodology + Medicaid policy SME supporting operational and policy decision-making. Research and document business rules, requirements, and models; maintain artifacts in a repository. Collaborate on process documentation and contribute to process improvements and MMIS enhancements; support future MMIS replacement initiatives as needed. (As needed) Support clinical record review against criteria to determine medical necessity.

Required Qualifications RN License:

Active, current, unrestricted Registered Nurse license in the hiring state.

Education:

BSN or ADN.

Coding Credential:

Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist). ICD-10 proficiency (exam demonstrated) or ability to become certified within one year. 5+ years Job Type & Location This is a Contract position based out of Columbia, SC. Pay and Benefits The pay range for this position is $45.00 - $57.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Columbia,SC.

Application Deadline This position is anticipated to close on May 28, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.