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# Systems Software Programmer - Consultant

- **Company:** Intersources Inc.
- **Location:** Columbia, SC, United States
- **Experience:** Experienced
- **Salary:** $26,000.0
- **Contract:** Temporary to permanent
- **Skills:** Microsoft Office, Medicaid Management Information Systems (MMIS), Software Engineering
- **Published:** July 21, 2026
- **Apply:** https://www2.jobdiva.com/portal/?a=62jdnw10t7d77ytz0lbaey9qxonk3b05a9tqw96rb7z6hlfo7xj79l9g6mp6aj2o&compid=0/jobs/32726979#/jobs/32726979

## About the Role

* BSN or ADN required.
 * Current, active, unrestricted South Carolina Registered Nurse license - mandatory.
 * Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) credential.
 * ICD-10 proficiency demonstrated by exam, or ability to obtain certification within one year.
 * 10+ years healthcare insurance experience involving medical review, program integrity, or appeals.
 * 5+ years working with IT developers/programmers in a payer environment.
 * 5+ years medical coding experience in a payer environment.
 * 3+ years clinical healthcare experience with strong clinical assessment and critical-thinking skills.
 * 5+ years knowledge of ICD/CPT/HCPCS coding and translation methodologies.
 * 5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.

Preferred Skills

 * 5+ years policy remediation experience.
 * 5+ years claims processing systems experience.
 * 5+ years Microsoft Office experience.
 * 5+ years with Optum Encoder or similar medical coding software.

## Description

Job Overview: The consultant will serve as a medical coding SME, supporting CPT/HCPCS and ICD-10 code maintenance, researching coding changes, analyzing business rules, working with Medicaid program stakeholders, and supporting current and future MMIS enhancements. The SOW specifically identifies this position as being focused on a Certified Medical Coder supporting South Carolina Medicaid.
Key Responsibilities

 * Manage annual and quarterly ICD-10 and CPT/HCPCS coding updates from CMS.
 * Review coding changes and determine their impact on Medicaid policies and processes.
 * Prepare code-change documentation for Medicaid program and reference administration teams.
 * Serve as an SME for medical coding methodologies, Medicaid policy, and healthcare processes.
 * Research and document business rules, requirements, and recommendations.
 * Collaborate with policy owners, stakeholders, IT developers, and project teams.
 * Support MMIS enhancements and future MMIS replacement/DASH initiatives.
 * Assist with medical necessity reviews when required.


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