Job Description



HIM Coding Quality Analyst  

*Shift: 9:00A - 4:30P

POSITION SUMMARY:
  • Under the supervision of the Director of Health Information Management (HIM), the HIM Coding Quality Analyst will perform coding quality audits of inpatient and outpatient records to ensure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and to provide ongoing feedback and analysis of the educational needs of the coding staff.  .

POSITION QUALIFICATIONS:

Education/License/Certification:
  • High school graduate or equivalent.
  • Must hold one or more of the approved coding certifications (i.e., Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P),  Certified Professional Coder (CPC), or equivalent approved certification).

Experience/Skills:
  • Must have extensive knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing.  Must have the ability to analyze and identify opportunities for documentation improvement
  • Knowledge of medical terminology, anatomy and physiology, CPT, ICD (9 and 10), HCPCS coding, and Medicare and Medicaid (CMS) regulations is also required.
  • Must have a minimum of 5 years of coding experience in an acute care facility using  ICD-9-CM and CPT/DRG assignment and 1 year coding auditing (or equivalent) experience.


 

Application Instructions

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