Coding Quality Analyst

Overview : Coordinates activities with clinical coding staff for pertinent parties, to ensure appropiate and effective reimbursement under the Outpatient Prospective Payment system. Retrieves and compiles statistical and administrative data from HIMS coding/abstracting data base system. Maintains system-wide consistency in coding practices and ethical coding complince.

Qualifications :

The candidate is required to possess a minimum of 3 years of recent ICD-9-CM, CPT-4 and HCPCS II coding and current credential from the American Health Information Management Association as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). A candidate who is otherwise qualified but is not credentialed must be eligible to take the credentialing examination within one year of hire. Effective human relations skills, as well as excellent written and oral communication skills are required for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Prefer six months of computer experience related to HIMS. Candidate must have the ability to understand the Medicare Outpatient Prospective Payment System, and the Health Information database and indices. Must have highly developed interdependent skills and must be familiar with coding software.