Coding Data Analyst Details

Coding Data Analyst

Kaweah Health - Visalia, CA

Employment Type : Full-Time

POSITION SUMMARY/PURPOSE
Responsible for evaluating the accuracy and completeness of clinical coding; validating the information in the databases for outcomes management and specialty registries; and supporting the overall coding section functions. Conducts reviews of coding-related charge and claim edits through regular review processes that ensure the appropriate level of accuracy for edits and also identifies trends that need further research or education. Serves as point person for questions related to coding, coding edits, promptly resolving and addressing concerns. Active role in providing education regarding coding principles and coding guidelines.
QUALIFICATIONS
License /Certification
Required:
• Registered Health Information Technician (RHIT); or
• Certified Coding Specialist (CCS); or
• Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), and Certified Professional Coder (CPC).
Preferred:
• Registered Health Information Administrator (RHIA)
• ICD-10 Train the Trainer certification
Education
Required:
• High school diploma or equivalent
• ICD-10 training
Preferred:
• Associate’s or Bachelor’s degree in Health Information Management
Experience
Required:
• Three years of outpatient or inpatient coding experience in an acute care setting.
• Three to five years HIM Department experience.
• Auditing experience
Preferred:
• Experience in training others in coding and reimbursement.
• Experience with Cerner, 3M Encoder, Midas, as well as with a Computer Assisted Coding System.

Knowledge/Skills/Abilities
• Demonstrates a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and normally demonstrated by certification by the American Academy of Professional Coders.
• Knowledge of Coding Clinic, Joint Commission, Title 22 and other governmental standards and regulations.
• Familiar with Medicare and Medicaid billing.
• Current understanding of patient safety indicators.
• Knowledge of governmental standards and guidelines applicable to coding.
• Knowledge of medical record practices including CMS and TJC requirements.
• Thorough knowledge of medical terminology, anatomy and physiology.
• Competent in the use of computer applications and DRG Grouper Software, Computer Assisted Coding Software, Electronic Health Records, Medicare edits and all coding and abstracting software and hardware used the HIM Department.
• Knowledge of hospital billing systems and how HIM systems support the billing process.
• Ability to use Microsoft Outlook, Excel and Word and have extensive computer operational knowledge.
• Must have critical thinking, analytical, verbal/written communication and presentation skills.
• Must have good public relation skills and the ability to interact well with physicians.
• Ability to troubleshoot and resolve issues.
• Must be able to work in a fast-paced, rapidly changing environment with the ability to multitask within the scope of daily work activities.
• Must be detailed oriented, self-motivated and have the ability to stay focused on tasks for extended periods of time.
• Display excellent interpersonal and problem solving skills with all levels of internal and external customers including prompt follow-up skills and with attention to detail.