- Under general direction, assisting in monitoring & analyzing policies & procedures in order to organize & implement an accurate & efficient International Classification of Diseases Edition (ICD) policy & system support program.
- Serves as medical policy resource, analyst & technical expert advisor for ICD, CPT, and HCPCS and other coding systems; incorporates relevant ICD, CPT, and HCPCS policy & guidelines of Agency on statewide basis.
- Assisting in monitoring & analyzing ICD reports generated on agency computer systems for appropriate usage & assignment of ICD codes; assists ICD program manager with identification of applicable regulations and agency policies while maintaining high standards of accuracy and efficiency.
- Collaborates as needed to resolve coding discrepancies related to CPT and HCPCS coding.
- ICD diagnostic codes for medical diagnoses, assignments, groupings & medical treatment.
- Agency statutes, rules, policies & procedures.
- Human anatomy & physiology.
- Coding theory & application to agency laws, rules & policies.
- Business management.
- Public & human relations.
- Federal & state laws (i.e. ORC), regulations & accreditation standards (i.e. AAPC or AHIMA ).
- Claims processing data management.
- Healthcare delivery systems & health science administration.
- Health information systems & database management.
- Applied statistics.
- Process analysis & outcome analysis.
- Healthcare laws, regulations & standards.
- ICD-9 coding for medical diagnoses, assignments & groupings.
- Operating PC & peripheral equipment (e.g. modem, printer).
- Use of Microsoft Office software (e.g. Windows, Excel, Word, Access, PowerPoint, Outlook).
- Use of agency software.
- Use of office equipment (e.g. copiers & fax machines).
- Written & oral communication.
- Project management.
- Data collection, analysis & presentation.
- Define problems, collect data, establish facts & draw conclusions
- Draft &/or edit administrative policies, procedures & directives
- Use statistical analysis
- Apply principles to solve practical, everyday problems
- Use proper research methods in gathering data
- Gather, collate & classify information about data, people or things
- Maintain accurate records & databases
- Prepare meaningful, concise & accurate reports
- Establish friendly rapport with internal & external customers
- Prepare & deliver speeches before specialized audiences & general public
- Handle sensitive inquiries
- Use & interpret ICD-9 & ICD-10, CPT, and HCPCS medical coding publications.
- 3-4 years
- RHIA or RHIT degree and/or CCS/CCS-P/CPC
- RHIT – Registered Health Information Technician
- RHIA – Registered Health Information Administrator
- CCS – Certified Coding Specialist
- CCS-P – Certified Coding Specialist – Physician-based
- CPC – Certified Professional Coder
