Job Details

After medical records are coded in Medical Information Management (MIM), the Coding Quality Analyst is responsible for ensuring accuracy of coding assignment via random auditing of medical record coding and accuracy of MS-DRGS. In addition, the manager is responsible for completing 3 M APC Software claim edits and responding to requests from the Central Business Office (CBO) regarding documentation required for compliance with CMS National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE) edits. The analyst is responsible for providing feedback to the Manager of Data Quality regarding coding quality and makes recommendations for improving coding accuracy. Position Summary The position is primarily responsible for coding quality improvement. This staff member reviews randomly selected and focused medical records for accurate selection of appropriate admitting and discharge diagnoses, ICD 9-CM procedures and CPT 4 procedures. The analyst uses the encoding and abstracting...Quality Analyst, Analyst, Quality, Coding Specialist, Medical, Health, Technology, Education