KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to work independently with little supervision and seek guidance as needed to clarify assignments or request for information.
Excellent communication, customer service and time-management skills
Possess basic business skills, an understanding of general compliance operations and department goals in the healthcare environment.
Proficient with various desktop applications such as Microsoft Excel, Word, PowerPoint and/or Access.
Intermediate knowledge of relational database management systems
Must be a team player - Always willing to help in whatever way possible and go the extra mile to get the job done.
Intuitive and skilled at problem solving in anticipation of customer request
Have the ability to make logical correlations between data points to determine if analysis is accurate
Detail oriented, meticulous and accurate in completing tasks on time.
Coding Compliance Analyst Specifics:
Knowledge of medical terminology, ICD-9/10 and CPT-4 coding guidelines and methodologies
Intermediate knowledge of disease pathophysiology and drug utilization
Intermediate knowledge of MS-DRG classification and reimbursement structures
Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
Associates Degree in Business, Information Systems, Health Care Administration or related field or equivalent years of related Analyst experience required.
If hiring for a Coding Compliance Analyst: Demonstrates one to three years of experience in a healthcare organization applying ICD-9/10 and CPT coding conventions and guidelines, preferably in a hospital facility.
Include minimum certification required to perform the job.
Certified Healthcare Compliance (CHC) is preferred
If hiring for a Coding Compliance Analyst: AHIMA certification, RHIT, CCS, or CCA preferred. Will consider a candidate who is CCA eligible within one year of hire.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office Work Environment
Remote Office Work Environment
Conifer Health Solutions
Tenet Healthcare Corporation