Job Description
Scope of Position

After medical records are coded in Medical Information Management (MIM), the Coding Quality Analyst (CQA) is responsible for ensuring the accuracy of coding assignments via random auditing of medical record coding and the accuracy of MS-DRGS. In addition, the analyst is responsible for providing feedback to the Director of Coding and Compliance 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, ICD10-PCS procedures. The analyst uses the encoding and abstracting system and other resources to ensure complete and accurate coding, DRG/MS-DRG assignment for hospital reimbursement, research, and planning. The analyst keeps detailed records of all audits conducted, the results, recommendations, and follow-up to assure action is taken. The analyst advises the medical record coding specialists on coding guidelines and practices as requested.

Minimum Education Required
HS Graduate or Equivalent or equivalent combination of education and experience

Required Qualifications
The candidate must have an HS diploma or GED. An Associate’s or Bachelor’s degree in health information management is preferred.

Certifications can include: Registered Health Information Administrator (RHIA), Registered Health Information Record Technician (RHIT) or a Certified Coding Specialist (CCS) by the American Health Information Management Association, or equivalent education and experience.

A minimum of two years of hospital coding experience is required. Previous management experience preferred.