Bachelor's Degree in Health Information Management or related field preferred. Certification as a CCS/CPC required.
At least five (5) years progressive experience in a hospital outpatient coding environment with at least two years in a managerial role supervising outpatient specialty coding process and APC experience. Some coding, audit experience, either as a consultant or specialist, in outpatient environment helpful. Outpatient reimbursement and chargemaster experience required.
Strong managerial skills and demonstrated high level of oral and written communication skills. In-depth understanding and knowledge of medical terminology and anatomy and physiology. Comprehensive knowledge of ICD-9-CM, CPT and HCPC's Coding; understanding of medical record systems and APC's. Understanding of current billing and regulatory requirements, (CCI Edits) including Federal Compliance Regulations. Excellent organizational and personnel management skills.