Avera Coder Analyst in Sioux Falls, South Dakota
JOB SUMMARY: Accountable to coordinate National Coverage and Determination (NCD) policies, Local Coverage Determination (LCD) policies, coverage policies for various payers and Medicare articles and any other activities related to medical necessity throughout Avera. Coordination of medical necessity activities includes: implementation of policy validation processes, education to departments on medical necessity guidelines, running reports for coverage review of new or existing policies, supporting appeals process, streamlining workflow for medical necessity, serving on committees, and other duties as necessary.
REQUIRED EDUCATION and/or EXPERIENCE:
Bachelor Degree in Health Information Administration or Associates Degree in Health Information Technology preferred.
Other acceptable certifications would include Certified Coding Specialist (CCS or CCS-P) or Certified Coding Associate (CCA) in that order.
Two years of coding experience preferred.
REQUIRED CERTIFICATION, LICENSURE, and/or REGISTRATIONS:
· If not certified or registered, the employee is required to obtain one of the certifications below within 6 months of employment. (Preferred upon hire) (Ranked by preference)
American Health Information Management Association (AHIMA)'s
§ Registered Health Information Administrator (RHIA)
§ Registered Health Information Technician (RHIT)
§ Certified Coding Specialist (CCS)
§ Certified Coding Specialist (CCS-P)
§ Certified Coding Associate (CCA)