A Snapshot of a Career In Health Information Management/Clinical Data Coding

  • Ensure the data quality integrity and compliance
  • Protect the security of medical records to ensure that Privacy and confidentiality is maintained.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Manage and audit user access of patient medical records.
  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Process patient admission or discharge documents.
  • The certificate may be international
  • Informational interviews: https://www.ahima.org/careers/healthinfo

Credentials: www.AHIMA.org

  • Health Information credentials:
    • RHIT (associate degree) RHIA (bachelor’s degree) encompass all of coding plus…management, legal compliance, informatics, analysis, EHR, and reimbursement.
  • Coding Credentials:
    • CCA (entry-level credential both out and inpatient)

Mastery Levels (specialized) CCA plus one (1) year of coding experience

  • CCS (inpatient, long term: Acute Care, residential, assisted living)
  • CCS-P (outpatient: higher-level codes)

Career Direction: https://my.ahima.org/careermap

Coding and Revenue

  • Auditor, clinical documentation specialist, HIM revenue cycle auditor, and Benefits coordinator
  • HIM Supervisor

Information Governance: Who sees the information and how

Data Analytics: Data Quality Assurance roles

Informatics:  Getting the information: Data analyst, clinical coordinator, and research and development

Salary: AHIMA Salary snapshot: http://www.ahima.org/downloads/2016_Salary_Snapshot_FINAL_2.pdf

Career Resources

NOVA’s Program: https://www.nvcc.edu/medical/divisions/allied/him.html