Health Information Management Specialists

Qualifications

• Two (2) years of experience as a data analyst or in other quantitative analysis or engineering disciplines, such as researcher, data engineer or BI analyst.
• PASS/FAIL M2 Possess a bachelor’s degree.
• Additional qualifying experience may be substituted for the required education on a year-for-year basis.
• PASS/FAIL M3 Five (5) years of FTE experience working with Health Information Management data.
• PASS/FAIL M4 One (1) year of FTE experience with Centers for Medicare and Medicaid Services (CMS) 1500 and Universal Billing (UB) UB-04 claim forms and billing requirements.
• M5 One (1) year of FTE experience working with Accredited Standards Committee (ASC) X12N 837 electronic claim billing requirements.
• PASS/FAIL M6 One (1) year of FTE experience working with Standard Setting organizations, like:
  American Medical Association (AMA), National Uniform Claims Committee (NUCC), National Uniform Billing Committee (NUBC), Centers for Medicare and Medicaid Services (CMS), Health Level 7 (HL7), American Psychiatric Association (APA), and National Council for Prescription Drug Programs (NCPDP).
• PASS/FAIL M7 One (1) year of FTE experience working with HIPAA regulations.
• PASS/FAIL M8.

• Be certified or registered with one of the following:
• Registered Health Information Administrator (RHIA).
• Registered Health Information Technician (RHIT).
• Certified Health Data Analyst (CHDA).

• D1 Experience working with MS Word, MS Excel, MS PowerPoint.
• Five (5) points will be given for every twelve (12) months of experience for a maximum of ten (10) points.
• Experience with healthcare billing policies and requirements.
• D2 Five (5) points will be given for every twelve (12) months of experience for a maximum of ten (10) points.
• 10 Experience in state health policy and regulation formation.
• D3 Five (5) points will be given for every twelve (12) months of experience for a maximum of ten (10) points.