Health Data Analyst
About the role
Join us in shaping a healthier future for kids. At Children’s Hospital Association, we unite more than 200 member hospitals to put children first—advancing care, informing policy, and driving progress together.
Responsibilities
- Functions as a domain expert in clinical coding, charge mapping, and healthcare terminology standards, supporting CHA in delivering high-quality, reliable analytics for children’s hospitals.
- Ensures that data used across CHA analytic solutions is accurate, standardized, and compliant with regulatory standards.
- Serve as a subject matter expert (SME) in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.
- Support the development, maintenance, and optimization of CHA’s proprietary Clinical Transaction Classification (CTC) charge code systems.
- Review and enhance hospital charge-to-CTC mappings to improve accuracy, consistency, and completeness.
- Apply clinical data standards (e.g., OMOP CDM, SNOMED) to support CHA analytic products and data models.
- Monitor and implement regulatory updates, coding changes, and terminology revisions; ensure compliance and facilitate communication of impacts to internal and external stakeholders.
- Analyze gaps in terminology mapping and recommend enhancements to improve data standardization.
- Provide guidance, education, and best practices on coding standards, terminology, and charge mapping.
- Collaborate with cross-functional teams to support data integrity, coding forums, and organizational objectives.
- Aid internal and external stakeholders with coding, health data, data submission, and research-related inquiries.
- Manage healthcare data acquisition process to ensure timely, accurate, and complete submissions from member hospitals.
- Perform remapping activities to align misclassified or legacy charges with updated CTC codes.
- Identify root causes of data quality issues that are coding-related or data elements acquired to support data programs and develop actionable recommendations for improvement.
- Identify and lead coding- and classification-related data quality improvement initiatives.
- Develop tools, resources, and procedures in partnership with member hospitals to improve data submission processes and coding-related projects.
Requirements
- Bachelor’s degree in Health Informatics, Health Information Management, or a related field.
- A minimum of 5 years of professional experience in healthcare, including significant experience in classification and coding systems and/or data quality improvement functions.
- RHIA, CCS, CCS-P, CPC, CHDA, CDIP, CCDS or equivalent advanced coding certification required; additional specialty certifications preferred.
- Expert knowledge of ICD-10-CM/PCS, CPT, HCPCS, and official coding guidelines.
- Strong understanding of healthcare data standards (e.g., HL7, UB-o4, FHIR) and clinical classification systems (ICD-9/10, CPT, MS-DRG, APR-DRG), severity of illness (SOI), risk of mortality (ROM), and healthcare quality measures.
- Strong knowledge of medical terminology, clinical workflows, and healthcare data (administrative, billing, and clinical).
- Preferred experience with coding audits, Clinical Documentation Integrity (CDI) programs, revenue integrity initiatives, and charge description master maintenance.
- Demonstrated experience supporting enterprise systems, applications, or data platforms.
- Experience developing and maintaining data dictionaries and standardizing data capture, quality, and analysis processes.
- Knowledge of electronic health record (EHR) systems and data analysis tools.
- Basic understanding of data security practices such as HIPAA.
- Strong analytical and problem-solving skills with the ability to identify, investigate, and resolve data anomalies.
Qualifications
- Any combination of education and experience providing the required skill and knowledge is qualifying.
Skills
- Expert knowledge of ICD-10-CM/PCS, CPT, HCPCS, and official coding guidelines.
- Strong understanding of healthcare data standards (e.g., HL7, UB-o4, FHIR) and clinical classification systems (ICD-9/10, CPT, MS-DRG, APR-DRG), severity of illness (SOI), risk of mortality (ROM), and healthcare quality measures.
- Strong knowledge of medical terminology, clinical workflows, and healthcare data (administrative, billing, and clinical).
- Preferred experience with coding audits, Clinical Documentation Integrity (CDI) programs, revenue integrity initiatives, and charge description master maintenance.
- Demonstrated experience supporting enterprise systems, applications, or data platforms.
- Experience developing and maintaining data dictionaries and standardizing data capture, quality, and analysis processes.
- Knowledge of electronic health record (EHR) systems and data analysis tools.
- Basic understanding of data security practices such as HIPAA.
- Strong analytical and problem-solving skills with the ability to identify, investigate, and resolve data anomalies.
Benefits
Competitive total compensation package
Medical, dental and vision insurance
Retirement Savings program with generous company contribution
Hybrid working model
Health Savings Account with company contribution
Wellness program
Paid time off and personal days
9 paid holidays
Paid Parental Leave
And more!
Pay
Min: $71,000
Max: $140,000
Schedule
Hybrid working model: three days in the office, two days optional remote work.
Contact
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