[Hiring] Coding Quality Analyst @The Ohio State University

Role Description

The Outpatient Coding Quality Analyst is responsible for evaluating the accuracy, completeness, and compliance of outpatient coding within Medical Information Management (MIM) through random, focused, and risk-based audits of coded medical records, including records processed through automated coding systems.

• Reviews and resolves claim and coding edits.
• Responds to Central Business Office (CBO) requests regarding coding and supporting documentation.
• Identifies coding discrepancies, documentation concerns, and trends that may contribute to denials or compliance risks.
• Documents audit findings and provides timely and actionable feedback.
• Collaborates with coding leadership and education staff to address identified opportunities.
• Conducts follow-up reviews to evaluate the effectiveness of corrective actions.
• Maintains knowledge of current coding guidelines and applicable regulatory and payer requirements.
• Provides recommendations to strengthen coding accuracy and promote consistent coding practices.

Qualifications

• Minimum completion of a CAHIIM-approved coding certificate program or HIMT program.
• Demonstrated coding proficiency through satisfactory completion of OSUWMC’s coding test.
• Familiarity or experience with computer-assisted coding and/or automated encoder.
• Minimum preferred 2-4 years of outpatient coding experience (ICD10-CM and CPT).
• Bachelors degree or equivalent experience.
• 2 years of relevant experience required; 2-4 years of relevant experience preferred.
• Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) by the American Health Information Management Association; Certified Outpatient Coder (COC), or CPC.

Requirements

• Maintain continuing education requirements as determined by the American Health Information Management Association or American Academy of Professional Coders.
• Review Coding Clinics, CPT assistant as frequently as needed for education purposes.
• Attend coding meetings and coding education sessions for updates on coding guidelines and related education opportunities.

Benefits

• Remote work schedule eligible.
• Regular position with scheduled hours of 40.
• First shift hours.

Company Description

The Ohio State University is an equal opportunity employer, including veterans and disability.