[Hiring] Lead IP Coding Quality Analyst @The Ohio State University

Role Description

The Lead Inpatient Coding Quality Analyst serves as an advanced subject matter expert and operational lead responsible for the integrity, consistency, and defensibility of inpatient coding quality, audit execution, and regulatory compliance.

• Provides day-to-day leadership of coding quality review activities.
• Ensures alignment between audit findings, coding guidance, education, and enterprise priorities.
• Supports the development and execution of a structured inpatient coding audit program, including:
  • Audit tracking
  • Reporting
  • Corrective action planning
  • Follow-up validation of sustained improvements
• Functions as a key liaison across Coding, Clinical Documentation Integrity (CDI), Quality, Revenue Cycle, and Compliance.
• Mitigates regulatory risk, prevents DRG downgrades, and ensures accurate representation of patient severity, reimbursement, and publicly reported outcomes.

Qualifications

• Associate degree in Health Information Management, Health Information Technology, or a related field.
• Minimum of 4–8 years of recent inpatient hospital coding experience in an academic medical center or complex acute-care hospital setting.
• Demonstrated proficiency in ICD‑10‑CM and ICD‑10‑PCS coding.
• Experience reviewing complex inpatient medical records for coding accuracy, compliance, and DRG integrity.
• Working knowledge of CMS IPPS regulations, OIG compliance expectations, payer audits, DRG validation, and advanced inpatient claim edit frameworks.
• Experience using electronic health records (EHRs) and health information management systems.
• Ability to apply independent judgment in evaluating coding, documentation, compliance risk, and audit findings.
• Strong written and verbal communication skills.

Requirements

• Bachelor’s degree in Health Information Administration, Health Information Management, or a related healthcare discipline (preferred).
• Prior experience in inpatient coding quality review, auditing, denial management, or compliance-focused roles (preferred).
• Experience in:
  • Academic medical center or large health system
  • Mortality review and quality metrics (PSI, HAC, Vizient, USNWR)
  • Denial management and appeals
  • Coding education, training, or onboarding
  • Audit program development or standardization efforts
  • Demonstrated informal leadership experience (lead, mentor, SME, or preceptor role)
• One of the following credentials required:
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
• Certification must be maintained in good standing.
• Maintain required continuing education credits (CEUs) in accordance with AHIMA credential standards.
• Participate in required coding, quality, audit, and departmental meetings.
• Complete all mandatory health system training and hospital-based learning modules (CBLs) in a timely manner.
• Maintain current knowledge of inpatient coding guidelines, regulatory updates, and compliance initiatives.

Benefits

• Remote Location
• Regular Position Type
• Scheduled Hours: 40
• Shift: First Shift