Coding Education, Quality Analyst

Job not on LinkedIn

🔥 1 minute ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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OhioHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1891

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

OhioHealth is a not-for-profit healthcare system headquartered in Columbus, Ohio, dedicated to providing exceptional patient care and a wide range of medical services. With facilities spread across multiple locations, OhioHealth offers comprehensive healthcare services including cancer care, maternity, midlife clinics for women, virtual health appointments, and specialized care for transgender and LGBTQ patients. They also focus on patient education with health and wellness classes, support groups, and health quizzes. OhioHealth is committed to improving community health through various community relations and health initiatives. They provide resources such as price transparency, financial assistance, and patient rights information to enhance the healthcare experience for all patients.

📋 Description

• Conduct professional coding audits of clinical coding records across inpatient, outpatient, observation, emergency department, and OhioHealth Physician Group clinic service lines • Conduct facility and charge-entry audits for hospital, Neighborhood Care, vascular interventional radiology, rehabilitation, and clinic coding records • Work with Clinical Documentation Improvement staff and Data Quality Engineers to ensure accurate capture and reporting of Hospital and Physician Quality Indicators • Monitor and track PQRI reports for practitioners and Operations staff • Research federal regulations, coding rules, regulations, and reference materials • Communicate coding and compliance updates to physicians, management, coding staff, and failed claims staff • Assist with resolving unbilled and billed claim rejections related to coding and documentation • Ensure encounter forms are updated and compliant • Educate physicians, coders, failed claims specialists, clinical documentation specialists, and other departments on coding, billing, documentation, and compliance • Provide ICD-10-CM/PCS education across the OhioHealth System • Interact with medical staff regarding coding queries for Central Ohio hospitals • Assist in developing cross-departmental policies and procedures • Prepare and submit responses to third-party audits, including insurance-company audits • Evaluate new hires and coders subject to quality monitoring and share results with coding management

🎯 Requirements

• High school diploma or GED required • 3 years of experience in coding • CCS (Certified Coding Specialist), CCSP (Cisco Certified Security Professional), CPC (Certified Professional Coder), CPCH (Certified Professional Coder—Hospital), or RHIA (Registered Health Information Administrator) certification listed • Knowledge of ICD-10-CM/PCS, coding, billing, clinical documentation, and coding compliance • Knowledge of federal regulations, coding rules and regulations, and payer requirements • Ability to conduct coding and documentation audits across inpatient, outpatient, observation, emergency department, vascular interventional radiology, rehabilitation, hospital, and clinic service lines • Ability to educate physicians, coders, failed claims specialists, and clinical documentation specialists • Ability to prepare and submit responses to third-party audits • Ability to evaluate coding quality and productivity • Ability to collaborate with medical staff and coding management

🏖️ Benefits

• Full-time schedule of 40 hours per week • Day shift • Remote work from Ohio