Quality Analyst

Job not on LinkedIn

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Ohio State University, Main Campus

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 1870

📚 Education

Education

The Ohio State University, Main Campus is a public research university located in Columbus, Ohio. It offers a comprehensive education with a wide array of undergraduate, graduate, and professional programs. The university is engaged in numerous research initiatives and partnerships, providing opportunities for students, faculty, and industry partners to collaborate. Ohio State promotes a vibrant student life with various academic, recreational, and wellness services to support student needs. It also emphasizes community involvement and leadership development, fostering an inclusive environment on its multiple campuses across Ohio.

📋 Description

• Evaluate the accuracy, completeness, and compliance of outpatient coding through random, focused, and risk-based audits • Review coded medical records, including records processed through automated coding systems • Resolve claim and coding edits and respond to Central Business Office requests • Apply CMS NCCI and OCE requirements, Craneware, payer guidance, and charge description master updates • Identify coding discrepancies, documentation concerns, denial trends, and compliance risks • Document and report audit activities, findings, and trends using designated systems, spreadsheets, and automated reporting tools • Provide timely feedback and guidance to coding specialists • Collaborate with coding leadership and education staff to address opportunities and educational needs • Conduct follow-up reviews to assess corrective actions and education effectiveness • Maintain current knowledge of coding guidelines and regulatory and payer requirements • Update IHIS accounts and modify codes or charges according to standard operating procedures and supporting documentation • Recommend improvements to coding accuracy, consistency, reimbursement, and compliance

🎯 Requirements

• Minimum completion of a CAHIIM-approved coding certificate program or HIMT program • Satisfactory completion of OSUWMC’s coding test • Familiarity or experience with computer-assisted coding and/or automated encoder • Bachelor’s degree or equivalent experience • 2 years of relevant experience required • 2–4 years of outpatient coding experience preferred, including ICD-10-CM and CPT for emergency, outpatient, ambulatory surgery, observation, and series/clinics • For hospital coding: credentialed as RHIT, RHIA, CCS, COC, or CPC • Maintain continuing education requirements determined by AHIMA or AAPC • Final candidates subject to successful completion of a background check; drug screen or physical may be required post-offer

🏖️ Benefits

• Remote work schedule eligibility • Regular position • 40 scheduled hours per week • First shift • Continuing education opportunities and coding education sessions