Coding Quality Analyst jobs in United States
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The Ohio State University · 4 months ago

Coding Quality Analyst

The Ohio State University is seeking a Coding Quality Analyst to ensure the accuracy of medical record coding and compliance with healthcare regulations. The role involves auditing medical records, providing feedback on coding quality, and advising coding specialists on guidelines and practices.

EducationHigher EducationUniversities
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H1B Sponsor Likelynote

Responsibilities

Ensuring accuracy of coding assignment via random auditing of medical record coding and accuracy of MS-DRGS
Completing 3M APC Software claim edits and responding to requests from the Central Business Office (CBO) regarding documentation required for compliance with CMS’ National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE) edits
Providing feedback to the Manager of Data Quality regarding coding quality and making recommendations for improving coding accuracy
Reviewing randomly selected and focused medical records for accurate selection of appropriate admitting and discharge diagnoses, ICD9-CM procedures and CPT4 procedures
Using the encoding and abstracting system and other resources to ensure complete and accurate coding, DRG/MS-DRG assignment for hospital reimbursement, research and planning
Keeping detailed records of all audits conducted, the results, recommendations, and following-up to assure action is taken
Advising medical record coding specialist on coding guidelines and practices as requested

Qualification

ICD10-CM codingCPT codingHealth Information ManagementElectronic health recordsCoding certificationsAnalytical skillsAttention to detailCommunication skills

Required

Associate degree in Health Information Management
Minimum of 3-5 years medical center outpatient coding experience (ICD10-CM and CPT) for service types such as emergency, outpatient, ambulatory surgery, observation, and series/clinics
Considerable progressively responsible administrative medical information management experience
Required knowledge and experience with electronic health records and health information management applications
Certifications can include: Registered Health Information Record Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) by the American Health Information Management Association, COC (outpatient credential only)

Preferred

Bachelor's degree in Health Information Administration or equivalent degree

Company

The Ohio State University

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The Ohio State University is a public research university based in Columbus, Ohio.

H1B Sponsorship

The Ohio State University has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (311)
2024 (295)
2023 (236)
2022 (149)
2021 (111)
2020 (125)

Funding

Current Stage
Late Stage
Total Funding
$52.28M
Key Investors
AmeriCorps Public AlliesNational Safety CouncilFederal Aviation Administration
2024-07-09Grant· $0.81M
2024-04-29Grant
2024-03-05Grant· $0.35M

Leadership Team

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Bill Diffenderffer
Director of Entrepreneurship
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Nicole Kraft
Professor
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Company data provided by crunchbase