Coding Education & Quality Analyst

OhioHealth; Northern (KY); Híbrido; USD 65.000 - 95.000; Jornada completa

Descripción de la vacante

OhioHealth is seeking a Coding Education & Quality Analyst to conduct professional coding audits across inpatient, outpatient, ED, and clinic lines. The role educates physicians, coders, and staff on coding, billing, and compliance, ensuring regulatory adherence and accurate documentation.

The analyst collaborates with Clinical Documentation Improvement and QA teams to monitor performance, address audit findings, and support improvement initiatives across the OhioHealth system.

Formación

• High School or GED (Required).
• CCS, CCSP, CPC, CPCH, RHIA credentials listed as preferred qualifications.
• Minimum 3 years of coding experience as stated in the posting.

Responsabilidades

• Perform facility and charge-entry coding audits across multiple service lines.
• Deliver education to physicians, coders, and staff on coding and compliance.
• Respond to physician queries and support documentation improvement efforts.
• Assist in policy and procedure development across departments.

Conocimientos

Coding audits

Education & training

Compliance updates

Query resolution

Educación

CCS - Certified Coding Specialist - AHIMA

CCSP - Cisco Certified Security Professional

CPC - Certified Professional Coder - AAPC

CPCH - Certified Professional Coder - Hospital - AAPC

RHIA - Registered Health Information Administrator - AHIMA

Descripción del empleo

## Coding Education & Quality AnalystApply: WORK AT HOME - OHIO: Full time: Posted Today: JR158458**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.**Job Description Summary:**This position conducts professional coding audits of clinical coding records across inpatient, outpatient, observation, emergency department, and all OhioHealth Physician Group (OPG) clinic service lines. The Education and Quality Analyst provides education to physicians, coders, failed claims specialists, and clinical documentation specialists regarding coding, billing, clinical documentation, and coding compliance. The analyst also collaborates with medical staff to address coding queries across all OPG clinic service lines. In addition, the Coding Education and Quality Analyst helps ensure that coding and billing for patient services comply with governmental program requirements and the contractual obligations of non-governmental payers. This position is also responsible for preparing and submitting responses to third-party audits, including those conducted by insurance companies. The analyst evaluates the quality and productivity of new hires and coders who are subject to quality monitoring. Quality-monitoring results are shared with coding management to support performance improvement efforts and, when appropriate, the development of work improvement plans.**Responsibilities And Duties:**40% Documentation Audit This position conducts facility and charge entry audits of all Hospital, Neighborhood Care, Vascular Interventional Radiology, Rehab and clinic coding records. This includes inpatient, outpatient, observation, emergency department, vascular interventional radiology diagnostic and clinic service lines. Works with Clinical Documentation Improvement staff and Data Quality Engineers to ensure accurate capture and reporting of Hospital and Physician Quality Indicators for external reporting purposes. Monitors and tracks PQRI reports as applicable to individual practitioners and Operations staff. Reviews MediRegs, research of federal regulations, coding rules and regulations, and other reference material. Communicates coding and compliance updates to appropriate staff including physicians and management as appropriate. Assists Coding Management and Failed Claims with resolution of unbilled and billed claim rejections related to coding and documentation as well as other facility departments regarding coding and charge issues as applicable. Ensures encounter forms are updated and compliant. 35% Education The Education and Quality Analyst educates physicians, coders, failed claims specialists and clinical documentation specialists on coding, vascular interventional radiology, billing, clinical documentation and coding compliance. Communicates coding and compliance updates to all coding staff and failed claims. Also educates other departments and individuals as necessary regarding coding rules, documentation guidelines and charge issues. Will be primarily responsible for ICD-10 CM/PCS education for entire OhioHealth System. 15% Physician Queries Responsible for interacting with medical staff for all coding queries for all Central Ohio Hospitals. 10% Policy and Procedural Development/Other Duties Assists in development of policies and procedures crossing multiple department lines. All other duties as assigned.**Minimum Qualifications:**High School or GED (Required)CCS - Certified Coding Specialist - American Health Information Management Association, CCSP - Cisco Certified Security Professional - CISCO - Computer Information System Company, CPC - CPC Certified Professional Coder - AAPC American Academy of Professional Coders, CPCH - Certified Professional Coder - Hospital - AAPC American Academy of Professional Coders, RHIA - Registered Health Information Administrator - American Health Information Management Association**Additional Job Description:**CCS - CCS CCSP - CCSP CPC - Certified Professional Coder CPCH - Certified Professional Coder - Field of Study: Coding Years of Experience 3**Work Shift:**Day**Scheduled Weekly Hours :**40**Department**Physician Coding