Remote Outpatient Coding Quality Auditor

The Ohio State University Wexner Medical Center; Ohio; Remote; USD 65,000 - 90,000; Full time

Job summary

The Ohio State University Wexner Medical Center is seeking an Outpatient Coding Quality Analyst to audit the accuracy, completeness, and compliance of outpatient coding within Medical Information Management. This role focuses on random, focused, and risk-based reviews of coded records and requires collaboration with billing and education teams to drive improvements.

You will interpret NCCI, OCE, and payer guidance, resolve coding edits, and help ensure accurate hospital reimbursement while

Qualifications

• CAHIIM-approved coding certificate or HIMT program completed.
• OSUWMC coding test satisfactory completion.
• Experience with computer-assisted coding and/or automated encoder.
• 2-4 years outpatient coding experience preferred.

Responsibilities

• Audit outpatient coding accuracy and compliance through random, focused, and risk-based reviews.
• Review and resolve claim and coding edits; respond to CBO requests.
• Document audit findings and provide timely, actionable feedback to coding leadership.
• Maintain knowledge of current coding guidelines and payer requirements; recommend improvements.
• Collaborate with leadership and education staff to reduce denials and improve coding practices.

Education

Bachelor's degree or equivalent experience

RHIA/RHIT/CCS/COC/CPC certification

CAHIIM-approved coding certificate or HIMT program

Tools

Computer-assisted coding

Automated encoder

Job description

The Ohio State University Wexner Medical Center is seeking an Outpatient Coding Quality Analyst to audit the accuracy, completeness, and compliance of outpatient coding within Medical Information Management. This role focuses on random, focused, and risk-based reviews of coded records and requires collaboration with billing and education teams to drive improvements.

You will interpret NCCI, OCE, and payer guidance, resolve coding edits, and help ensure accurate hospital reimbursement while