REMOTE - Coding Quality Analyst

Overview

REMOTE - Coding Quality Analyst role at The Ohio State University Wexner Medical Center. Current Employees and Students:
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• After medical records are coded in Medical Information Management (MIM), ensure accuracy of coding assignment via random auditing of medical record coding and accuracy of MS-DRGs.
• Complete 3M APC Software claim edits and respond to requests from the Central Business Office (CBO) regarding documentation required for CMS National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE) edits.
• Provide feedback to the Manager of Data Quality regarding coding quality and make recommendations for improving coding accuracy.
• The position is primarily responsible for coding quality improvement. Review randomly selected and focused medical records for accurate selection of admitting and discharge diagnoses, ICD-10-CM procedures, and CPT-4 procedures; ensure complete and accurate coding and DRG/MS-DRG assignment for hospital reimbursement, research, and planning.
• Keep detailed audit records of all audits conducted, the results, recommendations, and follow-ups to assure action is taken; advise medical record coding specialists on coding guidelines and practices as requested.

• Associate degree in Health Information Management, and a minimum of 3-5 years medical center outpatient coding experience (ICD-10-CM and CPT) for services such as emergency, outpatient, ambulatory surgery, observation, and series/clinics.
• Bachelor’s degree in Health Information Administration or equivalent degree preferred.
• Considerable administrative medical information management experience with knowledge and experience with electronic health records and health information management applications; certifications may include RHIT, RHIA, CCS, or COC (outpatient).

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Thank you for your interest in working at Ohio State.

The university is an equal opportunity employer, including veterans and disability.

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post-offer process.