The Ohio State University, Main Campus

Code Quality Analyst

The Ohio State University, Main Campus

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Job Level

Mid-LevelSenior

Tech Stack

Assembly

About the role

  • 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 regarding documentation required for compliance with 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
  • Review randomly selected and focused medical records for accurate selection of admitting and discharge diagnoses, ICD9-CM procedures and CPT4 procedures
  • Use the encoding and abstracting system and other resources to ensure complete and accurate coding and DRG/MS-DRG assignment for hospital reimbursement, research and planning
  • Keep detailed records of all audits conducted, the results, recommendations, and follow-up to assure action is taken
  • Advise medical record coding specialists on coding guidelines and practices as requested

Requirements

  • 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
  • Bachelor's degree in Health Information Administration or equivalent degree preferred
  • Considerable progressively responsible administrative medical information management experience
  • 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)
  • Final candidates are subject to successful completion of a background check; a drug screen or physical may be required during the post offer process