Coding Education & Quality Analyst

OhioHealth

. Conduct professional coding audits across inpatient, outpatient, observation, emergency department, vascular interventional radiology, hospital, rehabilitation, and clinic service lines .

Posted 11/12/2026full-timeRemote • Ohio • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coding audits, compliance, and education within healthcare settings, with a strong focus on ICD-10-CM/PCS and federal regulations. Proven ability to collaborate with medical staff and improve coding accuracy and documentation quality.

Highest-signal resume keywords

ICD-10-CM/PCS KnowledgeCoding AuditsCertified Coding Specialist (CCS)Clinical Documentation ImprovementFederal Regulations Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CodingBillingDocumentation AuditsCoding ComplianceQuality ImprovementCharge-Entry AuditsPQRI ReportingCoding EducationThird-Party Audit ResponsesCoding Queries

Soft Skills

CommunicationCollaborationEducationInterpersonal SkillsPerformance Evaluation

Certifications & Qualifications

Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Registered Health Information Administrator (RHIA)Certified Professional Coder—Hospital (CPCH)Cisco Certified Security Professional (CCSP)

Industry Keywords

HealthcareInpatient CodingOutpatient CodingVascular Interventional RadiologyClinical DocumentationComplianceFederal RegulationsInsurance AuditsOhioHealth SystemMedical Staff Collaboration

About the role

Key responsibilities & impact

Conduct professional coding audits across inpatient, outpatient, observation, emergency department, vascular interventional radiology, hospital, rehabilitation, and clinic service lines
Conduct facility and charge-entry audits of Hospital, Neighborhood Care, Vascular Interventional Radiology, Rehab, and clinic coding records
Work with Clinical Documentation Improvement staff and Data Quality Engineers to ensure accurate capture and reporting of Hospital and Physician Quality Indicators
Monitor and track PQRI reports for practitioners and Operations staff
Research federal regulations, coding rules, regulations, and reference materials
Communicate coding and compliance updates to physicians, coding staff, management, and other relevant departments
Assist Coding Management and Failed Claims with coding- and documentation-related claim rejections and unbilled or billed claims
Ensure encounter forms are updated and compliant
Educate physicians, coders, failed claims specialists, clinical documentation specialists, and other departments on coding, billing, documentation, and compliance
Provide ICD-10-CM/PCS education across the OhioHealth System
Interact with medical staff regarding coding queries for Central Ohio Hospitals
Assist with development of cross-departmental policies and procedures
Evaluate quality and productivity of new hires and monitored coders, sharing results with coding management to support performance improvement and work improvement plans
Prepare and submit responses to third-party audits, including insurance-company audits

Requirements

What you’ll need

High School or GED required
One of the following certifications: CCS (Certified Coding Specialist), CCSP (Cisco Certified Security Professional), CPC (Certified Professional Coder), CPCH (Certified Professional Coder—Hospital), or RHIA (Registered Health Information Administrator)
3 years of experience in coding
Knowledge of ICD-10-CM/PCS, coding, billing, clinical documentation, and coding compliance
Knowledge of federal regulations, coding rules, and payer requirements
Ability to conduct coding and documentation audits
Ability to prepare responses to third-party and insurance-company audits
Ability to educate physicians, coders, failed claims specialists, and clinical documentation specialists
Ability to collaborate with medical staff on coding queries
Work eligibility limited to Ohio for remote positions

Benefits

Comp & perks

Full-time schedule with 40 scheduled hours per week
Day shift
Work from home in Ohio
Equal employment opportunity