Quality Analyst

The Ohio State University, Main Campus

. Evaluate the accuracy, completeness, and compliance of outpatient coding through random, focused, and risk-based audits .

Posted 10/26/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in outpatient coding, including ICD-10-CM and CPT, while ensuring compliance with CMS NCCI and OCE requirements. Proficient in conducting audits, resolving coding discrepancies, and providing guidance to coding specialists.

Highest-signal resume keywords

Outpatient Coding ExperienceICD-10-CM ProficiencyCPT KnowledgeCoding Compliance AuditsCredentialed as RHIT, RHIA, CCS, COC, or CPC

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding Accuracy EvaluationAutomated Coding SystemsClaim ResolutionDocumentation ReviewCoding Discrepancy IdentificationAudit ReportingCharge Description Master UpdatesCoding Guidelines KnowledgeFollow-Up ReviewsCoding Education Effectiveness

Soft Skills

CollaborationFeedback ProvisionGuidance to Coding Specialists

Tools & Technologies

CranewareComputer-Assisted CodingAutomated EncoderDesignated Reporting SystemsSpreadsheets

Certifications & Qualifications

CAHIIM-Approved Coding CertificateRHITRHIACCSCOCCPC

Industry Keywords

Compliance RisksDenial TrendsPayer GuidanceRegulatory RequirementsContinuing Education Requirements

About the role

Key responsibilities & impact

Evaluate the accuracy, completeness, and compliance of outpatient coding through random, focused, and risk-based audits
Review coded medical records, including records processed through automated coding systems
Resolve claim and coding edits and respond to Central Business Office requests
Apply CMS NCCI and OCE requirements, Craneware, payer guidance, and charge description master updates
Identify coding discrepancies, documentation concerns, denial trends, and compliance risks
Document and report audit activities, findings, and trends using designated systems, spreadsheets, and automated reporting tools
Provide timely feedback and guidance to coding specialists
Collaborate with coding leadership and education staff to address opportunities and educational needs
Conduct follow-up reviews to assess corrective actions and education effectiveness
Maintain current knowledge of coding guidelines and regulatory and payer requirements
Update IHIS accounts and modify codes or charges according to standard operating procedures and supporting documentation
Recommend improvements to coding accuracy, consistency, reimbursement, and compliance

Requirements

What you’ll need

Minimum completion of a CAHIIM-approved coding certificate program or HIMT program
Satisfactory completion of OSUWMC’s coding test
Familiarity or experience with computer-assisted coding and/or automated encoder
Bachelor’s degree or equivalent experience
2 years of relevant experience required
2–4 years of outpatient coding experience preferred, including ICD-10-CM and CPT for emergency, outpatient, ambulatory surgery, observation, and series/clinics
For hospital coding: credentialed as RHIT, RHIA, CCS, COC, or CPC
Maintain continuing education requirements determined by AHIMA or AAPC
Final candidates subject to successful completion of a background check; drug screen or physical may be required post-offer

Benefits

Comp & perks

Remote work schedule eligibility
Regular position
40 scheduled hours per week
First shift
Continuing education opportunities and coding education sessions