Coding Education & Quality Analyst

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

This position conducts professional coding audits of clinical coding records across inpatient, outpatient, observation, emergency department, and all OhioHealth Physician Group (OPG) clinic service lines. The Education and Quality Analyst provides education to physicians, coders, failed claims specialists, and clinical documentation specialists regarding coding, billing, clinical documentation, and coding compliance. The analyst also collaborates with medical staff to address coding queries across all OPG clinic service lines. In addition, the Coding Education and Quality Analyst helps ensure that coding and billing for patient services comply with governmental program requirements and the contractual obligations of non-governmental payers. This position is also responsible for preparing and submitting responses to third-party audits, including those conducted by insurance companies. The analyst evaluates the quality and productivity of new hires and coders who are subject to quality monitoring. Quality-monitoring results are shared with coding management to support performance improvement efforts and, when appropriate, the development of work improvement plans. Responsibilities And Duties: