Outpatient Quality Analyst

Key Responsibilities: Review coding audits for accuracy, consistency, and compliance Provide coaching and support to coders to improve accuracy and confidence Deliver feedback from audits and identify training needs or process gaps

Required Qualifications: High School Diploma required; CCS or CPC certification required At least 5 years of coding experience in professional and hospital settings Deep knowledge of ICD-10, HCPCS/CPT, Medicare OPPS, and APCs Skilled in using encoder tools (Optum, TrueCode, 3M, Webstrat) Ability to code complex outpatient services and apply modifiers according to Medicare/NCCI rules