Outpatient Quality Analyst

Job Summary

To enhance healthcare quality, the remote Outpatient Quality Analyst will manage outpatient coding audits, ensuring accuracy and compliance while providing mentorship and feedback to coders in a full-time capacity.

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 both 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