Job Description

Coding Quality Review Specialist – Remote (Nashville, TN)

PLEASE READ THOROUGHLY TO AVOID REJECTION.

• Location: Work From Home (eligible states only; not available for California, Alaska, New York, or Colorado).
• Certification: Active RHIA, RHIT, or CCS required.
• Experience:
  • 3+ years of MS-DRG inpatient auditing in a hospital setting.
  • 10+ years of total medical coding experience preferred.
• Work Authorization: Must be authorized to work in the U.S. without sponsorship.
• Test Requirement: Must pass a coding test (90 minutes).

Role Overview:
Join a high-performing team dedicated to ensuring accuracy, integrity, and compliance in medical coding. As a Coding Quality Review Specialist, you will play a key role in auditing and maintaining coding quality across multiple Health Information Management Service Centers (HSCs) while contributing to an organization recognized for ethical standards and industry leadership.

Key Responsibilities:

• Perform internal quality assessment reviews for HSC coders.
• Lead and coordinate coding quality reviews, including routine, pre-bill, policy-driven, and incentive plan-driven reviews for inpatient and outpatient coding.
• Ensure adherence to national coding guidelines, HSC policies, and company standards.
• Apply expert-level knowledge of medical coding practices and concepts.
• Participate in special projects or reviews, maintaining accuracy (95%) and productivity (95%) standards.
• Stay current with official data quality standards, guidelines, and clinical resources.

Why Join Us?

• Competitive salary starting at $42.28/hour ($87,942 annually), with adjustments based on experience.
• Full-time, remote work flexibility.
• Opportunity to work with a team of experts dedicated to ethical and industry-leading practices.
• Professional growth in a dynamic, innovative environment.

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