Coding Quality review Specialist (824672)

Nashville, IN - USA

Monthly Salary: Not Disclosed

Posted on: 5 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Title: Coding Quality Review Specialist
Location: 100% Remote
Employment Type: Full-Time Permanent

Job Summary

We are seeking an experienced Coding Quality Review (CQR) Specialist to join our Health Information Management Service Center (HSC) team. This fully remote role is responsible for performing internal quality assessment reviews of inpatient and outpatient coding to ensure compliance with national coding guidelines HSC coding policies and Company standards. The CQR Specialist plays a critical role in maintaining accurate consistent coding that supports appropriate reimbursement and data integrity.

Job Responsibilities

Lead coordinate and perform all quality review functions including routine pre-bill policy-driven and incentive plan-driven reviews
Conduct inpatient and outpatient coding quality reviews across multiple Health Information Service Centers (HSCs)
Assist in ensuring HSC coding staff adherence to national coding guidelines and Company policies
Demonstrate and apply expert-level knowledge of medical coding practices and concepts
Participate in special reviews audits and quality improvement projects as assigned
Maintain or exceed 95% productivity standards
Maintain or exceed 95% accuracy standards
Meet all educational and compliance requirements as outlined in current Company policy
Review and stay current on official data quality standards coding guidelines Company policies and procedures and relevant clinical/medical resources

Qualifications

Associates or Bachelors degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred
RHIA or RHIT certification required
IP Coding Auditor experience for MS-DRG required
Must have experience coding all body systems (no single-specialty focus)
Minimum 3 years of hands-on MS-DRG inpatient coding audit experience in a hospital setting
Not open to recent graduates
Ideal candidate will have 10 years of overall coding experience and at least 3 years of MS-DRG auditing experience

Why Join Us
100% remote work environment
Opportunity to work with experienced coding professionals across multiple facilities
Make a direct impact on coding quality compliance and reimbursement accuracy

Best regards
Maeve Phillips

Job Title: Coding Quality Review Specialist Location: 100% Remote Employment Type: Full-Time Permanent Job Summary We are seeking an experienced Coding Quality Review (CQR) Specialist to join our Health Information Management Service Center (HSC) team. This fully remote role is responsible for perfo...

Job Title: Coding Quality Review Specialist
Location: 100% Remote
Employment Type: Full-Time Permanent

Job Summary

Job Responsibilities

Lead coordinate and perform all quality review functions including routine pre-bill policy-driven and incentive plan-driven reviews
Conduct inpatient and outpatient coding quality reviews across multiple Health Information Service Centers (HSCs)
Assist in ensuring HSC coding staff adherence to national coding guidelines and Company policies
Demonstrate and apply expert-level knowledge of medical coding practices and concepts
Participate in special reviews audits and quality improvement projects as assigned
Maintain or exceed 95% productivity standards
Maintain or exceed 95% accuracy standards
Meet all educational and compliance requirements as outlined in current Company policy
Review and stay current on official data quality standards coding guidelines Company policies and procedures and relevant clinical/medical resources

Qualifications

Associates or Bachelors degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred
RHIA or RHIT certification required
IP Coding Auditor experience for MS-DRG required
Must have experience coding all body systems (no single-specialty focus)
Minimum 3 years of hands-on MS-DRG inpatient coding audit experience in a hospital setting
Not open to recent graduates
Ideal candidate will have 10 years of overall coding experience and at least 3 years of MS-DRG auditing experience

Why Join Us
100% remote work environment
Opportunity to work with experienced coding professionals across multiple facilities
Make a direct impact on coding quality compliance and reimbursement accuracy

Best regards
Maeve Phillips