Coding Quality Review Specialist
Location: Remote
Full-time, Permanent

Our client is an industry leader in revenue cycle services, who is committed to delivering exceptional patient experiences.

This is a full-time, remote opportunity to contribute to an organization dedicated to ethical standards and industry leadership.

What will you do?

• Work with a team of experts focused on accuracy, integrity, and compliance in medical coding.

• Perform internal quality assessment reviews for Health Information Management Service Center (HSC) coders.

• Lead and coordinate all functions of coding quality reviews (routine, pre-bill, policy-driven, and incentive plan-driven) for inpatient and outpatient coding across multiple HSCs.

• Ensure coding staff adheres to national guidelines, HSC policies, and company coding policies.

• Apply expert-level knowledge of medical coding practices and concepts.

• Participate in special projects or reviews, maintaining accuracy and productivity standards (95% accuracy, 95% productivity).

• Keep coding knowledge current by reviewing official data quality standards, guidelines, policies, and clinical resources.

What will you need?

• Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's).

• Active RHIA, RHIT, and/or (mandatory).

• Extensive experience auditing MS-DRG inpatient coding:

  • 3+ years of hands-on MS-DRG auditing in a hospital setting.

  • 10+ years of total medical coding experience preferred.

• Demonstrated expertise across all body systems (not limited to one specialty, such as Orthopedics).

• Ability to pass a coding test: 20 multiple-choice/true-false and 5-7 behavioral questions (90 minutes).

• Reside in an eligible state (not available for California, Alaska, New York, or Colorado candidates).

Additional Information:
Competitive Salary, Medical, Dental, and Vision coverage 401(k), PTO.