Job Description

Coding Quality Review Specialist

Nashville, TN (Work From Home)

Full-time, Permanent

An industry leader in revenue cycle services, partnering with over 650 hospitals and 2,400 physician practices nationwide. As part of HCA Healthcare, consistently recognized as a World’s Most Ethical Company by Ethisphere and listed in the Fortune 100, we are committed to delivering exceptional patient experiences even after they leave our care facilities.

What’s in it for you?

• Competitive salary with a midpoint of $42.28/hour ($87,942/annually) based on years of experience.
• Full-time, remote work flexibility.
• Opportunity to contribute to an organization dedicated to ethical standards and industry leadership.
• Work with a team of experts focused on accuracy, integrity, and compliance in medical coding.
• Professional growth in a dynamic, high-performing environment.

What will you do?

• 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).

If you are an experienced coding professional with a passion for accuracy, data integrity, and teamwork, apply today to join our industry-leading team!

Job Tags

Similar Jobs