Coding Quality Review Specialist

6 days ago


Nashville, Tennessee, United States ReqOverflow Full time
Job Title: Coding Quality Review Specialist

We are seeking a highly skilled Coding Quality Review Specialist to join our team at ReqOverflow. As a Coding Quality Review Specialist, you will play a critical role in ensuring the accuracy and consistency of coding practices across our Health Information Management Service Center (HSC) operations.

Key Responsibilities:
  • Lead and coordinate quality reviews for inpatient and outpatient coding across multiple HSCs
  • Assist in ensuring HSC coding staff adherence with coding guidelines and policy
  • Demonstrate and apply expert-level knowledge of medical coding practices and concepts
  • Participate in special reviews or projects
  • Maintain or exceed 95% productivity standards
  • Maintain or exceed 95% accuracy
  • Meet all educational requirements as stated in current Company policy
Requirements:
  • Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's)
  • RHIA, RHIT, and/or mandatory
  • IP Coding Auditor for MS-DRG
  • Must have experience in all body systems, cannot be specialized in one area
  • Must have 3 years of hands-on coding MS-DRG auditing in a hospital setting
  • Cannot be a recent graduate, ideally 10+ years of coding and 3 years of auditing in MS-DRG Inpatient medical records
Additional Information:
  • FTEs: 4

Please note that we cannot employ candidates who reside in California, Alaska, New York, or Colorado for any of our work-from-home positions. You will be required to complete a coding test as part of the application process.



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