The Coding Quality Review Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records for a top healthcare client. This role ensures adherence to national coding standards, HSC policies, and company procedures to maintain optimal data integrity, accurate reimbursement, and compliance with federal regulations. It is a remote position supporting a client based in Nashville, TN at Cooperidge Consulting Firm.
What You'll Do
- Perform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs).
- Audit medical records to ensure coding accuracy, completeness, and compliance with MS-DRG and national standards.
- Provide feedback, coaching, and documentation support to coders to improve performance and maintain consistency.
- Participate in special review projects and policy-driven audit initiatives.
- Maintain productivity and accuracy rates of at least 95%.
- Keep coding knowledge current by reviewing official data quality standards, coding guidelines, and policy updates.
- Support adherence to internal and external compliance requirements for data and reimbursement accuracy.
Work Mode
- This is a remote position supporting a client based in Nashville, TN.
