HIM Cert Coder, Quality Review Analyst

Carle Health

Quality review of coding work for compliance and ongoing education of coding team members at Carle Health. Collaborating with HIM management for optimal coding practices.

Posted 4/22/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $24 - $41 per hourWebsite

About the role

Key responsibilities & impact

Perform accurate and timely quality reviews of internal and vendor coding team members using appropriate code sets and coding guidelines.
Develop and perform timely coding education to internal and vendor coding team members on coding systems, coding standards, protocols and Carle coding workflow as required based on quality review outcomes.
Perform as a production coder when needed in a manner aligned with current coding productivity and quality standards.
Share results of quality reviews to HIM Leadership with recommendations for education and training.
Compile and track statistics related to the review function, completed quality reviews, and follow up from those reviews.
Identify coder training needs, system issues, and/or documentation issues and report them timely to HIM leadership.
Review and respond to coding denials and coding questions as requested or assigned and perform clinical validation of appeal letters as needed.
Participate in system and new application testing as needed.
Provide denial trending data to leadership as requested.
Develop and perform HIM coding team member group education on coding topics identified during quality reviews and denial reviews.

Requirements

What you’ll need

Certified Professional Coder (CPC) - AAPC
Certified Coding Associate (CCA) - AHIMA
Certified Coding Specialist (CCS) - AHIMA
Registered Health Information Administrator (RHIA) - AHIMA
Registered Health Information Technician (RHIT) - AHIMA
Certified Professional Coder - Payer (CPC-P) - AAPC
Certified Professional Coder - Hospital (CPCH) - AAPC

Benefits

Comp & perks

Comprehensive benefits package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

coding educationquality reviewscoding standardscoding protocolsclinical validationdenial trendingcoding productivitycoding guidelinescoding systemsstatistical tracking

Soft Skills

communicationleadershiptrainingorganizationproblem-solving

Certifications

Certified Professional Coder (CPC)Certified Coding Associate (CCA)Certified Coding Specialist (CCS)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Professional Coder - Payer (CPC-P)Certified Professional Coder - Hospital (CPCH)