Coding Quality Review Specialist

Consulting Firm

Coding Quality Review Specialist performing internal quality assessments for healthcare client in Nashville, TN. Ensuring compliance with coding standards and supporting coding teams remotely.

Posted 6/25/2026full-timeRemote • Tennessee • 🇺🇸 United StatesSeniorLeadWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Associate’s or Bachelor’s Degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred
Minimum of 10 years of medical coding experience and at least 3 years of inpatient MS-DRG auditing in a hospital setting
Prior experience with quality review and coding compliance required
RHIA and/or RHIT certification required
IP Coding Auditor certification for MS-DRG required
Expert knowledge of medical coding practices and standards
Strong analytical and auditing skills
Excellent written communication and attention to detail
Proficiency with coding systems, data management tools, and remote audit platforms

Benefits

Comp & perks

Competitive pay with opportunities for overtime and weekend shifts.
Comprehensive medical, dental, and vision insurance.
Life insurance and disability coverage.
401(k) retirement plan with employer match.
Paid time off — vacation, sick leave, and holidays.
Continuing education and professional development opportunities.
Supportive, team-oriented work environment.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codinginpatient codingoutpatient codingMS-DRG auditingcoding compliancedata quality standardscoding guidelinesauditingdata management

Soft Skills

analytical skillsattention to detailwritten communicationcoachingfeedback

Certifications

RHIARHITIP Coding Auditor certification for MS-DRG