Coding Quality Review Specialist

job
  • Crescent Tree Staffing Solutions
Job Summary
Location
Nashville ,TN
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
03 Feb 2025
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Job Description

Our client is an industry leader in revenue cycle services, who is committed to delivering exceptional patient experiences.


This is a full-time, remote opportunity to contribute to an organization dedicated to ethical standards and industry leadership.


What will you do?


  • Work with a team of experts focused on accuracy, integrity, and compliance in medical coding.
  • 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).


Additional Information:

Competitive Salary, Medical, Dental, and Vision coverage 401(k), PTO.

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