Coding Quality review Specialist Job at Great Bay Staffing Group, Nashville, TN

c1FiOTdBUkdOMllaYThJanUrWXc2T1dON2c9PQ==
  • Great Bay Staffing Group
  • Nashville, TN

Job Description

Senior Medical Coding Quality Auditor - Remote Position (CQR Specialist)

Join our innovative healthcare organization as a Senior Medical Coding Quality Auditor, working remotely to ensure excellence in medical coding accuracy and compliance. This role offers the flexibility of working from home while utilizing your expert-level coding knowledge to maintain the highest standards of healthcare documentation.

Position Overview

As a Coding Quality Review (CQR) Specialist, you'll play a crucial role in maintaining coding accuracy and compliance across our Health Information Management Service Centers (HSC). This position combines technical expertise with quality assurance to ensure optimal reimbursement and data integrity.

Key Responsibilities

  • Conduct comprehensive quality reviews for inpatient and outpatient coding across multiple HSCs
  • Lead quality assessment initiatives including routine, pre-bill, and policy-driven reviews
  • Ensure compliance with national coding guidelines and organizational policies
  • Provide expert-level guidance on medical coding practices and concepts
  • Participate in specialized coding projects and quality improvement initiatives
  • Maintain 95% or higher productivity and accuracy standards
  • Stay current with industry updates and coding guidelines
  • Contribute to team education and best practices development

Required Qualifications

  • 10+ years of medical coding experience with 3+ years of MS-DRG auditing experience
  • Current RHIA or RHIT certification required
  • Demonstrated expertise in IP Coding Auditing for MS-DRG
  • Comprehensive knowledge of all body systems and coding applications
  • Experience in hospital-based coding environments
  • Associate's or Bachelor's degree in Health Information Management preferred
  • Strong analytical and problem-solving abilities
  • Excellent communication and documentation skills

Why This Is a Great Opportunity

  • 100% Remote work environment
  • Competitive salary and comprehensive benefits package
  • Work-life balance with flexible scheduling
  • Professional development and growth opportunities
  • Collaborative team environment
  • Stable position in the growing healthcare industry

Join Our Team

If you're passionate about medical coding accuracy and ready to take your career to the next level, we want to hear from you. Qualified candidates are encouraged to apply with their resume and credentials.

Keywords

Medical Coding, CQR, Health Information Management, RHIA, RHIT, MS-DRG, ICD-10, CPT, HCPCS, Revenue Cycle, Healthcare, Remote Work, Quality Assurance, Auditing, Clinical Documentation, Compliance, Revenue Integrity, Hospital Coding, Inpatient Coding, Outpatient Coding, Healthcare Compliance, Medical Records, HIM, Remote Healthcare, Coding Specialist

Job Tags

Work from home, Flexible hours,

Similar Jobs

RWE Clean Energy

Solar Farm Technician I Job at RWE Clean Energy

 ...Functional area:** Operations & Maintenance**Remuneration:** Non-ExemptThe **Solar Farm Technician I** performs preventative and corrective maintenance for all scopes of an operating power plant, including civil, mechanical, and electrical inspection and repair. The Solar... 

Wood PLC

Firewatch/Hole watch Job at Wood PLC

RESPONSIBILITIES Identify, recognize and demonstrate safe usage of hand tools and power tools appropriate for the job Recognize various materials used in the craft and demonstrate a working knowledge of appropriate material handling techniques Select and safely...

Orion Placement

Legal Assistant - Plaintiff-Side Class Action Job at Orion Placement

 ...litigation skills in federal and state court practice, calendaring, filings, and case management Great growth path for motivated legal assistants who want to move up within class action, employment, or consumer law Competitive hourly pay, full benefits, and a... 

Community Health Systems

OB/GYN Ultrasound Tech PRN Job at Community Health Systems

**_OB/GYN Ultrasound Technologist_****_Position Type: PRN Days_****_Benefits:_**+ **_401(k) with matching_**This position is in support of the OB/GYN Clinic**Job Summary**The Ultrasound Technologist performs high-quality diagnostic ultrasound examinations to assist... 

Elevance Health

Investigator Job at Elevance Health

 ...Investigator I - Payment Integrity SIU Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration...  ...education and experience, which would provide an equivalent background. Please be advised that Elevance Health only accepts...