Coding Quality review Specialist

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