Quality Officer; Medical Coding

HIM Coding Quality Officer I

Work Setting: Remote (Must reside in NJ, NY, or PA)

Schedule: Monday–Friday, Day Shift

We are seeking a HIM Coding Quality Officer I to ensure the accuracy, integrity, and compliance of ICD-10-CM/PCS coding and DRG assignment for inpatient encounters (non-Medicare). This role requires advanced coding expertise, critical thinking, and strong analytical skills beyond standard coding responsibilities.

The Quality Officer plays a key role in maintaining organizational coding accuracy, supporting compliance with federal and state regulations, and coaching coders to drive consistent, high-quality outcomes across acute care facilities.

• Ensure accurate ICD-10-CM/PCS, CPT (when applicable), and DRG assignment in compliance with regulatory and coding guidelines
• Perform in-depth analysis of inpatient medical records, including SOI, ROM, and POA indicators
• Independently manage EPIC SMART work queues and review flagged inpatient accounts
• Provide clear, case-specific written coding recommendations and rationale
• Educate and coach coders on coding principles, sequencing, DRG assignment, and clinical indicators
• Support system-wide consistency in coding practices across multiple acute care facilities
• Maintain high organizational coding accuracy and meet established productivity standards
• Conduct regulatory coding research as needed
• Collaborate with other Quality Officers to meet review and quality goals
• Maintain detailed documentation of review activity and escalating system issues as required

• CCS certification (required)
• Strong proficiency in ICD-10-CM/PCS
• Bachelor’s degree or equivalent experience
• 4+ years acute care coding/auditing experience with a Bachelor’s degree OR 7+ years acute care coding/auditing experience without a Bachelor’s degree
• Extensive knowledge of medical terminology, anatomy & physiology, disease processes, and pharmacology
• Solid understanding of billing and coding regulations
• Excellent written, verbal, and interpersonal communication skills
• Strong organizational, time-management, and independent working abilities

• CPC-H, RHIT, RHIA, and/or RN credentials
• Salary Range: $75,597 – $106,780 annually (NJ-based range)
• Paid Time Off
• Medical, dental, and vision coverage
• Short- and long-term disability
• Wellness programs and employee discounts

• Fully remote
• Candidates must be based in New Jersey, New York, or Pennsylvania

Mid-Senior level

Full-time

Quality Assurance and Administrative

Health and Human Services