Coding Quality Review Specialist
Nashville, Davidson County, Tennessee, 37247, USA
Listed on 2026-01-12
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Healthcare
Medical Billing and Coding, Medical Records
About the job Coding Quality Review Specialist
Whats in it for you?
Competitive salary with a midpoint of $42.28/hour ($87,942/annually) based on years of experience.
Full-time, remote work flexibility.
Opportunity to contribute to an organization dedicated to ethical standards and industry leadership.
Work with a team of experts focused on accuracy, integrity, and compliance in medical coding.
Professional growth in a dynamic, high-performing environment.
What will you do?
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).
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).
Benefits:
- Medical, dental, and vision coverage
- 401(k) with company match
- Tuition reimbursement
- Free private furnished housing or tax‑free subsidy
- Paid time off (PTO)
- Parental leave
- Flexible spending account (FSA)
- Health savings account (HSA)
- Life insurance
- Mental health care
- Adoption benefit
- Employee stock purchase program
- Associate discounts
- Tax‑free tuition reimbursement up to $5,250 per calendar year
- Student loan assistance: $150 per month for full‑time, $75 per month for part‑time employees
- Primary care physician office visits, urgent care or walk‑in clinic, outpatient and inpatient hospital services, and emergency services
- Paid family leave
- Identity theft protection
- Dental HMO plans
- Sprint PCS employee discount
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