Coding Quality Review SpecialistCooperidge Consulting Firm • Nashville, Tennessee, United States
Coding Quality Review Specialist
Cooperidge Consulting Firm
- Nashville, Tennessee, United States
- Nashville, Tennessee, United States
Über
Coding Quality Review Specialist
for a top
healthcare
client based in
Nashville, TN
(remote position). The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. This role ensures adherence to national coding standards, HSC policies, and company procedures to maintain optimal data integrity, accurate reimbursement, and compliance with federal regulations. Job Responsibilities
Perform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs). Audit medical records to ensure coding accuracy, completeness, and compliance with MS-DRG and national standards. Provide feedback, coaching, and documentation support to coders to improve performance and maintain consistency. Participate in special review projects and policy-driven audit initiatives. Maintain productivity and accuracy rates of at least 95%. Keep coding knowledge current by reviewing official data quality standards, coding guidelines, and policy updates. Support adherence to internal and external compliance requirements for data and reimbursement accuracy. Education
Associate’s or Bachelor’s Degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred Experience
Minimum of 10 years of medical coding experience and at least 3 years of inpatient MS-DRG auditing in a hospital setting Prior experience with quality review and coding compliance required Certifications/Licenses
RHIA and/or RHIT certification required IP Coding Auditor certification for MS-DRG required Skills or Competencies
Expert knowledge of medical coding practices and standards Strong analytical and auditing skills Excellent written communication and attention to detail Proficiency with coding systems, data management tools, and remote audit platforms Competitive pay with opportunities for overtime and weekend shifts. Comprehensive
medical, dental, and vision insurance . Life insurance
and
disability coverage . 401(k)
retirement plan with employer match. Paid time off
— vacation, sick leave, and holidays. Continuing education and
professional development
opportunities. Supportive, team-oriented work environment.
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Sprachkenntnisse
- English
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