Job Description

Our client is an industry leader in revenue cycle services, who is committed to delivering exceptional patient experiences.

This is a full-time, remote opportunity to contribute to an organization dedicated to ethical standards and industry leadership.

What will you do?

• Work with a team of experts focused on accuracy, integrity, and compliance in medical coding.
• 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).
• Extensive experience auditing MS-DRG inpatient coding.
• 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).

Additional Information:

Competitive Salary, Medical, Dental, and Vision coverage 401(k), PTO.

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