Medical Coding Auditor Job at Talently, Nashville, TN

N05VVDFiMWtEVmx5YmYzOTlCTmJLQUYxMmc9PQ==
  • Talently
  • Nashville, TN

Job Description

Job Description

Location: Remote

Salary: $85,000+ depending on experience

Skills: Auditing, Inpatient Coding, DRG Validation, Quality Review

About the Company / Opportunity:

Are you passionate about upholding quality standards in health information management and coding practices? Our client, an industry leader in the hospitals and health care sector, provides nationwide revenue cycle services to a vast network of hospitals and physician practices. This remote opportunity allows you to leverage your expertise in coding quality review, ensuring compliance with national guidelines and maintaining data integrity. Join a mission-driven organization focused on supporting patient outcomes and enhancing health care delivery through excellence in coding quality.

Responsibilities:

  • Lead, coordinate, and perform all functions of quality review for inpatient and outpatient coding across multiple facilities.
  • Conduct routine, pre-bill, policy-driven, and incentive plan-driven coding quality audits to ensure compliance with established guidelines and policies.
  • Support coding staff adherence to national coding guidelines and company policies through audits and targeted feedback.
  • Apply expert-level knowledge of medical coding practices to identify areas for improvement and provide education to coding staff.
  • Participate in special projects or reviews as needed to support continuous quality improvement.
  • Maintain or exceed productivity and accuracy standards (95%+).
  • Stay current on official data quality standards, coding guidelines, and ongoing educational requirements.

Must-Have Skills:

  • CCS, RHIA, and/or RHIT (mandatory).
  • At least 10 years of hospital medical coding experience, with a minimum of 3 years auditing MS-DRG Inpatient medical records.
  • Demonstrated expertise as an IP Coding Auditor with advanced MS-DRG auditing experience.
  • Proven experience coding across all body systems (not limited to specialty areas).
  • Strong understanding of official coding guidelines, data quality standards, and hospital coding compliance.

Nice-to-Have Skills:

  • Undergraduate degree in Health Information Management (HIM) or Health Information Technology (HIT) (Associate's or Bachelor's preferred).
  • Experience participating in special quality review projects or process improvement initiatives.
  • Background supporting multi-site health systems or large-scale coding review teams.
  • Familiarity with remote work tools and distributed team collaboration.
  • Ongoing commitment to professional development and continuous education in medical coding.

Job Tags

Similar Jobs

Whatcom Occupational Health

Physician Assistant Job at Whatcom Occupational Health

 ...exceptional care to our patients. Apply now to be part of our team. Role Description This is a full-time, on-site role for a Physician Assistant located in Bellingham, WA. The Physician Assistant will provide direct patient care, including conducting physical... 

Rise Incorporated

Employment Consultant Level 1 Job at Rise Incorporated

Job Type Full-time Description At Rise, we believe that everyone deserves opportunities to live a life filled with purpose and pride. In our employment, housing, and life-enrichment services, we support people to set and achieve their personal goals. ...

Groundworks Industries

Assistant Dispensary Manager - Electric Lettuce, Weidler Job at Groundworks Industries

 ...at Electric Lettuce [LOCATION]: Become Our Next Assistant Dispensary Manager! Are you ready to elevate your career to new highs...  ...nextAssistant Dispensary Manager. If you have a love for the cannabis industry, a knack for customer service, and a desire to work in... 

Synergy America

PM003 - Mainframe Developer Job at Synergy America

Job DescriptionThe target salary is up to $85k. However, there is flexibility to go beyond that for a solid candidate.If the candidate hasn't programmed in CICS and/or DB2 programs within the last 5 years, please do not send them.Please send resumes directly to me for...

BWXT

Senior Network Engineer Job at BWXT

 ...and Defense News Top 100 manufacturing and engineering innovator that provides safe and effective nuclear solutions for global security, clean energy, environmental restoration,...  ...Technologies, Inc. is currently seeking a Senior Network Engineer for its Lynchburg, VA location (...