Coding Quality Reviewer Specialist (Inpatient MS-DRG)

Coding Quality Reviewer Specialist (Inpatient MS-DRG)

Compensation: ~$40-$45/hr (midpoint $42.28/hr, based on experience)

Location: Nashville, TN (Remote Work From Home)

Work Policy: Full-time | Remote (eligible in most U.S. states; not available in CA, AK, NY, or CO)

Stage: National revenue cycle services leader supporting 650+ hospitals and 2,400+ physician practices

Who Are We?

Were a national leader in healthcare revenue cycle management, partnering with more than 650 hospitals and 2,400 physician practices across the country. As part of a Fortune 100 healthcare organization recognized as one of the Worlds Most Ethical Companies, were committed to improving the patient financial experience long after care is delivered.

Our Coding Quality Review team ensures the accuracy and integrity of medical coding across multiple facilitiesdriving both operational excellence and appropriate reimbursement.

Whats in It for You?

• 100% remote role with the stability of a national healthcare organization.
• Work with a collaborative team of expert coders and auditors supporting multiple health systems.
• Contribute directly to data integrity and compliance across hundreds of hospitals nationwide.
• Competitive hourly compensation with benefits and professional development support.
• Join a company consistently recognized for ethics, innovation, and workplace culture.

What Will You Do?

• Conduct inpatient and outpatient coding quality reviews (routine, pre-bill, and policy-driven) across multiple Health Information Management Service Centers (HSCs).
• Ensure compliance with national coding guidelines and company coding policies.
• Perform internal audits on HSC coders, focusing on MS-DRG accuracy, documentation integrity, and reimbursement alignment.
• Achieve and maintain 95%+ productivity and accuracy standards.
• Provide feedback and guidance to coding staff on audit findings and compliance best practices.
• Stay current on official data quality standards, coding updates, and regulatory changes.
• Participate in special projects, targeted reviews, and policy initiatives.

What Will You Need?

• Associates or Bachelors degree in HIM/HIT preferred.
• Active RHIA or RHIT credential (mandatory).
• Minimum 10 years of hospital coding experience, with at least 3 years of inpatient MS-DRG auditing experience.
• Demonstrated expertise in coding across all body systems (not specialized).
• Proven ability to meet or exceed accuracy and productivity benchmarks.
• Strong analytical, communication, and documentation skills.
• Must be able to complete and pass a coding assessment (90 minutes; includes multiple choice and open-ended questions).
• Residency in an eligible U.S. state (excluding CA, AK, NY, and CO).