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Coding Quality Review Specialist

Jenn Nguyen and Friends
Nashville, TN Remote Full Time
POSTED ON 2/5/2025
AVAILABLE BEFORE 5/5/2025

Coding Quality Review Specialist

Location : Remote

Salary Range : $87,000K to $104,000 annually

Job Type : Full-time; In-office

Who Are We?

Parallon is a leader in revenue cycle services, partnering with over 650 hospitals and 2,400 physician practices across the nation. As part of the HCA Healthcare familya Fortune 100 company consistently recognized by Ethisphere as one of the Worlds Most Ethical Companies we are committed to delivering exceptional patient experiences, even after they leave our facilities. Join a team dedicated to excellence and innovation in healthcare!

What's In It for You?

  • Pay : $42.28 - $50.00 per hour
  • Remote Work Environment : This is a full-time, work-from-home opportunity, offering the convenience of remote work.
  • Professional Growth : Work alongside industry leaders while enhancing your skills with a focus on quality, compliance, and coding standards.
  • Impactful Work : Play a crucial role in ensuring accurate medical coding, data integrity, and appropriate reimbursement.
  • Competitive Standards : Contribute to an organization that values precision, productivity, and continuous learning.

What Will You Do?

As a Coding Quality Review (CQR) Specialist, you will :

  • Lead and coordinate quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs).
  • Perform routine, pre-bill, policy-driven, and incentive plan-driven coding reviews.
  • Ensure adherence to national coding guidelines and company policies to guarantee accuracy and compliance.
  • Demonstrate expert knowledge of medical coding practices and participate in special reviews or projects.
  • Maintain productivity and accuracy standards, achieving at least 95% in both metrics.
  • Stay current on all official data quality standards, coding guidelines, policies, and clinical / medical resources.

    • What Will You Need?

  • Education : Undergraduate degree in HIM / HIT preferred (Associate's or Bachelor's).
  • Certifications : RHIA, RHIT, and / or IP Coding Auditor for MS-DRG required.
  • Experience :
  • Minimum 10 years of hands-on medical coding experience.
  • At least 3 years of MS-DRG auditing experience in a hospital setting.
  • Broad experience across all body systems; specialists in one area (e.g., orthopedics) are not eligible.
  • Skills : Strong knowledge of medical coding practices, attention to detail, and the ability to maintain productivity and accuracy standards.
  • Location : Please note that we cannot hire candidates residing in California, Alaska, New York, or Colorado for this position.
  • Assessment : Completion of a coding test (20 multiple choice / true / false and 5-7 open-ended behavioral questions; 90 minutes) is required.

    • Be part of a team that values quality, compliance, and innovation. Apply today to make a difference in healthcare!

    Salary : $87,000 - $104,000

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