What are the responsibilities and job description for the Coding Quality Review Specialist position at TalentPlug LLC?
Role : Coding Quality Review Specialist
Duration : Full-time / Permanent
Location : Nashville TN (Work From Home)
Who are we?
Client is an industry leader in revenue cycle services, partnering with over 650 hospitals and 2,400 physician practices nationwide.
As part of HCA Healthcare, consistently recognized as a World's Most Ethical Company by Ethisphere and listed in the Fortune 100, we are committed to delivering exceptional patient experiences even after they leave our care facilities.
What's in it for you?
Full-time, remote work flexibility.
Opportunity to contribute to an organization dedicated to ethical standards and industry leadership.
Work with a team of experts focused on accuracy, integrity, and compliance in medical coding.
Professional growth in a dynamic, high-performing environment.
What will you do?
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).
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