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(Archived) Coding Quality Reviewer Specialist

Last Updated: 11/25/22

Job Description

Job description:

Top Client in need of Coding Quality Reviewer Specialist

Job Summary

As a Coding Quality Review (CQR) Specialist, you will operate in a work from home environment supporting all CQR team related systems and tools. You will perform internal quality assessment reviews on Health Information Management Service Center(HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity.

Job Responsibilities

  • Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs
  • Assist in ensuring HSC coding staff adherence with coding guidelines and policy
  • Demonstrate and apply expert level knowledge of medical coding practices and concepts
  • Participate on special reviews or projects
  • Maintain or exceed 95% productivity standards
  • Maintain or exceed 95% accuracy
  • Meet all educational requirements as stated in current Company policy
  • Review all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current


We cannot employee candidates who reside in California or Colorado for any of our work form home positions



Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's)
Equivalent work experience may substitute degree requirement
Minimum of 3 years' acute care inpatient/outpatient coding experience preferred
Minimum of 3 years' coding auditing/monitoring experience strongly preferred
RHIA, RHIT and/or CCS preferred

Why is This a Great Opportunity:


Company Details

Grand Rapids, Michigan, United States
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