Coding Quality Review Specialist
Cooperidge Consulting FirmNashville, TN
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Overview
Schedule
Full-time
Education
Health Information (RHIA, RHIT)
Career level
Senior-level
Remote
Remote
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Job Description
Cooperidge Consulting Firm is seeking a Coding Quality Review Specialist for a top healthcare client based in Nashville, TN (remote position).
The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. This role ensures adherence to national coding standards, HSC policies, and company procedures to maintain optimal data integrity, accurate reimbursement, and compliance with federal regulations.
Job Responsibilities
- Perform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs).
- Audit medical records to ensure coding accuracy, completeness, and compliance with MS-DRG and national standards.
- Provide feedback, coaching, and documentation support to coders to improve performance and maintain consistency.
- Participate in special review projects and policy-driven audit initiatives.
- Maintain productivity and accuracy rates of at least 95%.
- Keep coding knowledge current by reviewing official data quality standards, coding guidelines, and policy updates.
- Support adherence to internal and external compliance requirements for data and reimbursement accuracy.
Requirements
Education
- Associate’s or Bachelor’s Degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred
Experience
- Minimum of 10 years of medical coding experience and at least 3 years of inpatient MS-DRG auditing in a hospital setting
- Prior experience with quality review and coding compliance required
Certifications/Licenses
- RHIA and/or RHIT certification required
- IP Coding Auditor certification for MS-DRG required
Skills or Competencies
- Expert knowledge of medical coding practices and standards
- Strong analytical and auditing skills
- Excellent written communication and attention to detail
- Proficiency with coding systems, data management tools, and remote audit platforms
Benefits
- Competitive pay with opportunities for overtime and weekend shifts.
- Comprehensive medical, dental, and vision insurance.
- Life insurance and disability coverage.
- 401(k) retirement plan with employer match.
- Paid time off — vacation, sick leave, and holidays.
- Continuing education and professional development opportunities.
- Supportive, team-oriented work environment.
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FAQs About Coding Quality Review Specialist Jobs at Cooperidge Consulting Firm
What is the work location for this position at Cooperidge Consulting Firm?
This job at Cooperidge Consulting Firm is located in Nashville, TN, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Cooperidge Consulting Firm?
Employer has not shared pay details for this role.
What employment applies to this position at Cooperidge Consulting Firm?
Cooperidge Consulting Firm lists this role as a Full-time position.
What experience level is required for this role at Cooperidge Consulting Firm?
Cooperidge Consulting Firm is looking for a candidate with "Senior-level" experience level.
Does Cooperidge Consulting Firm allow remote work for this role?
Yes, this position at Cooperidge Consulting Firm supports remote work, giving candidates the flexibility to work outside the primary office location.
What education level is required for this job?
The education requirement for this position is Health Information (RHIA, RHIT). Candidates with relevant qualifications or equivalent experience may also be considered.
What benefits are offered by Cooperidge Consulting Firm for this role?
Cooperidge Consulting Firm offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, Disability Insurance, Life Insurance, Paid Holidays, Paid Vacation, Paid Sick Leave, Career Development, 401k Matching/Retirement Savings, and Tuition/Education Assistance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Cooperidge Consulting Firm?
You can apply for this role at Cooperidge Consulting Firm either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.