Job Description:Position Title: Coding Quality Review (CQR) SpecialistLocation: Remote (U.S.-based only; Excludes CA, AK, NY, CO)Position Type: Full-Time | Work From HomeStart Timeline: ASAPCompensation Hourly Rate: Midpoint of $42.28/hr (based on experience) Employment Type: W2FTEs on Team: 4About the EmployerA national leader in revenue cycle services, this organization supports over 650 hospitals and 2,400physician practices. Their Coding Quality Review team ensures compliant, accurate coding that drivesreimbursement accuracy and healthcare data integrity across the enterprise.Role SummaryThe Coding Quality Review (CQR) Specialist is responsible for conducting high-quality audits of inpatientand outpatient medical coding across multiple HIM Service Centers (HSCs). This fully remote role isinstrumental in maintaining adherence to national coding guidelines and company policies whileimproving coder accuracy and reimbursement compliance.Key Responsibilities Lead and perform internal coding quality reviews (routine, pre-bill, policy-driven, incentive-based) Audit inpatient MS-DRG medical records across all body systems Maintain coding accuracy (95% minimum) and productivity standards Participate in special audits and compliance projects Stay current on coding guidelines, data standards, and company policies Review and interpret multiple medical and regulatory resources for audit supportSupport coder education and development across HSCsMust-Have Qualifications (Strict Requirements) RHIA, RHIT, or CCS certification (Required) 3+ years of hands-on MS-DRG inpatient coding audit experience (Required) Experience auditing across all body systems (No specialization-only coders) Minimum 10+ years of total coding experience in a hospital setting Must meet 95% accuracy and productivity benchmarks Proficiency in current coding guidelines and compliance tools Strong attention to detail and ability to work independently in a virtual environmentNote: Recent HIM grads and coders with no MS-DRG audit background will not be considered.Preferred Qualifications Associates or Bachelors degree in Health Information Management (HIM) or HealthInformation Technology (HIT) Prior experience as a lead or educator in HIM coding QA/QC Familiarity with multi-facility audit processes or centralized coding platforms Experience participating in enterprise compliance audits or payer reviewsRequired Skills:•Organization •Medical Records •Compliance •HIM •Hospitals •Data Integrity •Attention To Detail •Healthcare •Compensation •Reviews •Auditing •Information Technology •Records •Education •Management Salary Package: $ None - 42.28 (US Dollar)
Gulf Coast Automation Group LLC