Coding Quality Analyst

Pinnacle Method Consulting; United States; Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Opportunity for career advancement

Competitive salary with bonuses

Supportive work environment

Job summary

A leading consulting firm is seeking a skilled medical coder to conduct audits and ensure accurate coding assignments in healthcare. The position is fully remote, offering opportunities for career advancement and competitive salary. Candidates should have an associate degree in Health Information Management, along with 3-5 years of outpatient coding experience and relevant certifications like RHIT or CCS. If you aim to impact coding quality positively, this is an opportunity not to be missed.

Qualifications

• 3-5 years of medical center outpatient coding experience required.
• Knowledge of electronic health records and health information management applications essential.
• Relevant certifications like RHIT, RHIA, CCS, or COC needed.

Responsibilities

• Conduct random audits of medical records for accurate coding.
• Review medical records to verify diagnoses and procedures.
• Maintain records of audits and advise coding specialists on guidelines.

Skills

Medical coding

Health information management

ICD10-CM

CPT coding

Electronic health records

Education

Associate degree in Health Information Management

Tools

3M APC Software

Job description

Pinnacle Method Consulting's mission is to help job seekers reach their career peak by accessing top‑tier opportunities. We are not a staffing firm or agency. Pinnacle Method does not hire for these roles—we systematically source and verify them from premier employers.

Employer Industry: Healthcare Services

Why Consider This Job Opportunity

• Opportunity for career advancement and growth within the organization
• Work remotely from anywhere
• Competitive salary with potential for bonuses
• Supportive and collaborative work environment
• Chance to significantly impact coding quality and accuracy in healthcare

What To Expect (Job Responsibilities)

• Conduct random audits of medical records to ensure accurate coding assignments
• Review and analyze medical records for appropriate diagnoses and procedures
• Utilize encoding and abstracting systems to ensure complete and accurate coding
• Maintain detailed records of audits, results, recommendations, and follow‑ups
• Advise coding specialists on coding guidelines and practices as needed

What Is Required (Qualifications)

• Associate degree in Health Information Management
• 3‑5 years of medical center outpatient coding experience (ICD10‑CM and CPT)
• Knowledge and experience with electronic health records and health information management applications
• Relevant certifications such as RHIT, RHIA, CCS, or COC
• Strong understanding of coding guidelines and practices

How To Stand Out (Preferred Qualifications)

• Bachelor’s degree in Health Information Administration or equivalent
• Additional certifications in coding and health information management
• Experience with 3M APC Software claim edits
• Familiarity with CMS' National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE) edits
• Previous experience in a healthcare setting focused on coding quality improvement

We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the Employer of Record (EOR) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.