Coding Quality Review Specialist

Sterling Inspired Staffing.; Nashville (TN); Remote; USD 37,800 - 46,200; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) with company match

Tuition reimbursement

Free private furnished housing

Paid time off (PTO)

Job summary

A leading staffing solution provider is seeking a Coding Quality Review Specialist to perform internal quality assessment reviews and lead coding quality functions. Ideal candidates should possess significant experience in medical coding and auditing, along with relevant certifications. This role offers remote flexibility and a competitive salary of $42.28 per hour, along with comprehensive benefits including medical coverage, 401(k), tuition reimbursement, and more.

Qualifications

• 3+ years of hands-on MS-DRG auditing in a hospital setting.
• 10+ years of total medical coding experience preferred.
• Demonstrated expertise across all body systems.

Responsibilities

• Perform internal quality assessment reviews for coders.
• Lead and coordinate coding quality reviews across multiple HSCs.
• Ensure adherence to national guidelines and company policies.

Skills

Medical coding expertise

MS-DRG auditing

Attention to detail

Education

Undergraduate degree in HIM/HIT

Active RHIA or RHIT certification

Job description

About the job Coding Quality Review Specialist

Whats in it for you?

Competitive salary with a midpoint of $42.28/hour ($87,942/annually) based on years of experience.

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).

Active RHIA, RHIT, and/or (mandatory).

3+ years of hands‑on MS‑DRG auditing in a hospital setting.

10+ years of total medical coding experience preferred.

Demonstrated expertise across all body systems (not limited to one specialty, such as Orthopedics).

Ability to pass a coding test: 20 multiple‑choice/true‑false and 5‑7 behavioral questions (90 minutes).

Reside in an eligible state (not available for California, Alaska, New York, or Colorado candidates).

Benefits:

• Medical, dental, and vision coverage
• 401(k) with company match
• Tuition reimbursement
• Free private furnished housing or tax‑free subsidy
• Paid time off (PTO)
• Parental leave
• Flexible spending account (FSA)
• Health savings account (HSA)
• Life insurance
• Mental health care
• Adoption benefit
• Employee stock purchase program
• Associate discounts
• Tax‑free tuition reimbursement up to $5,250 per calendar year
• Student loan assistance: $150 per month for full‑time, $75 per month for part‑time employees
• Primary care physician office visits, urgent care or walk‑in clinic, outpatient and inpatient hospital services, and emergency services
• Paid family leave
• Identity theft protection
• Dental HMO plans
• Sprint PCS employee discount