Medical Coding Reviewer & Data Quality Specialist

Kingman Regional Medical Center; Kingman (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

Kingman Regional Medical Center seeks a Professional Services Certified Coding Reviewer to ensure accurate documentation and compliant coding across professional charges. The role emphasizes data quality, coding accuracy, and timely submission under CMS guidelines.

The reviewer will work with providers, offices and the HIM team, offering guidance, training, and monitoring of coding practices to support efficient revenue cycle operations.

Qualifications

• Advanced knowledge of ICD-10-CM, CPT, HCPCS and medical terminology.
• Thorough understanding of CMS coding and billing guidelines.
• Excellent written and verbal communication skills and critical thinking.

Responsibilities

• Ensures data quality in compliance with state, federal and regulatory requirements.
• Evaluates medical record documentation and charge reports for completeness and accuracy.
• Codes all professional charges to ensure accurate and timely billing.
• Performs coding reviews and surgical coding for practices and providers.
• Reports audit findings to physicians and operations directors.

Skills

ICD-10-CM/CPT/HCPCS

Medical terminology

CMS guidelines

Education

High school diploma or equivalent

Tools

Office software

Job description

Kingman Regional Medical Center seeks a Professional Services Certified Coding Reviewer to ensure accurate documentation and compliant coding across professional charges. The role emphasizes data quality, coding accuracy, and timely submission under CMS guidelines.

The reviewer will work with providers, offices and the HIM team, offering guidance, training, and monitoring of coding practices to support efficient revenue cycle operations.