Coding Quality Reviewer/Audit
Dormont Manufacturing Co
Job Details The Revenue Cycle Inpatient Coder is a Health Information Management Professional responsible for ICD-10 coding, POA and DRG assignment and abstracting of inpatient episodes of care according to ICD-10-CM/PCS Coding Rules and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Description Essential Functions Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Performs ICD-10-CM /CPT coding and data abstraction within minimum established accuracy and productivity rates. Attends mandatory staff education sessions and department meetings. Refers coding issues to supervisor in a timely manner for determination and guideline development. Complete and submit a weekly productivity log. Education - Preferred Bachelor’s Degree in Health Information Management, Nursing, Business Administration, Health Administration or related field preferred. Experience - Required 3 years experience coding inpatient acute care medical records. Knowledge, Skills and Abilities - Required Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems, ability to apply this knowledge appropriately to diverse situations. Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems and create alternative solutions that resolve the problems in the best interest of the business. Understanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors. Knowledge of and ability to read, interpret and draw accurate conclusions from financial and numerical material. Knowledge of coaching concepts and methods, ability to encourage, motivate, and guide individuals or teams in learning and improving effectiveness. Understanding of the value of self-motivation and initiative, ability and willingness to seek out work and the drive to accomplish goals. Knowledge of the techniques and the ability to work with a variety of individuals and groups in a constructive and collaborative manner. Knowledge of interviewing concepts and techniques, ability to conduct a conversation with another person to gather required information. Knowledge of the major responsibilities, accountabilities, and overall organization of the customer support function or department, ability to properly support customer inquiries and bring problems to a timely resolution. Knowledge of account management practices, tasks, and tools and ability to provide services and support to key clients. Licenses and Certifications - Required RHIA - Registered Health Information Administrator - American Health Information Management Association or RHIT - Registered Health Information Technician - American Health Information Management Association or CPC - Certified Professional Coder - American Academy of Professional Coders or CCS - Certified Coding Specialist - American Health Information Management Association Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Thomas Jefferson University Hospitals, Inc. Primary Location Address 111 S 11th Street, Philadelphia, Pennsylvania, United States of America Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. Equal Employment Opportunity Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. For more benefits information, please click here #J-18808-Ljbffr Dormont Manufacturing Co
- Dovel Technologies, Inc is looking for a remote Pro Fee Quality Reviewer to assess and review medical coding accuracy. The candidate will be responsible for utilizing ICD-10 CM, CPT, and HCPCS coding classification systems in various specialties. The ideal applicant should...QualityRemote job
- ...highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team... ...that directly impact healthcare quality and reimbursement integrity. Responsibilities... ...opportunities for improved documentation, coding accuracy, and cost containment Conduct...QualityRemote work
$85k - $90k
...Validation, Cost Outlier and Readmission reviews. Under the direction of the DRG Operations... ...reviews of inpatient claims for both coding accuracy as well as perform screening referrals... ...in acute care inpatient coding, auditing. Payment integrity DRG validation is a plus...SuggestedRemote work- Responsibilities Review OASIS assessments and document recommended changes in the approved system. Review ICD‑10 coding and sequencing from documentation in the patient chart. Complete... ...meet chart equivalent targets and quality metrics. Qualifications At least 1 year...QualityFor contractorsWork experience placementReliefRemote work
$56k - $94k
...Remote (Any location)**Job Family:**General Coding**Travel Required:**None**Clearance... ...Required:**None**What You Will Do:**The Coding Quality Reviewer shall report directly to the Internal... ...What Would Be Nice To Have:*** Previous audit experience#LI-DNIThe annual salary range...QualityRemote jobTemporary workFlexible hours$28 per hour
...respected. We have an ongoing need for Document Reviewers. This is a project-based opportunity to... ...using an electronic review platform to code for relevancy, confidentiality, and... ...and privilege is preferred Experience with quality control and preparation of privilege and...QualityHourly payTemporary workRemote workWork from homeHome officeMonday to ThursdayFlexible hours$90k - $95k
...RN OASIS Reviewer The RN OASIS Reviewer is responsible for reviewing and coding clinical documentation. Qualifications: Current... ...documentation to ensure that quality and accuracy of documentation... ...Takes part in quarterly chart audits and utilization review. 15....Quality$79.2k - $143.4k
A prominent academic health system is seeking a remote Outpatient Second Level Reviewer. This role involves auditing and reviewing compliant coding, training staff, and maintaining data integrity. Candidates should have a Bachelor’s degree or equivalent experience in auditing...Remote job$100k - $140k
...naming, version control, and coding per project standards. Track... ...support coordination of document reviews between internal teams and... ...logs, and transmittals. Perform quality checks on document submissions... ...Support record retrievals for audits, reporting, or executive briefings...QualityFull time- ...experienced Temporary Document Review Team Lead with strong subject... ...review attorneys, ensuring high-quality and efficient execution of... ...privilege, confidentiality, and issue coding protocols. Provide guidance... ...necessary. Conduct regular audits, provide feedback, and assist...QualityFull timeTemporary workRemote workFlexible hours
- Ensuring the accuracy and compliance of medical coding, the full-time remote Coding Services Quality Analyst will perform audits, monitor coding practices, and provide training to optimize coding quality and minimize compliance risks. Key Responsibilities Perform regular...QualityFull timeRemote work
- ...regional healthcare organization in New York seeks a Claims Quality Analyst responsible for auditing claims and ensuring adherence to healthcare regulations... ...experience in claims quality audits, with knowledge of coding rules and CMS regulations. This position offers a...QualityPart time
- ...consulting firm is seeking a skilled medical coder to conduct audits and ensure accurate coding assignments in healthcare. The position is fully remote,... ...like RHIT or CCS. If you aim to impact coding quality positively, this is an opportunity not to be missed. #J-1...QualityRemote job
$22 per hour
...professional, courteous and highest quality health care, with dignity, to... ...and Responsibilities Prepare, review, and submit claims to Medicaid... ..., HCPCS, ICD-10, and revenue codes, including FQHC-specific PPS... ...records and documentation for audits and reporting Assist with...QualityHourly pay- ...LLP Responsibilities Prepare, review, and process invoices and client... ...and are easy to retrieve for audits, disputes, or case review.... ...Create checklists and SOPs Define quality controls and approval steps... ...documentation, timing issues, cost coding problems) and recommend...QualityWork at office
- ...important role in supporting quality patient care by maintaining efficient... ..., eligibility, and benefits Review clinical documentation to... ...Assist with billing reports, audits, and account reconciliation as... ...Familiarity with CPT, ICD‑10, and HCPCS coding is a plus Strong attention to...QualityFull timeInterim roleWork at office
$50 - $60 per hour
...facilitates improvement in the overall quality, completeness, and accuracy... ...through comprehensive auditing and evaluation of the medical... ...Familiarity with Utilization Review criteria. Must demonstrate... ...with and/or training in ICD-10 Coding. Strong clinical knowledge...QualityRemote jobContract work$113.39k - $147.41k
...Overview A Clinical Document Specialist reviews patient medical records to ensure documentation... ...treatment steps, applies medical coding knowledge, and collaborates with physicians... ...selected patients’ medical records for overall quality and completeness. Clarify documentation...QualityFull timeTemporary workRemote workFlexible hoursDay shift- ...A healthcare assessment firm is seeking an experienced reviewer with expertise in Diagnostic Radiology to join their remote team. In this... ...certified in Diagnostic Radiology. The position emphasizes quality communication and support for medical evaluations. #J-18808-Ljbffr...QualityFor contractorsRemote work
- ...Responsibilities Research and determine COBRA eligibility for members, spouses, and dependents of the 1199SEIU Benefit & Pension Funds Review and process COBRA benefits via the eligibility and enrollment system (V3) Communicate with members and other professionals via...QualityPermanent employmentFull time
- ...guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct. This role is... ...meet or exceed expectations during quality assurance and audit activities Adhere to all Digitech HIPAA...QualityRemote job
- A healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training and quality auditing programs. The role primarily offers remote work with some travel to New York expected annually. Candidates should have a valid clinical license and experience in...QualityRemote jobFull time
- ...leading mobile app testing company is looking for an Assistant QA Review Assistant based in the United States. In this remote position,... ...for detail-oriented beginners eager to contribute to app quality enhancement. Enjoy a hands-on role without strict deadlines or...QualityRemote jobFlexible hours
- ...related to travel. As a Subject Matter Expert, your role entails reviewing travel itineraries and ensuring AI systems understand various... ...objectively. This engagement will last approximately 3 months with a focus on ensuring quality in AI travel responses. #J-18808-Ljbffr...QualityRemote work
- A mobile technology company is seeking a Junior App Quality Reviewer to test and review mobile applications. This entry-level role allows you to work remotely and on your schedule, providing feedback to improve app efficiency. Ideal candidates should have a smartphone...QualityRemote job
- A financial services company in Pennsylvania is seeking a Quality Assurance Reviewer to conduct administrative reviews of valuation products. The ideal candidate should possess a Bachelor's or Associate's Degree and have strong customer service and communication skills...QualityWork at office
- ...native-level Taiwanese speakers for a remote freelance role to review machine-translated content. The successful candidate will assess... ...hours of 1 - 5 hours weekly. This opportunity involves simple quality judgments rather than rewriting and requires strong attention to...QualityRemote jobPart timeFreelanceFlexible hours
- A language editing service provider in Georgia is seeking an Editorial Reviewer to perform quality assurance checks on manuscripts. This remote role offers predictable work volume each month and access to exclusive industry resources. Candidates must possess a degree in...QualityRemote job
- ...Clover Health, LLC is seeking a Registered Nurse (RN) Medicare Quality Assurance Reviewer to support clinical processes remotely. You will leverage your expertise in Medicare regulations to ensure compliance, conduct quality assurance reviews, and work collaboratively...QualityRemote work
$9 - $10 per hour
A U.S.-based tech firm is seeking a Language Data and Quality Reviewer for freelance work to support data analysis and quality assurance. The ideal candidate will be proficient in Finnish and English, with strong logical and analytical skills. Responsibilities include...QualityRemote jobHourly payExtra incomeFor contractorsFreelanceFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Coding Quality Reviewer/Audit. Be the first to apply!
- quality advocate New York, NY
- quality reviewer New York, NY
- quality and environmental manager New York, NY
- quality improvement rn New York, NY
- quality lead New York, NY
- quality evaluator New York, NY
- quality intern New York, NY
- water quality New York, NY
- quality facilitator New York, NY
- quality management nurse New York, NY

