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Summary
Are you passionate about coding accuracy, compliance, and helping others succeed? We’re seeking a Clinical Coding Quality Specialist to join a leading healthcare organization in a remote capacity. In this role, you’ll play a key part in strengthening coding quality, supporting professional development within coding teams, and ensuring documentation and reimbursement practices align with industry standards. This is an excellent opportunity for an experienced inpatient coding professional who enjoys a blend of auditing, education, collaboration, and continuous improvement.
About the Opportunity
Join a highly respected healthcare organization that is committed to delivering quality patient care through operational excellence and regulatory integrity. As part of a collaborative coding and revenue cycle environment, you will have the opportunity to influence coding quality initiatives, support coder development, and contribute to enterprise-wide improvements that impact financial performance, compliance, and patient care outcomes.
This role offers meaningful ownership, visibility across multiple teams, and the chance to serve as a trusted resource on complex coding matters.
What You’ll Do
Coding Quality & Compliance
- Evaluate the quality and accuracy of inpatient coding and reimbursement outcomes.
- Review documentation and coding decisions to ensure alignment with current regulations, guidelines, and industry best practices.
- Identify trends, opportunities for improvement, and areas of coding risk.
Education & Team Development
- Provide constructive feedback that helps coding professionals strengthen their skills and performance.
- Support onboarding, training initiatives, and ongoing educational efforts as needed.
- Share coding knowledge and regulatory updates with team members and stakeholders.
Process Improvement & Operational Excellence
- Partner with leadership to enhance coding quality programs and support continuous improvement initiatives.
- Contribute to workflow refinement, standardization efforts, and policy development.
- Assist in tracking and reporting quality metrics to support organizational goals.
Cross-Functional Collaboration
- Work closely with documentation, compliance, revenue cycle, and operational teams to address coding-related challenges.
- Help resolve complex coding scenarios and provide guidance on best practices.
- Serve as a subject matter resource for coding regulations and industry changes.
What Success Looks Like
- Improved coding accuracy and consistency across teams.
- Effective education and mentoring that supports coder growth.
- Strong compliance outcomes and reduced coding-related risks.
- Meaningful contributions to quality improvement and operational initiatives.
What You Bring
- Background in Health Information Management, Coding, Revenue Integrity, or a related healthcare discipline.
- Experience performing inpatient coding within an acute care healthcare environment.
- Working knowledge of inpatient reimbursement methodologies and diagnostic grouping processes.
- Familiarity with ICD-10 coding standards, regulatory requirements, and compliance expectations.
- Experience reviewing coding quality, identifying discrepancies, and communicating findings effectively.
- Strong analytical, communication, and relationship-building skills.
- Relevant coding credential such as RHIA, RHIT, CCS, CCS-P, CIC, COC, CPC, or a comparable certification.
- Associate degree or equivalent combination of education and professional experience.
Nice to Have
- Additional years of inpatient coding experience.
- Prior coding audit or quality review experience.
- Experience supporting education, training, mentoring, or onboarding programs.
- Exposure to academic medical centers or large health systems.
- Knowledge of clinical documentation improvement initiatives.
- Experience developing coding policies, quality metrics, or process improvement programs.
- Bachelor’s degree in Health Information Management or a related field.
- Advanced coding credentials or multiple certifications.
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