Coding Quality Review Specialist

NMC Staffing
Tobyhanna, PA

Job Description

Job Description

Job Title: Coding Quality Review Specialist (Remote – U.S. Only)
Location: Work from Home (Excluding CA, AK, NY, CO)
Employment Type: Full-Time
Compensation: Competitive + Benefits

Advance Your Career in Health Information Management — From the Comfort of Home

Our client, a nationally recognized provider of revenue cycle services, is hiring a Coding Quality Review Specialist to lead and perform inpatient and outpatient coding audits across multiple hospital and physician practice locations. This is a fully remote opportunity (excluding CA, AK, NY, and CO residents) for experienced professionals ready to take ownership of data quality and compliance.

Why You’ll Love This Role:

Fully Remote Flexibility – Work from home with no daily commute
Purpose-Driven Work – Help ensure patients continue to receive quality care after discharge
Growth-Oriented Team – Engage in projects that challenge and elevate your coding expertise

What You’ll Do:

  • Conduct quality reviews (routine, pre-bill, policy-driven) for both inpatient and outpatient coding
  • Review MS-DRG and outpatient coding for accuracy and compliance with national standards
  • Ensure adherence to internal policies and official coding guidelines
  • Lead special audit projects as assigned
  • Maintain 95%+ accuracy and productivity benchmarks
  • Stay updated on industry best practices, data standards, and company policies

What You’ll Need:

  • Associate’s or Bachelor’s degree in Health Information Management or Health Information Technology preferred
  • RHIA or RHIT certification required
  • IP Coding Auditor certification for MS-DRG required
  • 10+ years of medical coding experience, including 3+ years in MS-DRG inpatient auditing
  • Ability to code across all body systems (no specialization)
  • In-depth knowledge of national coding guidelines and compliance protocols
  • Ability to pass a comprehensive 90-minute coding assessment

Please Note:
Applicants must reside outside of California, Alaska, New York, and Colorado to be eligible for this remote position.

Apply Today!
If you're a coding expert seeking flexibility, professional growth, and the chance to make a real impact in healthcare quality, apply now!

Company Description

About NMC Recruiting (Powered by New Methods Consulting)
NMC Recruiting is the talent acquisition division of New Methods Consulting, a human-centered HR and recruiting firm dedicated to helping small and growing businesses build strong, mission-aligned teams. We specialize in high-volume and niche recruiting across industries, with a focus on delivering personalized, performance-driven hiring solutions.

At NMC, we believe recruiting isn’t just about filling roles—it’s about empowering careers and transforming companies from the inside out. Our sourcing strategies, candidate care, and vetting systems are designed to attract high-potential talent who are ready to contribute and grow.

Whether we're scaling insurance teams, staffing startups, or supporting emerging leaders, our commitment remains the same: find the right people, for the right roles, at the right time.

Join a talent network that puts people first—powered by purpose, backed by process.

Company Description

About NMC Recruiting (Powered by New Methods Consulting)\r\nNMC Recruiting is the talent acquisition division of New Methods Consulting, a human-centered HR and recruiting firm dedicated to helping small and growing businesses build strong, mission-aligned teams. We specialize in high-volume and niche recruiting across industries, with a focus on delivering personalized, performance-driven hiring solutions.\r\n\r\nAt NMC, we believe recruiting isn’t just about filling roles—it’s about empowering careers and transforming companies from the inside out. Our sourcing strategies, candidate care, and vetting systems are designed to attract high-potential talent who are ready to contribute and grow.\r\n\r\nWhether we're scaling insurance teams, staffing startups, or supporting emerging leaders, our commitment remains the same: find the right people, for the right roles, at the right time.\r\n\r\nJoin a talent network that puts people first—powered by purpose, backed by process.

Posted 2025-07-27

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