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Inpatient Coding Quality Reviewer Jobs in Virginia

UHS

Inpatient Coder

Richmond, VA · On-site

$24.80 - $37.20/hr

... reviews * Assign DRG audits to nurse auditors when coding audit is based on clinical criteria ... Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health ...

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

... or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment ...

Commence

IDR Coder Reviewer

Virginia Beach, VA · On-site

$45 - $70/hr

The Coder Reviewer position is responsible for supporting and conducting reviews and determinations ... coding; quality assurance, training, appeals, and/or auditing services involving ICD-10-CM/PCS, CPT ...

DaMar Staffing

Certified Medical Coder

Mclean, VA · On-site

$55 - $75/hr

Medical Record Reviewer The purpose of this position is to review the medical record to assure ... inpatient coding experience). Additional Qualifications * Knowledge of ICD-9 and CPT systems.

New

DaMar Staffing

Risk Adjustment Coder

Virginia Beach, VA · On-site

$90 - $110/hr

Reviews provider coding for professional & inpatient/outpatient services to ensure capture of ... Performs vendor quality oversight audits; reviews and/or makes final coding determination for non ...

New

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Inpatient Coding Quality Reviewer information

What is an inpatient coding quality reviewer?

Inpatient Coding Quality Reviewers are healthcare professionals responsible for evaluating the accuracy and completeness of medical coding for inpatient hospital records. They review coded data to ensure compliance with official coding guidelines, payer requirements, and hospital policies. Their work helps ensure proper reimbursement, minimizes errors or denials, and maintains the integrity of patient records. Inpatient Coding Quality Reviewers often provide feedback and training to coding staff, and they may also participate in audits and quality improvement initiatives.

What skills and qualifications are needed to be an inpatient coding quality reviewer?

To thrive as an Inpatient Coding Quality Reviewer, you need in-depth knowledge of ICD-10-CM/PCS coding, medical terminology, and a credential such as RHIA, RHIT, or CCS. Familiarity with coding audit software, electronic health record (EHR) systems, and encoder tools is typically required. Strong analytical skills, attention to detail, and effective written communication help you stand out in this role. These skills ensure accurate coding, compliance with regulations, and optimal reimbursement for healthcare organizations.

What challenges do inpatient coding quality reviewers face, and how are they addressed?

Inpatient Coding Quality Reviewers often face challenges such as interpreting complex medical documentation, staying updated with frequently changing coding guidelines, and ensuring consistency across large volumes of records. These challenges are typically addressed through ongoing training, collaborative case discussions with the coding team, and regular use of coding reference tools and software. Additionally, reviewers may participate in quality improvement meetings and work closely with clinical staff to clarify documentation, fostering a supportive and communicative work environment.

What is the difference between Inpatient Coding Quality Reviewer vs Inpatient Coder?

AspectInpatient Coding Quality ReviewerInpatient Coder
CertificationsAHIMA CCS or AHIMA RHIT, CPC-HAHIMA CCS or AHIMA RHIT, CPC-H
Work EnvironmentReviewing medical records, ensuring coding accuracy, quality assuranceAssigning codes to inpatient records, coding documentation
Employer & Industry UsageHospitals, health systems, coding audit companiesHospitals, healthcare facilities, coding service providers

The Inpatient Coding Quality Reviewer focuses on auditing and ensuring the accuracy of inpatient coding, often working in quality assurance roles. In contrast, the Inpatient Coder actively assigns codes to medical records. Both roles require similar certifications and work in hospital or healthcare settings, but their primary responsibilities differ: review versus coding.

What does an inpatient coding quality reviewer do?

An inpatient coding quality reviewer evaluates medical records and coded data to ensure accuracy and compliance with coding standards such as ICD-10. They identify errors, provide feedback, and may recommend training or process improvements to maintain high coding quality, often using coding software and working closely with coding staff and healthcare providers.

What are popular job titles related to Inpatient Coding Quality Reviewer jobs in Virginia?

For Inpatient Coding Quality Reviewer jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Inpatient Coding Quality Reviewer jobs in Virginia look for?

The top searched job categories for Inpatient Coding Quality Reviewer jobs in Virginia are:

Inpatient Coding Quality Reviewer jobs near you
Infographic showing various Inpatient Coding Quality Reviewer job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 2% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Inpatient Coder

UHS

Richmond, VA • On-site

$24.80 - $37.20/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Responsibilities
Atlantic Region CBO:
The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
https://jobs.uhs.com/atlantic-region-cbo
The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department.
The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends.
Key Responsibilities include:
  • Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers.
  • Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale.
  • Analyze medical records to obtain supporting clinical documentation for billed diagnosis codes.
  • Write detailed appeal letters based on clinical findings to third party payers to prevent downgrade payment recoveries.
  • Make decision to update DRGs or remote or add to billed diagnose codes based on clinical reviews
  • Assign DRG audits to nurse auditors when coding audit is based on clinical criteria.
  • Provide analysis and assistance as needed to the appeals department.
  • Assist customer service with patient complaints related to coding issues on their medical bills.
  • Provide a detailed charge/coding breakdown to assist with medical claims that need to be split billed based on various clinical scenarios.
  • Manage multiple spreadsheets including DRG inventory and inventory returned from vendors.
  • Maintain educational guidebooks for multiple department workflows.
  • Assist with drafting and maintaining appeal letter templates.
  • Identify audit trends and provide feedback to management and to UHS acute care facilities.
  • Adherence to all applicable laws, regulations and guidelines.
  • Other duties as assigned.
Benefit & Rewards Highlights:
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Pet Insurance
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services:
Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com .
From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Position Requirements:
  • High school diploma or equivalent
  • Professional coding certification (CCA, CCS, CCS-P, CPC, RHIT, RHIA (One required))
  • IP DRG experience
  • 1-3 years coding experience, 3-5 years (preferred)
  • Strong Microsoft Office skills (Excel, Word, Outlook)
  • An understanding of anatomy, physiology, pharmacology, microbiology and medical terminology is required.
  • Familiarity with appeals and 1-3 years of healthcare business office experience preferred
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams:
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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