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Inpatient Coding Quality Reviewer Jobs in Washington

MedStar Health

Inpatient Coding Specialist

Washington, DC · On-site

$28.76 - $48.96/hr

Inpatient Coding Specialist The Inpatient Coding Specialist analyzes and interprets clinical ... Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance ...

MedStar Health

Inpatient Coding Specialist

Columbia, MD · On-site

$28.76 - $48.96/hr

Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance ... years Inpatient coding experience required * Experience with clinical information systems ...

Humana

Inpatient Medical Coding Auditor

Annapolis, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... quality. * Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) * Ensures overall accuracy and compliance of coding disputes reviews by ...

Humana

Inpatient Medical Coding Auditor

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... quality. * Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) * Ensures overall accuracy and compliance of coding disputes reviews by ...

J29 Inc.

Medical Reviewer, Coder

Millersville, MD · On-site +1

$18.25 - $24.25/hr

... quality assurance through audits and ongoing training, and maintain compliance with CMS security ... Experience with inpatient coding and DRG validation, including accuracy review, compliance ...

Humana

Senior Medical Coding Professional, Inpatient

Annapolis, MD · On-site

$18.50 - $23.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review inpatient records for coding accuracy and DRG validation * Identify anomalies for audit ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Cooper Thomas

Inpatient PTF Coders

Washington, DC · On-site +1

$23.75 - $28.75/hr

... reviewing and abstracting health record information, adhering to coding compliance, and ensuring ... Inpatient Coder (CIC) Minimum Education Requirement • High School Diploma or equivalent Cooper ...

Humana

Senior Medical Coding Professional, Inpatient

Washington, DC · On-site

$21.25 - $27/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review inpatient records for coding accuracy and DRG validation * Identify anomalies for audit ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Cooper Thomas

Inpatient PTF Coders

Washington, DC · Remote

$22.25 - $26.75/hr

... reviewing and abstracting health record information, adhering to coding compliance, and ensuring ... · Certified Inpatient Coder (CIC) Minimum Education Requirement · High School Diploma or ...

Trice Healthcare

Coding Payment Resolution Spec

Washington, DC · On-site

$21.25 - $27.25/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 ...

Sierra7

Be Seen First

Part-Time Medical Coding Opportunities (Remote)

Mclean, VA · Remote

$19.25 - $25.50/hr

Inpatient Medical Coders * Professional Fee (ProFee) Coders * Surgery Coders * Medical Coding ... Review and code medical records while maintaining a minimum 95% coding quality score . * Ensure ...

Datavant

Profee Coding Consultant - PRN

Washington, DC · On-site

$20 - $28/hr

  • Retirement

Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. * Communicate professionally with co-workers, management, and hospital staff regarding ...

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Inpatient Coding Quality Reviewer information

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 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 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 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 are popular job titles related to Inpatient Coding Quality Reviewer jobs in Washington? For Inpatient Coding Quality Reviewer jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Inpatient Coding Quality Reviewer jobs in Washington look for? The top searched job categories for Inpatient Coding Quality Reviewer jobs in Washington are:
What cities in Washington are hiring for Inpatient Coding Quality Reviewer jobs? Cities in Washington with the most Inpatient Coding Quality Reviewer job openings:
Inpatient Coding Quality Reviewer jobs near you

Coding Quality Review Specialist -Inpatient (CCS Required)

MedStar Health

Annapolis Junction, MD • On-site

$31.28 - $56.39/hr

Other

Medical, Retirement, PTO

Posted 10 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

130th of 887 rated healthcare providers

Job description

Inpatient Coding Quality Review Specialist

MedStar Health is seeking an experienced inpatient coder to join our Coding Quality Assurance team. The ideal candidate will have experience in inpatient coding, with auditing experience strongly preferred. Candidates must hold a current Certified Coding Specialist (CCS) credential through AHIMA.

In this role the Inpatient Coding Quality Review Specialist is responsible for providing expert review to ensure the quality and integrity of medical records. Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Also responsible for reviewing Quality indicators which include MHACs, HACs, PSIs and Mortality reviews.

MedStar Health is a great place to work and grow your career. We provide a supportive and inclusive work environment, comprehensive health and wellness benefits, generous paid time off, tuition assistance, retirement plans, and many other benefits focused on your wellbeing.

Primary Duties and Responsibilities

  • Assists with the development of system-specific coding guidelines as needed and participates in Quality review team meetings.
  • Uses knowledge of coding compliance plan to direct efforts to achieve plan by focusing on areas identified through coding reviews or targeted by management for improvement.
  • Helps select areas for focused quality reviews.
  • Meets established Quality, Accuracy and Productivity standards as defined by policies.
  • Provides/identifies trends to provide feedback to appropriate sources. Identifies and assists in areas to provide additional training/education under the direction of Manager.
  • Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality
  • Performs retrospective reviews on coding staff. Reviews, analyzes and interprets medical record documentation to identify diagnoses and procedures. Assigns correct ICD 10-CM and ICD 10-PCS codes using standard guidelines and automated encoding software. Assigns the appropriate DRG.
  • Works closely with the Coding Quality Review team to identify areas for improvement and problematic cases.

Minimal Qualifications

  • High School Diploma or GED required
  • Vocational/Technical Degree or certificate. Associate in Health Information Management, Health Information Technology or similar degree with successful completion of medical terminology, Anatomy and Physiology and Coding courses in ICD-10 CM and PCS preferred

Experience

  • 1-2 years inpatient coding experience, preferably in an acute care setting required
  • 3-4 years Auditing experience preferred

Licenses and Certifications

  • AHIMA (American Health Information Management Association) CCS required
  • Certificate as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Inpatient Coder (CIC AAPC) preferred

Knowledge Skills and Abilities

  • Excellent verbal and written communication skills.
  • Excellent interpersonal skills.
  • Strong computer skills preferred.

This position has a hiring range of USD $31.28 - USD $56.39 /Hr.

What Medstar Health employees say

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About Medstar Health

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MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

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