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Inpatient Coding Quality Reviewer Jobs in Washington

SSN Group LLC

Software Developer - Python

Rockville, MD · On-site

$51.25 - $70.50/hr

... code quality/reviews · Serverless/event-driven development preferred · Complex cloud-native features/services · AI-assisted development Thank You, Ashok Kumar Email:

CACI

Quality Assurance Manager

Arlington, VA · On-site

Review project deliverables and conduct quality reviews at key lifecycle milestones. Develop QA ... Develop dashboards and report quality metrics, including defect trends, test coverage, code quality ...

IQVIA

Manager, RHEMA

Washington, DC · Remote

$95K - $239K/yr

Lead inpatient facility and/or outpatient professional coding analyses using CPT, HCPCS, ICD-10-PCS ... Conduct surgical coding audits and medical record reviews to evaluate coding accuracy ...

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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.

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Inpatient Coding Quality Reviewer jobs near you

Senior Software Quality Development Engineer (SDET)

The Nuclear Company

Washington, DC • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

Job description

The Nuclear Company is the fastest growing AI tech-enabled startup in the nuclear and energy space, pioneering a fleet-scale approach to building the next generation of nuclear reactors. Through our design-once, build-many model, we're accelerating the deployment of safe, reliable, and affordable nuclear energy.
We operate with an AI-first mindset. Every employee is expected to leverage AI, technology, and the Nuclear Operating System (NOS) as integral components of their role to improve the quality, speed, and impact of their work. We expect every team member to continuously identify opportunities to automate workflows, enhance decision-making, improve processes, and contribute to the ongoing evolution of NOS as a strategic operating capability that enables The Nuclear Company to scale with excellence.
We hire people who are driven by purpose, thrive in ambiguity, and are energized by building what has never been built before. Our team combines intellectual curiosity with high agency, embraces candid feedback and continuous learning, and holds themselves and others to exceptional standards. Our values-Transparency, Responsibility, Unity, Scrappiness, and Tenacity-guide how we hire, collaborate, and make decisions every day. They are not words on a wall; they are the standard by which we operate. TRUST is the foundation of our safety culture, fostering intellectual honesty, accountability, and open communication, while our values challenge every team member to execute with urgency, humility, resilience, and an unwavering commitment to our mission.
About the role
The Nuclear Company is seeking a Senior Software Quality Engineer to help ensure the quality, reliability, traceability, and compliance of Nuclear Operating System (NOS), the software platform supporting one of the largest nuclear construction programs in the United States.
This role combines software engineering, test automation, verification and validation (V&V), and quality assurance in a highly regulated environment. You will work closely with software engineers, product teams, and compliance leaders to build automated testing capabilities, verify software requirements, support audit readiness, and ensure digital systems meet the standards required for nuclear deployment.
The ideal candidate is a strong engineer who enjoys building automation, improving quality processes, and working within rigorous compliance frameworks.
Responsibilities
Test Automation & Quality Engineering
  • Design, develop, and maintain automated test frameworks for web, API, data, and backend services.
  • Build and execute automated unit, integration, regression, and end-to-end test suites.
  • Integrate testing into CI/CD pipelines and release processes.
  • Develop performance, load, and reliability testing capabilities.
  • Establish quality metrics and reporting dashboards.

Verification & Validation
  • Execute software verification and validation activities.
  • Validate software against documented requirements and acceptance criteria.
  • Ensure requirements are traceable through design, implementation, testing, and release.
  • Support release readiness reviews and quality gates.

Quality Assurance & Compliance
  • Perform quality reviews and audits of software systems and development processes.
  • Support compliance with ASME NQA-1 and other applicable quality standards.
  • Verify configuration management, change control, and records management practices.
  • Prepare audit-ready documentation and objective evidence packages.

Defect Management & Root Cause Analysis
  • Lead defect triage, investigation, verification, and closure activities.
  • Analyze quality trends and identify opportunities for process improvement.
  • Support root cause investigations and corrective action programs.
  • Reduce defect escape rates through improved automation and quality controls.

Collaboration & Continuous Improvement
  • Partner with software engineers to improve testability and code quality.
  • Participate in design reviews and code reviews.
  • Help establish software quality best practices across engineering teams.
  • Support internal audits, external audits, and regulatory inspections.

Required Experience
  • Bachelor's or Master's degree in Computer Science, Software Engineering, or a related technical field, or equivalent practical experience.
  • 5+ years of experience in software quality engineering, software testing, SDET, or software verification and validation roles.
  • Strong programming skills in Python, Java, C#, JavaScript/TypeScript, or similar languages.
  • Experience developing and maintaining automated test frameworks.
  • Experience with modern testing tools such as Playwright, Cypress, Selenium, TestNG, PyTest, or equivalent.
  • Experience testing APIs, databases, and distributed systems.
  • Experience integrating automated testing into CI/CD pipelines.
  • Experience with Git, Jira, Azure DevOps, or similar engineering tools.
  • Ability to read, understand, and review production software code.
  • Strong written communication and documentation skills, the ability to produce audit-ready documentation.
  • Experience preparing for and supporting quality or regulatory audits.

Preferred Experience
  • Experience working in regulated industries such as nuclear, aerospace, defense, medical devices, energy, or industrial systems.
  • Familiarity with ASME NQA-1 quality requirements.
  • Experience in nuclear or a U.S. Department of Energy environment.
  • Familiarity with safety-critical software standards such as IEEE 1012, IEC 61508, or IEC 60880.
  • Familiarity with cybersecurity, performance, or reliability testing.
  • Experience supporting quality audits, regulatory inspections, or compliance programs.
  • Experience with requirements management and traceability systems.
  • Experience testing AI/ML-enabled software systems.
  • Understanding of ITAAC, nuclear construction quality programs, or NRC-regulated environments.
  • Experience with quality management systems (QMS) and records control platforms.

Benefits
  • Competitive compensation packages
  • 401k with company match
  • Medical, dental, vision plans
  • Generous vacation policy, plus holidays

Estimated Starting Salary RangeThe estimated starting salary range for this role is $121,000 - $165,000 annually less applicable withholdings and deductions, paid on a bi-weekly basis. The actual salary offered may vary based on relevant factors as determined in the Company's discretion, which may include experience, qualifications, tenure, skill set, availability of qualified candidates, geographic location, certifications held, and other criteria deemed pertinent to the particular role.
EEO StatementThe Nuclear Company is an equal opportunity employer committed to fostering an environment of inclusion in the workplace. We provide equal employment opportunities to all qualified applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic. We prohibit discrimination in all aspects of employment, including hiring, promotion, demotion, transfer, compensation, and termination.
Export Control
Certain positions at The Nuclear Company may involve access to information and technology subject to export controls under U.S. law. Compliance with these export controls may result in The Nuclear Company limiting its consideration of certain applicants.
Recruiting Fraud Alert
Your safety is our priority. We want to ensure your job search stays secure. Please note that the team at The Nuclear Company only communicates through official @thenuclearcompany.com email addresses. We will never ask for payments or sensitive financial information at any stage of our recruitment process. For your peace of mind, please verify all openings and submit your applications directly through our official careers page.

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