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Inpatient Coding Quality Reviewer Jobs in Wisconsin

UW Health

Coding Quality Analyst - Inpatient

Middleton, WI · On-site

$32.91 - $49.37/hr

... Quality Analyst to: * Assess the accuracy and completeness of the coding of inpatient cases by ... coding reviews. At UW Health, you will have: * An excellent benefits package, including health and ...

FROEDTERT HEALTH

INPATIENT CODING AUDITOR

Milwaukee, WI · On-site

$26.75 - $30.50/hr

The Inpatient Auditor supports the quality and development of the inpatient coding team through coding audits, education, and mentorship. This role has a primary focus on auditing coding accuracy ...

Froedtert Health

INPATIENT CODING AUDITOR

Milwaukee, WI · On-site

$26.75 - $30.50/hr

The Inpatient Auditor supports the quality and development of the inpatient coding team through coding audits, education, and mentorship. This role has a primary focus on auditing coding accuracy ...

APN Software Services Inc

Coder Inpatient II

Milwaukee, WI · On-site

$21.50 - $25.75/hr

... departmental coding quality guidelines and meet productivity standards, while maintaining a 95 ... query following reviews as documented in QA findings. -Assigns Present on Admission (POA ...

FROEDTERT HEALTH

INPATIENT CODER

Milwaukee, WI · On-site +1

$25.82 - $44.16/hr

... for reviewing and accurately coding inpatient medical records within a complex academic medical ... Ability to work independently on high-volume workloads with predictable turnaround quality.

Froedtert

INPATIENT CODER

Milwaukee, WI · On-site

$25.82 - $44.16/hr

... for reviewing and accurately coding inpatient medical records within a complex academic medical ... Ability to work independently on high-volume workloads with predictable turnaround quality.

Humana

Inpatient Medical Coding Auditor

Madison, WI · On-site

... 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 ...

Bellin

Denials Coding Specialist

Green Bay, WI · On-site +1

This role reviews inpatient medical records to assess coding accuracy, supports appeal processes, and ensures appropriate ICD-10-CM coding and DRG assignment to reflect the patient's severity of ...

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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 Wisconsin? For Inpatient Coding Quality Reviewer jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Inpatient Coding Quality Reviewer jobs in Wisconsin look for? The top searched job categories for Inpatient Coding Quality Reviewer jobs in Wisconsin are:
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Inpatient Coding Quality Reviewer jobs near you

Coding Quality Analyst - Inpatient

UW Health

Middleton, WI • On-site

$32.91 - $49.37/hr

Other

Medical, Dental, Retirement, PTO

Re-posted 9 days ago

UW Health rating

7.9

Company rating: 7.9 out of 10

Based on 224 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers

Job description


Work Schedule:
This is a full time, 1.0 FTE position. Shifts will be scheduled Monday-Friday. Hours may vary based on the operational needs of the department. This is a remote position.
To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.
Approved Remote Work States Listing
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Coding Quality Analyst to:
  • Assess the accuracy and completeness of the coding of inpatient cases by performing retrospective and concurrent audits and to ensure compliance with coding guidelines and regulatory requirements.
  • Provide feedback to coding team members regarding audit results and respond to coding questions.
  • Assist with the training and onboarding new Inpatient Coders, including auditing.
  • Maintain internal coding guidelines; research, prepare and disseminate information related to official coding guidance updates.
  • Work collaboratively with the Coding and CDI Quality Analyst teams for DRG issues and other operational activities, including internal and external secondary coding reviews.

At UW Health, you will have:
  • An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
  • Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
  • Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
  • Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
  • The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.

Qualifications
  • High School Diploma or equivalent and Medical Coding Program Graduate Required
  • Graduate of a Health Information Technology program Preferred

Work Experience
  • 3 years of progressive acute care hospital inpatient coding experience to include experience coding Medicare DRG's Required
  • More than five years of inpatient coding experience in an academic medical center. Preferred
  • Experience with coding quality improvement projects Preferred
  • Training experience Preferred

Licenses & Certifications
  • Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Required
  • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Hospital and Clinics benefits

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About UW Health

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UW Health Clinics - our physicians and staff are dedicated to providing an exceptional patient and family experience by delivering the highest quality of care in a compassionate environment. With more than 80 primary and specialty care clinics located throughout Dane County and the surrounding areas, we are proud to have the opportunity to impact the communities we serve.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Madison, WI, US

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