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Inpatient Coding Quality Reviewer Jobs in Springfield, TN

Mission Hospital

Inpatient Coder Team Lead

Nashville, TN · On-site

$21 - $25.25/hr

Leads, coordinates and performs coding quality reviews (e.g., routine, policy driven, performance driven, incentive plan driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and ...

Trice Healthcare

Coding Payment Resolution Spec

Nashville, TN · On-site

$18 - $23.25/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 ...

Datavant

Profee Coding Consultant - PRN

Nashville, TN · On-site

$20 - $28/hr

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

See Springfield, TN salary details

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$32

How much do inpatient coding quality reviewer jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for inpatient coding quality reviewer in Springfield, TN is $22.38, according to ZipRecruiter salary data. Most workers in this role earn between $19.76 and $23.85 per hour, depending on experience, location, and employer.

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 job categories do people searching Inpatient Coding Quality Reviewer jobs in Springfield, TN look for? The top searched job categories for Inpatient Coding Quality Reviewer jobs in Springfield, TN are:
Inpatient Coding Quality Reviewer jobs near you
Infographic showing various Inpatient Coding Quality Reviewer job openings in Springfield, TN as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 4% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $46,556 per year, or $22.4 per hour.

Hiring: Coding Quality Review Specialist (100% Remote)

PATTERNS

Nashville, TN • On-site

$45 - $48/hr

Full-time

Re-posted 10 days ago

Job description

Job Title: Coding Quality Review Specialist
Location: 100% Remote
Employment Type: Full-Time, Permanent

Job Summary

We are seeking an experienced Coding Quality Review (CQR) Specialist to join our Health Information Management Service Center (HSC) team. This fully remote role is responsible for performing internal quality assessment reviews of inpatient and outpatient coding to ensure compliance with national coding guidelines, HSC coding policies, and Company standards. The CQR Specialist plays a critical role in maintaining accurate, consistent coding that supports appropriate reimbursement and data integrity.

Job Responsibilities

  • Lead, coordinate, and perform all quality review functions, including routine, pre-bill, policy-driven, and incentive plan-driven reviews

  • Conduct inpatient and outpatient coding quality reviews across multiple Health Information Service Centers (HSCs)

  • Assist in ensuring HSC coding staff adherence to national coding guidelines and Company policies

  • Demonstrate and apply expert-level knowledge of medical coding practices and concepts

  • Participate in special reviews, audits, and quality improvement projects as assigned

  • Maintain or exceed 95% productivity standards

  • Maintain or exceed 95% accuracy standards

  • Meet all educational and compliance requirements as outlined in current Company policy

  • Review and stay current on official data quality standards, coding guidelines, Company policies and procedures, and relevant clinical/medical resources

Qualifications

  • Associate’s or Bachelor’s degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred

  • RHIA or RHIT certification required

  • IP Coding Auditor experience for MS-DRG required

  • Must have experience coding all body systems (no single-specialty focus)

  • Minimum 3 years of hands-on MS-DRG inpatient coding audit experience in a hospital setting

  • Not open to recent graduates

  • Ideal candidate will have 10+ years of overall coding experience and at least 3 years of MS-DRG auditing experience
     

    Why Join Us

  • 100% remote work environment

  • Opportunity to work with experienced coding professionals across multiple facilities

  • Make a direct impact on coding quality, compliance, and reimbursement accuracy
    Best regards,
    Maeve Phillips
    832-220-2041
    ✉️ maeve.phillips@patternshiring.com