Job Title: Coding Quality Review (CQR) Specialist
Location: Nashville, TN (Remote – Work From Home)
Employment Type: Full-Time
Openings: 4
$40 to $42.28 per hour (midpoint, based on experience)
"Navitas Healthcare, LLC" is seeking experienced Coding Quality Review (CQR) Specialists to join a leading healthcare revenue cycle organization. This is a full-time, fully remote opportunity focused on hospital-based inpatient and outpatient coding quality audits.
This role is responsible for ensuring coding accuracy, regulatory compliance, and reimbursement integrity across multiple facilities.
Important Notes:
Hospital-based inpatient and outpatient auditing experience is required.
Physician-only coding experience will not be considered.
Candidates residing in California, Alaska, New York, or Colorado are not eligible for this remote position.
Conduct routine, pre-bill, policy-driven, and incentive-based quality reviews
Perform MS-DRG inpatient coding audits
Review outpatient coding for accuracy and compliance
Ensure adherence to official coding guidelines and regulatory standards
Maintain minimum 95% productivity and 95% accuracy standards
Apply expert-level coding knowledge across all body systems (not specialty-specific)
Participate in special audits and internal quality improvement initiatives
Stay current with coding updates, reimbursement methodologies, and documentation standards
Complete required compliance and continuing education training
10+ years of hospital-based coding experience (inpatient and outpatient required)
3+ years of hands-on MS-DRG inpatient auditing experience in a hospital setting
Experience auditing across all body systems (not specialty-focused)
Strong knowledge of MS-DRG methodology and reimbursement guidelines
Active certification required: CCS, RHIA, and/or RHIT
IP Coding Auditor experience for MS-DRG required
Hospital experience is mandatory
Must not be a recent graduate
Ability to complete a mandatory 1-hour job shadow interview
Associate’s or Bachelor’s Degree in Health Information Management (HIM) or Health Information Technology (HIT)
For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.
About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.