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Added 1 day ago
Professional Coder II
Horizon Healthcare Services, Inc
Remote, United States
The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with…
Added 1 day ago
DRG Dispute Reviewer
Machinify
Remote, United States
Coding Expertise: Maintain expert knowledge of ICD-10-CM/PCS coding guidelines, UHDDS definitions, and AHA Coding Clinic updates.
Added 1 day ago
Bariatric Coder (PRN)
Healthrise
Remote, United States
…organizations on a PRN (as-needed) basis. Translates bariatric clinic, operative, and follow-up documentation into accurate, compliant claims data to support clean claims and reduce…
Added 2 days ago
Certified Coding Specialist II
CCPN Cook Children's Physician Network
Remote, United States
…observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and a mixture of different types of Evaluation & Management…
Added 2 days ago
GH
Family Medicine/Primary Care Coder
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $25 to $27.55 USD / hour
GeBBS Healthcare Solutions is seeking a Per diem - as needed (Part-time), remote Family Medicine and Primary Care Coder to deliver high-quality E/M coding services. In this role, you will…
Added 2 days ago
Medical Coder Clinic
Orthopaedic Management Services
Remote, United States
The Medical Coder Clinic Medical Coder meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the professional…
Added 3 days ago
Denials Coder
CHI Health Clinic
Remote, United States
As our Denials Coder you will play a critical role in our revenue cycle by addressing and resolving outstanding insurance balances and complex coding denials. You will leverage your…
Added 3 days ago
Inpatient Facility Medical Coder
American IT Staff
Remote, United States
…perform other duties assigned. The position requires the new coder to be on-site for one (1) week training or until they meet the departments…
Added 3 days ago
Certified Coding Specialist I
CCPN Cook Children's Physician Network
Remote, United States
…observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes a mixture of different types of Evaluation & Management medical records and assists with…
Added 3 days ago
Clinical Documentation Improvement Specialist
HEALTH CHOICE NETWORK
Remote, United States
Serve as a subject matter expert on ICD-10-CM Coding Guidelines, AHA Coding Clinic guidance, and Risk Adjustment methodologies.
Added 4 days ago
Coding Edits Specialist - Remote
Lifepoint Health
Remote, United States
…care in the emergency department, same-day surgery, outpatient clinic, observation, inpatient OB newborn hospital, specialty clinic encounters according to coding conventions, guidelines,…
Added 4 days ago
Billing Specialist (remote)
BoozmanHof Eye
Remote, United States
At BoozmanHof Regional Eye Clinic, we have proudly served as Northwest Arkansas’s trusted partner in eye care for more than 45 years. Since 1977, our mission has been simple: to help you…
Added 4 days ago
TPR Market Physician Clinical Systems Specialist - Hybrid based in Detroit, MI
Tenet Healthcare Corporation
Remote, United States
…Specialist will proactively provide at the elbow support to clinic staff. The TPR Market Physician Clinical Systems Specialist is responsible for purposeful clinic rounding; providing…
Added 4 days ago
VI
RCM, Billing Manager
Vivo Infusion
Remote, United States
- $93,000 to $99,000 USD / year
…works closely with the Director of Revenue Cycle Management, clinic operations, providers, Patient Access, and medical policy to resolve billing barriers and drive operational…
Added 4 days ago
SL
Coding Specialist II-Profee Orthopedics
Savista, LLC
Remote, United States
- $22.08 to $34.69 USD / hour
The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician…
Added 4 days ago
Coder 1 - Clinic
FMOL Health
Remote, United States
The Clinic Coder 1 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to…
Added 5 days ago
AH
Remote Inpatient Coder
AMN Healthcare
Remote, United States
- $32 to $40 USD / hour
…coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM/PCS, Centers for Medicare and Medicaid Services (CMS). Classification systems include ICD-10-CM, CPT,…
Added 5 days ago
GH
Profee Surgery and Clinic Coder
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $28 to $31 USD / hour
The Professional Fee Clinic Coder will be responsible for accurately coding professional services across both clinic visits and surgical encounters. Coders must be comfortable applying E/M,…
Added 5 days ago
AH
Remote OP Coder
AMN Healthcare
Remote, United States
- $28 to $35 USD / hour
…coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development…
Added 6 days ago
MS
Medical Coder
Medix Staffing Solutions
Remote, United States
- $25 to $30 USD / hour
Our client is seeking a highly skilled and experienced Medical Coder to manage a high volume of outpatient clinic encounters, focusing on backlog remediation and daily production. This role…
Added 6 days ago
AH
Remote OP Coder
AMN Healthcare
Remote, United States
- $28 to $35 USD / hour
…coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development…
Added 8 days ago
DRG QA/Training Manager
Machinify
Remote, United States
Expertise in ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA’s Coding Clinic Guidelines
Added 8 days ago
AH
Inpatient/Outpatient Internal Quality Reviewer
AMN Healthcare
Remote, United States
- $45 to $60 USD / hour
coder questions with clear educational explanations, supporting evidence,
Added 9 days ago
Director of Quality Audit Coding
Healthrise
Remote, United States
…ICD-10-CM/PCS Official Guidelines for Coding and Reporting, AHA Coding Clinic, and AHIMA Standards of Ethical Coding that protect revenue integrity and reduce regulatory exposure across…
Added 9 days ago
AH
Remote Inpatient Coder
AMN Healthcare
Remote, United States
- $32 to $40 USD / hour
…coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM/PCS, Centers for Medicare and Medicaid Services (CMS). Classification systems include ICD-10-CM, CPT,…

Closed listing

Cotiviti

QA I Coding Operations

Remote, United States

$25.5 to $32.5 USD / hour

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

About employer

Job details

Pay: $25.5 to $32.5 USD / hour
Closing date: Oct 30, 2027
Posting language: English
Posted: Oct 30, 2026

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Original job description

Archived listing. The details below describe a past opening.

Overview

The QA I, is an integral member of the Risk Adjustment Coding Team. The QA position monitors & reports on the accuracy of all coding performed by Cotiviti coders and/or third party partner coders. This position provides direct coaching and feedback to coders. The QA I conducts QA and audit reviews, supports remediation for risk adjustment coding services, and ensures compliance with quality standards.

Responsibilities

Provides Quality Assurance feedback by working as a liaison between Coder I, Coder II and the Team Lead to ensure coding is complete and accurate. Reviews a defined percentage of the Coder I and Coder II work to ensure quality standards are met and maintained.
Completes chart or encounter review for proper HCC-mapped diagnosis coding from various chart types (physician, facility, non-facility).
Completes chart or encounter review for proper HCC-mapped diagnosis coding performedprospectively, concurrent, or retrospective.
Ensures that all coding performed follows client specific or industry standard coding guidelinesand reflects an accurate and complete representation of the documentation within the medicalrecord.
Professionally communicates findings, errors, and any suggestions to all staff to facilitate ongoing communications and efficient department operations.
Completes internal audits as necessary to support quality accuracy.
Reviews internal system reports on the quality of work for all assigned coding staff. These reports are reviewed daily, weekly, monthly, quarterly, and yearly as needed.
Communicate quality issues and trends to the coders, QA II, team lead, and manager.
Recommend additional training based on the results of the quality audit for those Coder I and Coder II as needed.
Develop an action plan in collaboration with the Team Lead and Manager as needed regarding improvement in the quality of work for a Coder I or II and reports progress to the Team Lead.
Regular interaction with other Cotiviti staff, such as training and quality assurance to facilitate clarification and/or training on coding results.
Completes chart or encounter review for proper HCC mapped diagnosis coding from various chart types (physician, Facility, non – Facility). Ensures that the highest level of HCC mapped diagnosis code was utilized in each date of service reviewed and documentation of findings in company data storage program. Professionally communicates finds, errors, and any suggestions to all staff in order to facilitate on-going communications and efficient department operations.
Completes internal audits as necessary to support quality accuracy.
Responds to questions via the ‘Questions Queue’ for individual coders.
Reviews internal system reports on quality of work for all assigned Clinical Coder Specialists. These reports are reviewed daily, weekly, monthly, quarterly and yearly as needed.
Communicate quality issues and trends to the Team lead, Coding Manager and Training Manager.
Recommend additional training based on results of the quality audit for those Coder I and Coder II where they fall behind the 95% accuracy rate.
Develop an action plan in collaboration with the Team Lead and Manager as needed with regard to improvement in the quality of work for a Coder I or II and reports progress to the Team Lead.
Regular interaction with other Cotiviti staff, such as training and
Utilize Cotiviti training tools and coding library for questions.
Completes all responsibilities as outlined on annual Performance Plan.
Completes all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

High School diploma required, Bachelor's degree preferred.
Clinical background preferred.
Coding certification required through AAPC or AHIMA (CPC, CRC, CCS, etc.).
Expertise in medical record auditing, particularly in HCC mapped diagnosis coding.
Minimum of one to three years HCC coding experience.
Demonstrated high performance in meeting or exceeding production and quality goals.
Adherence to official coding guidelines, coding clinic determinations, client specific coding guidelines, CMS and other regulatory compliance guidelines and mandates.
Ability to read and understand medical record documentation.
Must be able to identify trends in coding and documentation errors, to include over and under-coding.
Excellent written and verbal skills to include coaching and interpersonal skills.
Strong knowledge of medical terminology and anatomy and physiology.
Skilled in organization and customer service.
Computer and technology literate.
Analytical and problem solving skills.
Ability to manage and meet deadlines.
Must remain flexible to provide assistance in any emergent situations and/or projects.
Must participate in any required training.
Must abide by all HIPAA and associated patient confidentiality requirements.
For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually.

Mental Requirements:

Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

Remaining in a stationary position, often standing or sitting for prolonged periods.
Repeating motions that may include the wrists, hands, and/or fingers.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $25.50 to $32.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Date of posting: 10/28/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/24/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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About employer

More about this job

Skills

Quality assurance
Documentation
Internal auditing
Data storage
Auditing
CMS
Regulatory compliance
Coaching
Interpersonal skills
Medical terminology
Customer service
Problem solving
Meet deadlines
Confidentiality

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