Jobs in the United States

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Added 10 hours ago
Medical Records Technician (CDIS) Inpatient/Outpatient
Veterans Affairs, Veterans Health Administration
Fayetteville, NC
Added 1 day ago
C
QA I Coding Operations
Cotiviti
Remote, United States
- $25.5 to $32.5 USD / hour
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…
Added 1 day ago
ICDI Specialist II
Mayo US
Phoenix, AZ
…the Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) certification to accurately assign inpatient codes, ensuring compliance with coding guidelines and supporting…
Added 1 day ago
SH
Inpatient Coding Specialist II (Remote)
Stanford Health Care
Remote, United States
- $66.1 to $74.44 USD / hour
…Coding, as well as all American Hospital Association (AHA) Coding Clinic guidance. Follows Stanford Health Care policies and procedures and maintains required quality and productivity…
Added 2 days ago
UG
Coding and Reimbursement Specialist II: Kelsey-Seybold Clinic Pearland, TX
UnitedHealth Group
Pearland, TX
- $20 to $36 USD / hour
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our…
Added 2 days ago
UG
Coding and Reimbursement Specialist II: Kelsey-Seybold Clinic Pearland, TX
UnitedHealth Group
Pearland, TX
- $20 to $36 USD / hour
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our…
Added 2 days ago
Kootenai Professional Services Coder II
Kootenai Health
Coeur d'Alene, ID
…Services is looking for a detail‑driven, code‑loving Professional Coder II to join our team! If you thrive on accuracy, enjoy cracking coding puzzles, and want to make a real impact in…
Added 2 days ago
Patient Services Coordinator II - Maternal Fetal Medicine Clinic
UAB Medicine
Birmingham, AL
…preferred. Currently certified as a Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC)…
Added 2 days ago
GH
Professional Fee Clinic Coder
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $27 to $30 USD / hour
GeBBS is looking for Professional Fee Clinic Coders for remote, temporary, full-time positions. This assignment is for approximately 3 month with the possibility to be extended.
Added 3 days ago
SL
Coding Specialist II - Profee Oncology
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 3 days ago
UG
Coding Quality Analyst
UnitedHealth Group
Bangor, ME
- $29 to $52 USD / hour
Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually
Added 3 days ago
CH
Risk Adjustment Coder
Carina Health Network
Denver, CO
- $63,000 to $73,000 USD / year
The American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) or AHIMA certification is required; Certified Professional Coder (CPC) Certification will be…
Added 3 days ago
UG
Coding Quality Analyst
UnitedHealth Group
Bangor, ME
- $29 to $52 USD / hour
Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually
Added 3 days ago
SL
Coding Specialist II - Profee Oncology
Savista, LLC
Remote, United States
- $22.08 to $30 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 3 days ago
SL
Coding Specialist II-Trauma Profee
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 3 days ago
SL
Coding Specialist II- Hospitalists Profee
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 3 days ago
Coder (Clinic - II)
ThedaCare, Inc.
United States
The Coder (Clinic - II) performs coding review for primary care or specialty services for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges…
Added 4 days ago
Coder - Clinic (Remote)
ScionHealth
Brentwood, TN
Added 4 days ago
CLINIC CODER
McDonough District Hospital
Macomb, IL
Reviews, analyzes, codes, and abstracts physician services and clinic-based professional fee encounters to ensure accurate assignment of diagnoses, procedures, and services in accordance…
Added 4 days ago
CDI Manager
KPC GLOBAL MEDICAL CENTERS INC.
Santa Ana, CA
Follow coding guidelines as specified by AHA Coding Clinic and hospital policy. Commit to code assignment and data reporting in an unbiased, honest, and ethical manner.
Added 4 days ago
UO
Medical Coders
University of Utah
UT
- $23 to $26 USD / hour
We are looking for an experienced Medical Coder II to join our team. As the Medical Coder II, you will analyze and translate medical and clinical diagnoses, procedures, injuries, or…
Added 5 days ago
Coder, Profee
QHR Health, LLC dba Ovation Healthcare
Remote, United States
…with a minimum of three years' experience in a hospital and/or clinic setting coding, prefer Critical Access Hospital and Rural Health but not necessary. Seeking knowledge in the following…
Added 5 days ago
HIM Coder II (Onsite, Hybrid, Remote)
Northbay
Fairfield, CA
We are currently seeking a highly skilled and detail-oriented HIM facility coder to join our team. At Northbay Health, you will play a crucial role in accurately translating medical…
Added 5 days ago
HIM Coding Tech II
Lake Charles Memorial Health System
Lake Charles, LA
Communicates with physicians and other personnel as needed to locate and code certain emergency room, outpatient/clinic/ancillary records.
Added 6 days ago
HIM Coder II
Kaiser Permanente
Renton, WA
…Ambulatory Surgery, hospital professional visits and procedures, clinic visits and procedures (including Urgent Care), Pathology and EKGs. Both ICD-9 and ICD-10 coding is performed,…

Cotiviti

QA I Coding Operations

Remote, United States

$25.5 to $32.5 USD / hour

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Job details

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

Original job description

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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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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