Crack the MediCode!
Grow with QualCode! We offer opportunities for medical coders and validators to sharpen their expertise while partnering with world-class healthcare organizations.
Grow Your Career With Us!
At QualCode, you’re not just an employee — you’re part of a dedicated team. We believe in creating an environment where you can learn while you earn. We offer opportunities that enhance your skills and grow your career in medical coding and revenue cycle management (RCM).
Are you looking for a place where your skills are valued, your growth is encouraged, and you’re treated with respect? Are you ready to learn, grow, and become part of a team that leads with knowledge?
QualCode is the right place for you!
Apply today.
Your expertise deserves a place where it can thrive.
Submit your resume:
Take the first step towards joining the QualCode team! Upload your resume here and we will review your application. If your background is a fit, we’ll reach out about next steps
(See current job openings / descriptions below)
DIRECTOR OF CODING INTEGRITY & COMPLIANCE
The Director of Coding Integrity and Compliance provides executive leadership and oversight for coding quality, regulatory compliance, and DRG/HCC validation across the organization. This role ensures that coding practices not only meet but exceed industry, payer, and CMS standards—safeguarding revenue integrity and mitigating compliance risk for healthcare provider clients. The Director will champion coding excellence, lead compliance initiatives, and align clinical documentation with accurate code assignment to support optimal reimbursement and audit defense.
Job Type: Full-time Remote
Pay: Starting at $100,000.00 (based on experience)
Key Responsibilities
Strategic Leadership
Develop and implement a company-wide strategy for coding integrity, DRG/HCC validation, and compliance auditing.
Serve as a subject matter expert on regulatory requirements, coding guidelines, and CMS updates affecting reimbursement.
Lead organizational readiness for annual coding changes (ICD-10-CM/PCS, CPT, IPPS, risk adjustment models).
Compliance & Risk Mitigation
Establish and enforce coding compliance policies consistent with OIG, CMS, and payer requirements.
Oversee internal and external audit activities, ensuring timely responses and corrective action plans.
Monitor compliance risk areas, identify vulnerabilities, and proactively implement safeguards.
Coding Integrity & Quality
Direct DRG validation, HCC risk adjustment reviews, and coding audit processes.
Ensure coding aligns with medical necessity, MEAT criteria, and payer expectations.
Partner with Clinical Documentation Improvement (CDI) specialists to strengthen documentation quality.
Revenue Integrity
Collaborate with finance and revenue cycle leadership to assess the financial impact of coding accuracy.
Analyze denial trends, identify root causes, and develop strategies to reduce preventable denials.
Support new technology initiatives (e.g., AI/autonomous coding tools) to enhance accuracy and efficiency.
Education & Leadership
Lead, mentor, and develop coding auditors, managers, and compliance staff.
Provide ongoing education to coders, auditors, and providers on compliance trends and audit findings.
Represent the company in client-facing engagements, positioning coding compliance as a competitive advantage.
Qualifications
RHIA, RHIT, CCS, CHC, or equivalent credential required (dual credentials strongly preferred).
10+ years of progressive coding, auditing, and compliance experience in inpatient/outpatient settings, with at least 5 years in a leadership role.
Expertise in DRG validation, HCC/risk adjustment, ICD-10-CM/PCS, CPT, and payer compliance regulations.
Proven success in developing compliance programs, leading audits, and managing risk in a revenue cycle environment.
Strong financial acumen with the ability to tie coding accuracy to revenue performance.
Exceptional leadership, communication, and client relationship skills.
Benefits
Free dental, vision, and life insurance
Medical insurance
401K retirement plan
Profit-sharing plan
PTO
Paid holidays
Competitive salary
Your expertise deserves a place where it can thrive. CLICK HERE TO SUBMIT RESUME.
DIAGNOSIS-RELATED GROUP (DRG) VALIDATORS
As a DRG Validator with QualCode, you’ll step into an environment designed to stretch your skills and build your professional muscle. You’ll take on advanced and high-value cases, sharpen your ability to spot documentation gaps, and collaborate with some of the most experienced validators in the industry. Every case is a new learning opportunity—and every project pushes you closer to mastery.
Job Type: Full-time Remote
Starting Pay: $80,000.00 - $90,000.00
(based upon experience)
Perk: When you join QualCode, you gain not only a supportive team, but also the tools you need to succeed. While some employers monitor keystrokes and screen time, we focus on results and professionalism — not micromanagement. As an added bonus: you are not required to be on the phone with clients or physicians at any time during employment with QualCode.
What You’ll Do
Validate DRGs for accuracy, compliance, and optimal reimbursement.
Analyze medical documentation to uncover missing details and elevate clinical accuracy.
Engage in teamwide case reviews, knowledge-sharing sessions, and tip sheet development.
Partner with senior validators who mentor and guide you.
Be part of a company culture that celebrates curiosity, continuous learning, and professional excellence.
What We’re Looking For
RHIA, RHIT, CCS, or equivalent credential.
At least 3 years of inpatient coding or DRG validation experience.
Solid understanding of ICD-10-CM/PCS and MS-DRG methodology.
Strong eye for detail and passion for problem-solving.
Most importantly: a growth mindset— you want to keep learning and become one of the best in the field.
Benefits
Free dental, vision, and life insurance
Medical insurance
401K retirement plan
Profit-sharing plan
PTO
Paid holidays
Competitive salary
Why Choose QualCode?
🌟 Learn Daily – access to regular training, workshops, and case studies.
🌟 Grow With Experts – mentorship from senior validators with decades of experience.
🌟 Elevate Your Career – support for CEUs, certifications, and career pathways.
🌟 Work That Matters – impact patient care and hospital reimbursement integrity.
🌟 Competitive pay, benefits, and a remote work structure that fits your life.
🌟 At QualCode, you won’t just validate DRGs—you’ll validate your career trajectory.
Benefits
Free dental, vision, and life insurance
Medical insurance
401K retirement plan
Profit-sharing plan
PTO
Paid holidays
Competitive salary
Your expertise deserves a place where it can thrive. CLICK HERE TO SUBMIT RESUME.
INPATIENT CODER
The Inpatient Coder is responsible for accurately assigning ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for inpatient encounters to ensure proper DRG assignment and optimal reimbursement. This role requires a high degree of coding accuracy, compliance with regulatory guidelines, and an understanding of clinical documentation. The Inpatient Coder plays a critical part in safeguarding revenue integrity, supporting audit readiness, and strengthening compliance for hospital and health system clients.
Job Type: Full-time Remote
Starting Pay: $75,000 (based upon experience)
Perk: Career Growth Pathways - Opportunities to move into auditing, CDI, or leadership with mentorship and advancement programs.
Key Responsibilities
Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient encounters in accordance with official coding guidelines, facility policies, and payer-specific requirements.
Ensure accurate MS-DRG and APR-DRG assignment and validation to support appropriate reimbursement.
Review provider documentation for completeness, clarity, and compliance; query providers as necessary for specificity.
Adhere to all federal, state, and payer regulations including CMS, OIG, and HIPAA requirements.
Meet productivity and accuracy benchmarks established by the company and client contracts.
Collaborate with internal auditors, DRG validators, and compliance staff to resolve discrepancies.
Stay up to date on coding guideline changes, regulatory updates, and annual ICD-10/DRG revisions.
Contribute to denial prevention by ensuring accurate coding and identifying trends that impact claim rejections.
Qualifications
RHIA, RHIT, or CCS certification required.
Minimum 3 years of inpatient coding experience in an acute care hospital or RCM company.
Strong knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG and APR-DRG methodologies.
Familiarity with CMS regulations, payer requirements, and medical necessity criteria.
Excellent attention to detail, analytical skills, and ability to work independently.
Experience with encoder and EHR systems (e.g., 3M, Epic, Cerner, Meditech) preferred.
Strong written and verbal communication skills.
Why Join Us?
At our revenue cycle management company, we believe in coding as both a science and an art. By joining our team, you’ll have the opportunity to:
Work with diverse, high-value inpatient cases that challenge and expand your coding expertise.
Be part of a supportive team that values accuracy, compliance, and professional growth.
Gain exposure to leading-edge technologies—including AI-driven coding tools and audit platforms.
Contribute directly to the financial health of hospitals and health systems nationwide.