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Remote Pro Fee Quality Reviewer

Role overview

Qualifications

  • High school diploma or equivalent
  • US Citizenship
  • Coding credential (RHIA, RHIT, CCS, CPC, CIC, or COC) and must maintain credential during employment
  • 5+ years of coding or coding review experience

Responsibilities

  • Access and review medical record documentation for coding and abstracting accuracy performed by the Guidehouse coding team
  • Verify coding using ICD-10-CM, CPT, and HCPCS classification systems
  • Identify discrepancies and communicate findings in alignment with client policies and procedures
  • Collaborate with the Pro Fee Quality Review Supervisor and the coding team to ensure quality and productivity

About the company

Guidehouse logo

Guidehouse

Professional Services

Guidehouse is a global consultancy providing advisory, digital, and managed services to the commercial and public sectors. Guidehouse is purpose-built to serve the national security, financial services, healthcare, energy, and infrastructure industries. Disrupting legacy consulting delivery models with its agility, capabilities, and scale, the firm delivers technology-enabled and focused solutions that position clients for innovation, resilience, and growth. With high-quality standards and a relentless pursuit of client success, Guidehouse’s more than 17,000 employees collaborate with leaders to outwit complexity and achieve transformational changes that meaningfully shape the future.

Company details

Company typeLarge
IndustryProfessional Services
Company size10001

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Job description

Job Family:

General Coding


Travel Required:

None


Clearance Required:

None

What You Will Do:
 

The Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. Looking for specific experience in the areas below:

  • Orthopedics

  • Transplant

  • Neuro/Spine

  • Neuro/Cranial

  • Trauma

  • Maxillofacial

  • Dental

  • Radiology

  • Interventional Radiology

  • Injection and Infusion

  • Radiation Oncology


What You Will Need:

  • High school diploma or equivalent

  • US Citizenship

  • Must hold one of the following credentials: (RHIA, RHIT, CCS, CPC, CIC, COC)

  • Must maintain coding credential while employed by Guidehouse

  • 5+ years of coding or review experience

  • Abide by all client policies and procedures 

What Would Be Nice To Have:

  • Excellent verbal and written Communication Skills

  • High level of productivity

  • Advanced Coding Skills, ICD-10-CM and CPT

  • Ability to work independently

  • Strong working knowledge of Protected Health Information

  • Experience with Excel

#LI-DNI 

The annual salary range for this position is $56,000.00-$94,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.


What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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