Guidehouse

Remote IP Quality Reviewer

Guidehouse$65K — $108K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of medical coding or review experience
  • High School Diploma (experience may substitute for education)
  • Active credentials (RHIT, RHIA, CCS, CPC, CIC, or COC) required
  • Maintain coding credential while employed
  • Pass Guidehouse coding competency exam

Responsibilities

  • Access and review medical record documentation
  • Ensure coding and abstracting accuracy according to quality policies
  • Utilize ICD-10 CM/PCS and CPT coding classification systems
  • Conduct reviews through EMR or scanning technology
  • Enter review data into proprietary quality tracking software
  • Respond to coder rebuttals timely as per procedures
  • Perform related job duties as assigned

Benefits

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Discretionary variable incentive bonus eligibility
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life Insurance
  • Health Savings and Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement and Personal Development Opportunities
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
Full 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 Internal Quality Control Director and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines utilizing ICD-10 CM/PCS and CPT coding classification systems. Review of patient records will be conducted via facility EMR, scanning technology or other established method. All reviews will be entered daily into Guidehouse proprietary quality review tracking and trending software and will respond to coder rebuttals in a timely manner (timeline defined in quality review policies and procedures). This position will perform any and all related job duties as assigned.

What You Will Need:
  • 5+ years of medical coding or review experience
  • High School Diploma (Relevant experience may be substituted for formal education)
  • Must hold one of the following active credentials: (RHIT, RHIA, CCS, CPC, CIC or COC).
  • Must maintain coding credential while employed by Guidehouse.
  • Must pass Guidehouse coding competency exam.


What Would Be Nice To Have:

Previous audit experience

The annual salary range for this position is $65,000.00-$108,000.00. 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 a management consulting firm headquartered in Washington, D.C. The firm provides consulting services to clients in the public and commercial sectors, with a focus on energy, financial services, healthcare, national security, and aerospace and defense. Guidehouse was founded in 2018 as a spin-off from PwC. The firm has over 7,000 employees and operates in more than 50 locations worldwide.
Learn more about Guidehouse
Size
8,000 employees
Industry
Founded
2018

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