Guidehouse

Remote Pro Fee Quality Reviewer

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

Qualifications

  • High school diploma or equivalent required
  • U.S. Citizenship is necessary
  • Must possess at least one coding credential (RHIA, RHIT, CCS, CPC, CIC, COC)
  • 5+ years of coding experience required
  • Must maintain coding credential during employment

Responsibilities

  • Review medical records for coding accuracy and documentation
  • Utilize ICD-10 CM, CPT, and HCPCS coding systems
  • Audit coding performed by the Guidehouse coding team
  • Identify areas for improved coding practices
  • Report findings to the Pro Fee Quality Review Supervisor

Benefits

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • 401(k) Retirement Plan
  • Parental Leave
  • Tuition Reimbursement and Skills Development Opportunities
  • Emergency Back-Up Childcare Program
  • Corporate Sponsored Events & Community Outreach
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 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

  • Pathology

  • HCC


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

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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