Pro Fee QA & Training Lead

Guidehouse; Washington (District of Columbia); On-site; USD 74,000 - 124,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Paid Holidays

Job summary

Guidehouse is seeking a Lead Pro Fee Coding/QA Lead in the Washington, DC area to guide onboarding, training, and QA activities for pro fee reviewers. You will partner with coding operations leaders, develop training workflows, and oversee QA pre-bill tasks, while ensuring accuracy across ICD-10-CM, CPT, and HCPCS coding.

This role requires eight years of pro fee coding or review experience and active credentials such as CPC, COC, CPMA, RHIT, RHIA, CCS, or CIC.

Qualifications

• Must hold active coding credentials (CPC, COC, CPMA, RHIT, RHIA, CCS or CIC).
• High school diploma or GED required; degree not mandatory.
• Maintain coding credentials during employment and pass competency exam.
• At least 8 years of pro fee coding or review experience.

Responsibilities

• Lead onboarding and training of pro fee reviewers.
• Create training workflows and materials as needed.
• Collaborate with coding operations leaders and oversee QA pre-bill assignments.
• Assist reviewer connectivity and troubleshoot with the team.
• Update assignment sheet with onshore/offshore leadership and distribute weekly.
• Review patient records to validate coding accuracy and abstract data.
• Run productivity reports and sample reviews.

Skills

CPC

COC

CPMA

RHIT

RHIA

CCS

CIC

Education

High school diploma or GED

Tools

Microsoft Office

Excel

Company-specific programs

Job description

Guidehouse is seeking a Lead Pro Fee Coding/QA Lead in the Washington, DC area to guide onboarding, training, and QA activities for pro fee reviewers. You will partner with coding operations leaders, develop training workflows, and oversee QA pre-bill tasks, while ensuring accuracy across ICD-10-CM, CPT, and HCPCS coding.

This role requires eight years of pro fee coding or review experience and active credentials such as CPC, COC, CPMA, RHIT, RHIA, CCS, or CIC.