Remote IP Quality Reviewer

Guidehouse; Oregon; Hybrid; USD 65,000 - 108,000; Full time

Benefits offered by this job

Health Insurance

401(k) Retirement

Paid Holidays

Tuition Reimbursement

Parental Leave

Life Insurance

Job summary

Guidehouse is seeking a Coding Quality Reviewer to verify medical record documentation and coding accuracy using ICD-10 CM/PCS and CPT classifications. You will access records via EMR or scanning tools, enter findings into our quality review software, and respond to coder rebuttals within policy timelines.

The role reports to the Internal Quality Control Director and performs related duties as assigned. Requirements include 5+ years in medical coding/review, a high school diploma, and active

Qualifications

• 5+ years of medical coding or review experience.
• High School Diploma; relevant experience may substitute.
• Active credentials: RHIT, RHIA, CCS, CPC, CIC or COC.
• Must maintain coding credential while employed by Guidehouse.
• Must pass Guidehouse coding competency exam.

Responsibilities

• Access and review medical record documentation for coding accuracy.
• Review coding and abstracting accuracy using ICD-10 CM/PCS and CPT.
• Use facility EMR, scanning technology or other established methods.
• Enter reviews daily into Guidehouse quality review software and respond to coder rebuttals.
• Perform related duties as assigned.

Skills

Medical coding experience

Education

RHIT/RHIA/CCS/CPC/CIC/COC credential

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#LI-DNI

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

• 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.