Remote IP Quality Reviewer

Guidehouse Inc.; United States; Remote; USD 65,000 - 108,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision

Sick Time & Holidays

Discretionary bonus

401(k) Retirement Plan

Life Insurance

HSA/FSAs

Disability

Tuition Reimbursement

Skills Development

Employee Referral Program

Community Outreach

Back-Up Childcare

Job summary

Guidehouse Inc. is seeking a Coding Quality Reviewer to assess and improve coding accuracy in medical records using ICD-10 CM/PCS and CPT systems. The role reports to the Internal Quality Control Director and conducts reviews via EMR or scanning tech.

Responsibilities include daily data entry into our quality review software and timely responses to coder rebuttals, with additional duties as assigned. Competitive salary aligns with experience.

Qualifications

• 5+ years of medical coding or review experience.
• High School Diploma (Relevant experience may substitute for formal education).
• Must hold one of the 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, coding and abstracting accuracy per policies and guidelines.
• Review patient records via EMR, scanning technology or established methods.
• Enter reviews daily into Guidehouse quality review software and respond to coder rebuttals.
• Perform related duties as assigned.

Skills

Medical coding experience

Quality review

Attention to detail

Education

High School Diploma

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.

• 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 [e-mail] . 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 [e-mail] . 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.