Remote IP Quality Reviewer

Guidehouse; Washington (District of Columbia); Remote; USD 65,000 - 108,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Holidays

Tuition Reimbursement

Parental Leave

401(k) Plan

Job summary

Guidehouse is seeking a Coding Quality Reviewer to verify accuracy of medical record documentation, coding and abstracting using ICD-10-CM/PCS and CPT. Responsibilities include daily QA entries, responding to rebuttals, and adherence to policy.

Candidates need 5+ years in medical coding/review and must hold a current credential such as RHIT, RHIA, CCS, CPC, CIC or COC, plus pass a coding competency exam. The role reports to the Internal Quality Control Director and may involve various related

Qualifications

• 5+ years of medical coding or review experience.
• Must hold one of the active credentials: RHIT, RHIA, CCS, CPC, CIC or COC.
• Must pass Guidehouse coding competency exam.

Responsibilities

• Access and review medical record documentation, coding and abstracting accuracy per policy.
• Review records via EMR, scanning tech or other methods and document findings daily.
• Respond to coder rebuttals in a timely manner as defined by quality review policies.
• Perform related duties as assigned by the Internal Quality Control Director.

Skills

Medical coding experience

Education

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

Job description

Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat 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 experienceHigh 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-DNIThe 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 InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse 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.If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [e-mail]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.