Remote Medical Coding Quality Auditor

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

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k)

Paid Holidays

Parental Leave

Tuition Reimbursement

Learning Opportunities

Employee Referral Program

Corporate Sponsored Events

Job summary

Guidehouse in the United States is seeking a Medical Coding Reviewer to report directly to the Internal Quality Control Director. You will access and review medical record documentation, coding and abstracting accuracy using ICD-10 CM/PCS and CPT, ensuring compliance with quality review policies and facility guidelines.

The role involves reviewing records via EMR, scanning technology, or other established methods.

Qualifications

• 5+ years of medical coding or review experience.
• High School Diploma (Relevant experience may be substituted for formal education).
• Must hold one of active credentials: RHIT, RHIA, CCS, CPC, CIC or COC.
• Must maintain coding credential while employed by Guidehouse.
• Must pass Guidehouse coding competency exam.

Responsibilities

• Report directly to the Internal Quality Control Director and review medical record documentation, coding and abstracting accuracy per policy using ICD-10 CM/PCS and CPT.
• Review patient records via EMR, scanning technology or established methods.
• Enter reviews daily into Guidehouse quality review tracking software and respond to coder rebuttals promptly as defined in policies.
• Perform any related duties as assigned.

Skills

Medical coding experience

Education

High School Diploma

Job description

Guidehouse in the United States is seeking a Medical Coding Reviewer to report directly to the Internal Quality Control Director. You will access and review medical record documentation, coding and abstracting accuracy using ICD-10 CM/PCS and CPT, ensuring compliance with quality review policies and facility guidelines.

The role involves reviewing records via EMR, scanning technology, or other established methods.