Remote Medical Coding Quality Auditor

Guidehouse

Washington (District of Columbia)

Remote

USD 65,000 - 108,000

Full time

13 days ago

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Benefits offered by this job

Medical, Rx, Dental & Vision Insurance
Paid Holidays
401(k) Retirement Plan
Tuition Reimbursement

Job summary

Guidehouse is seeking a Coding Quality Reviewer in Washington, DC to oversee medical record documentation, coding and abstracting accuracy using ICD-10-CM/PCS and CPT coding systems. The role reviews records via EMR and other methods and logs findings into Guidehouse's quality review software.

The ideal candidate has 5+ years of medical coding/review experience, a current RHIT, RHIA, CCS, CPC, CIC or COC credential, and must pass the Guidehouse competency exam.

Qualifications

  • 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 and pass the coding competency exam.

Responsibilities

  • Review medical record documentation for coding accuracy using ICD-10-CM/PCS and CPT systems.
  • Access records via EMR, scanning, or other established methods and review daily in quality tracking software.
  • 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

Education

RHIT
RHIA
CCS
CPC
CIC
COC

Job description

Guidehouse is seeking a Coding Quality Reviewer in Washington, DC to oversee medical record documentation, coding and abstracting accuracy using ICD-10-CM/PCS and CPT coding systems. The role reviews records via EMR and other methods and logs findings into Guidehouse's quality review software.

The ideal candidate has 5+ years of medical coding/review experience, a current RHIT, RHIA, CCS, CPC, CIC or COC credential, and must pass the Guidehouse competency exam.

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