Remote Pro Fee Quality Reviewer

Navigant; Northern (KY); Hybrid; USD 65,000 - 108,000; Full time

Benefits offered by this job

Medical insurance

401(k) retirement plan

Parental leave

Telecommuting/Remote work

Job summary

Guidehouse is seeking a Remote Pro Fee Quality Reviewer to review medical record documentation and coding accuracy using ICD-10-CM, CPT and HCPCS, across orthopedic, transplant, neuro and other specialties.

The role requires a high school diploma, US citizenship, credentials (RHIA, RHIT, CCS, CPC, CIC, or COC) and 5+ years of coding experience; you must maintain certification. This full-time position offers a competitive salary (65k–108k) and a comprehensive benefits package.

Qualifications

• High school diploma or equivalent required.
• US Citizenship required.
• Must hold one of the credentials: RHIA, RHIT, CCS, CPC, CIC, COC.
• 5+ years of coding or review experience.
• Maintain coding credential while employed by Guidehouse.

Responsibilities

• Review medical record documentation for coding accuracy.
• Apply ICD-10-CM, CPT and HCPCS coding classifications.
• Ensure abstraction accuracy across specialties (Orthopedics, Transplant, Neuro, Radiology, etc.).

Skills

Coding proficiency

Communication skills

Independent work

Attention to detail

Education

High school diploma or equivalent

Tools

ICD-10-CM

CPT

HCPCS

Excel

Job description

## Remote Pro Fee Quality ReviewerApply: US - Remote (Any location): Full time: Posted Today: 44572**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:**The Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. Looking for specific experience in the areas below:* Orthopedics* Transplant* Neuro/Spine* Neuro/Cranial* Trauma* Maxillofacial* Dental* Radiology* Interventional Radiology* Injection and Infusion* Radiation Oncology* Pathology* HCC**What You Will Need:*** High school diploma or equivalent* US Citizenship* Must hold one of the following credentials: (RHIA, RHIT, CCS, CPC, CIC, COC)* Must maintain coding credential while employed by Guidehouse* 5+ years of coding or review experience* Abide by all client policies and procedures**What Would Be Nice To Have:*** Excellent verbal and written Communication Skills* High level of productivity* Advanced Coding Skills, ICD-10-CM and CPT* Ability to work independently* Strong working knowledge of Protected Health Information* Experience with ExcelThe 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 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