Remote Pro Fee Coding Quality Reviewer
Home Office: San Antonio, TX
Job Family:
General Coding
Travel Required:
Clearance Required:
Join Guidehouse’s Best in KLAS® Medical Coding Team!
Guidehouse is excited to announce the opening of our Center of Excellence in Northwest San Antonio, TX! As an organization experiencing exponential growth, we are driven by our inclusive culture and commitment to helping everyone on our team succeed. We are proud to be recognized as a Military Friendly Employer for the fifth consecutive year, listed among the 2024 Military Spouse-Friendly Employers and we’re Great Places to Work certified
If you are a skilled Quality Medical Reviewer looking to make a difference for a mission driven project, apply today!
What You Will Do:
The Coding Quality Reviewer shall report directly to the 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. Review of patient records will be conducted via facility EMR, scanning technology or other established method. This position will perform any and all related job duties as assigned.
Essential Job Functions
- Computer Literacy
- Excellent verbal and written Communication Skills
- High level of productivity
- HIPAA compliant workstations
- Advanced Coding Skills, ICD-10-CM and CPT
- Strong knowledge of governmental regulations relating to coding
- Ability to work independently
- Strong working knowledge of Protected Health Information
What You Will Need:
- High school diploma or equivalent
- US Citizen
- Must hold one of the following credentials: (RHIA, RHIT, CCS, CPC, CIC, COC).
- Must maintain coding credential while employed by Guidehouse.
- 3+ years of coding or review experience.
- Abide by all client policies and procedures.
- Willingness to undergo a Federal Background Check process
What Would Be Nice to Have:
- Military or Federal Medical Coding or review experience
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
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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 RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
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.
Job Profile
Must be a U.S. Citizen None Willingness to undergo background check
Benefits/Perks401(k) Basic Life & Supplemental Life Childcare Program Company paid holidays Competitive compensation Corporate Sponsored Events & Community Outreach Dental Dental Insurance Emergency back-up childcare Emergency Back-Up Childcare Program Employee Referral Program Flexible benefits Flexible benefits package Flexible Spending Accounts Health savings account Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Medical Medical Insurance Medical, Rx, Dental & Vision Insurance Paid holidays Parental leave Personal and Family Sick Time Personal and Family Sick Time & Company Paid Holidays Rx Sick time Skills development Skills Development & Certifications Tuition reimbursement Tuition Reimbursement, Personal Development & Learning Opportunities Variable Incentive Bonus Vision Vision Insurance
Tasks- Communication
- Ensure coding accuracy
- Review medical records
- Training
- Utilize coding classification systems
Coding Communication Computer CPC CPT Documentation EMR HCPCS HIPAA ICD ICD-10 ICD-10-CM Medical Coding Medical record documentation Organizational Productivity Quality Quality review Reimbursement Training Verbal and written communication Written communication
Experience3 years
EducationCCS Equivalent High school diploma High school diploma or equivalent RHIA RHIT
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9