Remote Pro Fee Quality Reviewer
Home Office: Washington, DC, United States
Job Family:
General Coding
Travel Required:
Clearance Required:
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
Plastics
Neuro/Spine
Trauma
Maxillofacial
Dental
Interventional Radiology
Injection and Infusion
Hematology and Oncology
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
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 Excel
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 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 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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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.
ApplyJob Profile
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Benefits/Perks401(k) 401k retirement 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 Incentive bonus 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- Assess coding accuracy
- Communication
- Review medical records
- Training
- Utilize coding classification systems
Abstracting Coding Communication CPC CPT Documentation Excel HCPCS Hcpcs coding Health Information ICD ICD-10 ICD-10-CM Medical record documentation Organizational Productivity Protected Health Information Quality Quality review Radiology Reimbursement Training Verbal and written communication Written communication
Experience5 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