FreshRemote.Work

Remote Pro Fee Quality Reviewer

Home Office: Washington, DC, United States

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

  • 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

The annual salary range for this position is $56,000.00-$94,000.00. 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

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.

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Job Profile

Regions

North America

Countries

United States

Restrictions

None

Benefits/Perks

401(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
Skills

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

Experience

5 years

Education

CCS Equivalent High school diploma High school diploma or equivalent RHIA RHIT

Certifications

CCS CIC COC CPC RHIA RHIT

Timezones

America/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