[Hiring] Inpatient Quality Reviewer @Guidehouse

Role Description

The Coding Quality Reviewer shall report directly to the Internal Quality Control Director and will be responsible for:

• Accessing and reviewing the medical record documentation, coding, and abstracting accuracy as defined in quality review policies and facility guidelines utilizing ICD-10 CM/PCS and CPT coding classification systems.
• Conducting reviews of patient records via facility EMR, scanning technology, or other established methods.
• Entering all reviews daily into Guidehouse proprietary quality review tracking and trending software.
• Responding to coder rebuttals in a timely manner as defined in quality review policies and procedures.
• Performing any and all related job duties as assigned.

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.
• Must pass Guidehouse coding competency exam.

Requirements

• Previous audit experience (preferred).

Benefits

• 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.