[Hiring] Professional Fee Quality Reviewer @Guidehouse

Role Description

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

Qualifications

• 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

Requirements

• 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

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