IP Quality Reviewer

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $65k - $108k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

🎖️ Defense

📦 Logistics

💰 Grant on 2023-02

Healthcare • Defense • Logistics

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• Report directly to the Internal Quality Control Director • Access and review medical record documentation • Review coding and abstracting accuracy according to quality review policies and facility guidelines • Use ICD-10 CM/PCS and CPT coding classification systems • Conduct patient record reviews via facility EMR, scanning technology, or another established method • Enter all reviews daily into Guidehouse proprietary quality review tracking and trending software • Respond to coder rebuttals within the timelines defined in quality review policies and procedures • Perform related job duties as assigned

🎯 Requirements

• 5+ years of medical coding or review experience • High School Diploma; relevant experience may be substituted for formal education • Must hold one active credential: RHIT, RHIA, CCS, CPC, CIC, or COC • Must maintain coding credential while employed by Guidehouse • Must pass Guidehouse coding competency exam • Previous audit experience is nice to have

🏖️ 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