IP Quality Reviewer

🔥 22 hours ago

🇺🇸 United States – Remote

💵 $65k - $108k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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, coding and abstracting accuracy • Apply quality review policies and facility guidelines • Utilize ICD-10-CM/PCS and CPT coding classification systems • Review patient records 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 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 • Experience with ICD-10-CM/PCS and CPT coding classification systems • Previous audit experience preferred/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 • Flexible benefits package • Reasonable accommodation for applicants who require it