
10,000+ employees
Founded 2018
🏥 Healthcare
🎖️ Defense
📦 Logistics
đź’° 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.
🔥 12 hours ago
🇺🇸 United States – Remote
đź’µ $61k - $101k / year
⏰ Full Time
🟡 Mid-level
đźź Senior
🏥 Medical Billing and Coding
🦅 H1B Visa Sponsor
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10,000+ employees
Founded 2018
🏥 Healthcare
🎖️ Defense
📦 Logistics
đź’° 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.
• Oversee inpatient, outpatient and professional fee coding teams • Perform training and initial QA review for direct-report coders • Review clinical documentation and diagnostic results to extract data and apply ICD-10 diagnosis, CPT and PCS codes • Support coding, billing, internal and external reporting, research, and regulatory compliance • Communicate with coding teams, client contacts, and providers regarding coding of conditions and procedures • Oversee coding-related payer denials and recommend appropriate claim resolution • Create Excel reports as requested • Maintain knowledge of coding principles, governmental regulations, official guidelines, and third-party documentation and billing requirements • Perform quality coding and answer questions on inpatient/outpatient surgery, clinic, emergency room, and ancillary coding • Train new coders on facility-specific coding/abstracting guidelines, encoder, and EMR functionality • Follow facility-specific policies and procedures • Provide daily coder support and answer facility-related coding questions • Review coding and pending queues daily, ensure timely chart completion, and notify administrative staff when unable to meet the 24-hour turnaround standard • Facilitate daily coder work assignments and work with the Operations Manager to resolve questions and issues • Send daily queue status reports and communicate with the facility as necessary • Work directly with IQC staff to ensure facility quality standards are met • Coach team members and escalate performance issues as appropriate • Travel to client sites may be necessary at times
• Requires a University Degree and a minimum of 5 years of prior relevant experience (Relevant experience may be substituted for formal education) • 3 years of medical coding experience • Must maintain credential throughout employment • Strong working knowledge & experience with Federal & State Coding Regulations and Guidelines • Must be a US Citizen and willing to undergo a federal background check as part of the onboarding process • Must hold one of the following credentials: (RHIT, RHIA, CCS, CPC, COC) • Supervisor experience • Experience working in any of the following systems: EPIC, Cerner, Next Gen, Allscripts or any other EHR • Knowledge of Anatomy, Physiology and Medical Terminology • Experience with Coding clinics ICD-10-CM and PCS • Experience with Government and other Payer guidelines as they relate to compliant coding
• 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
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