Pro Fee Quality Reviewer

🔥 13 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 Pro Fee Quality Review Supervisor • Access and review medical record documentation • Review coding and abstracting accuracy performed by the Guidehouse coding team • Utilize ICD-10 CM, CPT and HCPCS coding classification systems

🎯 Requirements

• 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 • Experience in Orthopedics, Transplant, Neuro/Spine, Neuro/Cranial, Trauma, Maxillofacial, Dental, Radiology, Interventional Radiology, Injection and Infusion, Radiation Oncology, Pathology, or HCC • Advanced Coding Skills, ICD-10-CM and CPT • Strong working knowledge of Protected Health Information • Experience with Excel • Excellent verbal and written Communication Skills • High level of productivity • Ability to work independently

🏖️ 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