Remote IP Quality Reviewer

Job Family: General Coding; Travel Required: None; Clearance Required: None.

Responsibilities

• Report directly to the Internal Quality Control Director.
• Access and review medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines utilizing ICD-10 CM/PCS and CPT coding classification systems.
• Review patient records via facility EMR, scanning technology or other established method.
• Enter all reviews daily into Guidehouse proprietary quality review tracking and trending software.
• Respond to coder rebuttals in a timely manner (timeline defined in quality review policies and procedures).
• Perform any and all 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.

Skills

• Previous audit experience (nice to have).

Pay

The annual salary range for this position is $65,000.00‑$108,000.00. Compensation decisions depend on a wide range of factors, including skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

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