Remote Inpatient Quality Reviewer
About The Position
The Coding Quality Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing and reviewing the 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 of patient records will be conducted via facility EMR, scanning technology or other established method. All reviews will be entered daily into Guidehouse proprietary quality review tracking and trending software and will respond to coder rebuttals in a timely manner (timeline defined in quality review policies and procedures). This position will 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
Nice To Haves
- Previous audit experience
Responsibilities
- Accessing and reviewing medical record documentation
- Coding and abstracting accuracy review
- Utilizing ICD-10 CM/PCS and CPT coding classification systems
- Reviewing patient records via facility EMR, scanning technology or other established method
- Entering reviews daily into Guidehouse proprietary quality review tracking and trending software
- Responding to coder rebuttals in a timely manner
- Performing related job duties as assigned
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
