Remote Medical Quality Reviewer
About The Position
The Remote Pro Fee Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse Federal coding team by utilizing ICD-10 CM, CPT, and HCPCS coding classification systems. The coding is a one touch process that includes both Pro Fee and facility coding on the same encounter. Review of patient records will be conducted via facility EMR, scanning technology or other established method. This position will perform any and all related job duties as assigned. This position is 100% remote.
Requirements
- High school diploma or equivalent
- US Citizen
- Must hold one of the following credentials: (RHIA, RHIT, CCS, CPC, CIC, COC)
- Must maintain coding credential while employed by Guidehouse
- 3+ years of medical coding or review experience
- Abide by all client policies and procedures
- Willingness to undergo a Federal Background Check process
Nice To Haves
- Military or Federal Medical Coding or review experience
- Excellent verbal and written Communication Skills
- Experience in any or all OP chart types (ED, SDS, multispecialty clinic coding)
- Experience with single path coding
- Advanced Coding Skills, ICD-10-CM and CPT
- Strong knowledge of governmental regulations relating to coding
- Strong working knowledge of Protected Health Information
Responsibilities
- Accessing and reviewing the medical record documentation
- Coding and abstracting accuracy as performed by the Guidehouse Federal coding team by utilizing ICD-10 CM, CPT, and HCPCS coding classification systems
- Review of patient records will be conducted via facility EMR, scanning technology or other established method
- Perform any and all 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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
