Pro Fee Quality Reviewer

This is a fully remote position, open to applicants in United States.

📋 Description

• Directly report to the Pro Fee Quality Review Supervisor.

• Access and evaluate medical record documentation.

• Assess the accuracy of coding and abstracting conducted by the Guidehouse coding team.

• Employ ICD-10 CM, CPT, and HCPCS coding classification systems.

⛳️ Requirements

• A high school diploma or its equivalent.

• Must be a US Citizen.

• Required to possess one of the following credentials: (RHIA, RHIT, CCS, CPC, CIC, COC).

• Must retain coding credentials throughout employment with Guidehouse.

• A minimum of 5 years of coding or review experience.

• Compliance with all client policies and procedures is necessary.

• Experience in Orthopedics, Transplant, Neuro/Spine, Neuro/Cranial, Trauma, Maxillofacial, Dental, Radiology, Interventional Radiology, Injection and Infusion, Radiation Oncology, Pathology, or HCC.

• Advanced coding capabilities in ICD-10-CM and CPT.

• Strong understanding of Protected Health Information.

• Proficient in Excel.

• Excellent verbal and written communication skills.

• High productivity level.

• Capability to work independently.

🏝️ Benefits

• Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time & Company Paid Holidays.

• Position may qualify for a discretionary variable incentive bonus.

• Parental Leave.

• 401(k) Retirement Plan.

• Basic Life & Supplemental Life Insurance.

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts.

• Short-Term & Long-Term Disability Insurance.

• 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.