Quality Control Reviewer, remote

Guidehouse · Remote, United States

Job Family

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General Coding
Travel Required

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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). 5+ years of medical coding or review experience
~ High School Diploma (Relevant experience may be substituted for formal education)
~ RHIT, RHIA, CCS, CPC, CIC or COC).
~ Must maintain coding credential while employed by Guidehouse.
~ Must pass Guidehouse coding competency exam.

Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Medical, Rx, Dental & Vision Insurance
~ Personal and Family Sick Time & Company Paid Holidays
~ Position may be eligible for a discretionary variable incentive bonus
~ 401(k) Retirement Plan
~ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
~ Short-Term & Long-Term Disability
~ Tuition Reimbursement, Personal Development & Learning Opportunities
~ Corporate Sponsored Events & Community Outreach
~ Emergency Back-Up Childcare Program

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at or via email at information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.