Guidehouse Managed Services LLC is hiring a Remote IP Quality Reviewer to join our team. This role reports to the Internal Quality Control Director and is responsible for reviewing medical record documentation, coding, and abstracting accuracy using ICD-10 CM/PCS and CPT systems. You will conduct reviews via EMR or scanning, enter findings into proprietary software, and respond to coder rebuttals.
What You'll Do
- Access and review medical record documentation, coding, and abstracting accuracy as defined in quality review policies and facility guidelines.
- Utilize ICD-10 CM/PCS and CPT coding classification systems for reviews.
- Conduct reviews of patient records via facility EMR, scanning technology, or other established methods.
- Enter all reviews daily into Guidehouse proprietary quality review tracking and trending software.
- Respond to coder rebuttals in a timely manner as defined in policies and procedures.
- Perform any and all related job duties as assigned.
What We're Looking For
- 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 Have
- Previous audit experience.
Technical Stack
- ICD-10 CM/PCS
- CPT
- Facility EMR
- Guidehouse proprietary quality review tracking and trending software
Team & Environment
Reports directly to the Internal Quality Control Director.
Benefits & Compensation
- Compensation: $56,000.00-$94,000.00
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Eligibility 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
Work Mode
This is a global remote position.
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
