Facility Coding Quality Reviewer

Job Family:

Travel Required:

Clearance Required:

Join Guidehouse’s Best in KLAS® Medical Coding Team!

Guidehouse is excited to announce the opening of our Center of Excellence in Northwest San Antonio, TX! As an organization experiencing exponential growth, we are driven by our inclusive culture and commitment to helping everyone on our team succeed. We are proud to be recognized as a Military Friendly Employer for the fifth consecutive year, listed among the 2024 Military Spouse-Friendly Employers and we’re Great Places to Work certified

If you are a skilled Quality Medical Reviewer looking to make a difference for a mission driven project, apply today!

What You Will Do:

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.

Essential Job Functions

• Strong computer knowledge (well versed in excel and word)
• Excellent verbal and written communication skills
• Meet review productivity and quality standards
• Maintain HIPAA compliant workstations, strong knowledge of protected health information guidelines.
• Advanced Coding Skills, ICD-10-CM/PCS and CPT
• Strong knowledge of official coding guidelines as well as associated government regulations
• Ability to work independently and multi-task

What You Will Need:

• 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 coding or review experience.
• Abide by all client policies and procedures.
• Willingness to undergo a Federal Background Check process 

What Would Be Nice to Have:

• Military or Federal Medical Coding or review experience

What We Offer:

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.

Benefits include:

• 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

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

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 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.