The Coding Quality Reviewer reports directly to the Internal Quality Control Director and is responsible for reviewing medical record documentation and evaluating coding and abstraction accuracy in accordance with quality review policies and facility guidelines.
Work is performed using ICD-10-CM, ICD-10-PCS, and CPT coding classification systems. Reviews are conducted through the facility EMR, scanning technology, or other established methods. All findings are entered daily into Guidehouse's proprietary quality review tracking and trending software, and coder rebuttals are addressed in a timely manner according to policy and procedure.
Additional related duties may be assigned as needed.
Required Qualifications
- 5+ years of medical coding or review experience
- High school diploma or equivalent; relevant experience may substitute for formal education
- Active credential in one of the following: RHIT, RHIA, CCS, CPC, CIC, or COC
- Ability to maintain coding credentials while employed
- Ability to pass Guidehouse's coding competency exam
Preferred Qualifications
- Previous audit experience
Benefits and Perks
- Medical, Rx, dental, and vision insurance
- Personal and family sick time plus company-paid holidays
- Discretionary variable incentive bonus eligibility
- Parental leave
- 401(k) retirement plan
- Basic life and supplemental life insurance
- Health Savings Account, dental/vision, and dependent care Flexible Spending Accounts
- Short-term and long-term disability
- Tuition reimbursement
- Personal development and learning opportunities
- Skills development and certifications
- Employee referral program
- Corporate-sponsored events and community outreach
- Emergency back-up childcare program
Location
Washington, District of Columbia, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$56,000 - $94,000
Remote work allowed
Yes
Posted
1 month ago