Remote Inpatient Quality Reviewer

Job Family:

Travel Required:

Clearance Required:

Join Guidehouses 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 were 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 Inpatient Quality Reviewer shall report directly to the Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM CPT and HCPCS coding classification systems. Review of patient records will be conducted via facility EMR scanning technology or other established method. This position will perform any and all related job duties as assigned.

Essential Job Functions

• Computer Literacy
• Excellent verbal and written Communication Skills
• High level of productivity
• HIPAA compliant workstations
• Advanced Coding Skills ICD-10-CM and CPT
• Strong knowledge of governmental regulations relating to coding
• Ability to work independently
• Strong working knowledge of Protected Health Information

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.
• Must have 3 years of strong Inpatient review or Inpatient coding 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

#LI-DNI

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 Opportunity EmployerProtected Veterans Individuals with Disabilities 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- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.

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.