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Remote Pro Fee Quality Reviewer

Guidehouse Inc.

Job Overview

Location

US - Remote (Any location)

Job Type

Full-time

Full Job Description

📋 Description

• The Remote Pro Fee Quality Reviewer at Guidehouse Inc. is responsible for reviewing medical record documentation, coding, and abstracting accuracy performed by the coding team using ICD-10 CM, CPT, and HCPCS classification systems, ensuring compliance and quality in specialized clinical areas.
• Day-to-day responsibilities include accessing and evaluating medical records for orthopedics, transplant, neuro/spine, neuro/cranial, trauma, maxillofacial, dental, radiology, interventional radiology, injection and infusion, and radiation oncology coding accuracy, reporting directly to the Pro Fee Quality Review Supervisor.
• Guidehouse is a professional services firm specializing in consulting, technology, and managed services across healthcare, public sector, and commercial industries, committed to diversity, equity, inclusion, and equal opportunity employment.
• In this role, the individual will deepen expertise in clinical coding quality assurance, enhance analytical and auditing skills, maintain professional credentials, and contribute to high-stakes healthcare compliance initiatives while working remotely with flexibility and autonomy.

🎯 Requirements

• High school diploma or equivalent
• US Citizenship
• Active credential in RHIA, RHIT, CCS, CPC, CIC, or COC
• 5+ years of coding or review experience
• Ability to maintain coding credential throughout employment

🏖️ Benefits

• Medical, Rx, Dental & Vision Insurance
• 401(k) Retirement Plan
• Tuition Reimbursement & Personal Development Opportunities
• Parental Leave
• Health Savings Account & Flexible Spending Accounts

Skills & Technologies

Remote

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Guidehouse Inc.

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About Guidehouse Inc.

Guidehouse Inc. is a global consulting and managed services provider formed in 2018 from the public sector practice of PwC. The company advises public and commercial clients on strategy, technology, risk management, and operations, focusing on energy, financial services, health, defense, and cybersecurity. With 18,000 professionals in over 60 offices worldwide, it delivers implementation support, managed services, and digital solutions to federal agencies, utilities, and Fortune 500 organizations. Guidehouse is majority-owned by Veritas Capital and partners with governments and businesses to address complex regulatory, operational, and innovation challenges.

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