Remote Pro Fee Coding Quality Reviewer

Company : Guidehouse
Location : Washington, DC
Posted Date : 5 October 2025
Job Details
Remote Pro Fee Coding Quality Reviewer
Job Family: Health
Travel Required: None
Clearance Required: Ability to Obtain Public Trust
What You Will Do:
The Remote Pro Fee Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse Federal coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. The coding is a one touch process that includes both Pro Fee and facility coding on the same encounter. 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. This position is 100% remote.
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 medical 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
- Excellent verbal and written Communication Skills
- High level of productivity
- Advanced Coding Skills, ICD-10-CM and CPT
- Strong knowledge of governmental regulations relating to coding
- Strong working knowledge of Protected Health Information
The annual salary range for this position is $56,000.00-$94,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
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.
- 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.
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 @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.
Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
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