Guidehouse

Vascular Surgery Coder The job family is General Coding. Travel is not required. Clearance is not required. The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and...

Job Family : Strategy & Transformation Consulting Travel Required : Up to 25% Clearance Required : None Is life sciences in your DNA? Breakthroughs in pharma are helping people live healthier lives, while medical devices enable patients to proactively maintain health - this is undoubtedly a transformative time for health care companies. Guidehouse's Life Sciences practice is an engine of innovation, helping pharmaceutical, biotech, medical device, and diagnostic companies develop custom solutions that tackle today's challenges, while anticipating tomorrow's. You will have an immediate impact by partnering with our clients, across all levels, to deliver product planning, pricing, reimbursement, product commercialization, and regulatory and compliance solutions. Do you think you are up for the challenge? We continuously strive to foster an inclusive and diverse work culture and thoughtfully develop our people through challenging work, valuable learning...

Job Family General Coding Travel Required None Clearance Required None What You Will Do: Pre-Authorization Coding: The coder will review documentation for planned procedures and provide the appropriate CPT for authorization. What You Will Need: High School Diploma or equivalent 3-5 years of relevant experience Certified Professional Coder (CPC) certification from AAPC Knowledge in coding guidelines Good written and oral communication skills Proficiency in use of excel What Would Be Nice To Have: Proficiency in CPT Surgical Coding Additional surgical specialty credentials from AAPC The annual salary range for this position is $40,000.00-$66,000.00. 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...

Revenue Integrity Analyst (Medical Biller) Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD's enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: Support and optimize MHS GENESIS revenue cycle configuration, including charge capture workflows, billing rules, and work queues. Validate charge accuracy, coding logic, modifiers, and payer requirements; troubleshoot system and workflow issues. Analyze financial, clinical, and operational data to identify trends, charge variances, and revenue improvement opportunities. Investigate claim edits and denials, identify root causes, and...

Job Family : Finance & Accounting Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: The Revenue Integrity Analyst (Medical Coding) supports accurate documentation, compliant coding, and optimized charge capture within MHS GENESIS, the Military Health System's enterprise EHR. The role ensures correct configuration of revenue cycle workflows and reduces revenue leakage through data analysis, system support, and cross-functional collaboration. Responsibilities of this role are as follows, to include but not limited to: System Configuration & Support: Validate and troubleshoot MHS GENESIS revenue cycle build, including coding workflows, charge capture, charge router logic, and billing integrations. Ensure accurate mapping of CPT, ICD-10, HCPCS, modifiers, and charge codes. Data Analysis: Analyze clinical and financial data to identify coding variances, charge gaps, and revenue...

Job Family : Finance & Accounting Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD's enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: Support and optimize MHS GENESIS revenue cycle configuration, including charge capture workflows, billing rules, and work queues. Validate charge accuracy, coding logic, modifiers, and payer requirements; troubleshoot system and workflow issues. Analyze financial, clinical, and operational...

Vascular Surgery Coder The job family is General Coding. Travel is not required. Clearance is not required. The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis is a remote position.What You Will Do :Code OB / GYN office and hospital chargesReview and code properly per documentation and coding guidelinesWork remotelyWhat You Will Need :3 or more years experience coding OB / GYN clinic and hospital chargesCPC from AAPCExperience working claim edits and denialsAbility to multitaskGood communication skills - written and oralWhat Would Be Nice To Have :Specialty OB credential through AAPCExperience coding in EPIC#LI-DNIThe annual salary range for this position is $44000.00-$74000.00.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...

ENT Surgery Pro Fee CoderThe ENT Surgery Pro Fee Coder must be proficient in surgical coding for high complexity ENT surgery cases.The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT / HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS / MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets.The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.This position is full time and 100% remote.Maintain...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis role is fully remote.What You Will Do :The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes along with CPT / HCPCS codes as defined for the service type for coding billing internal and external reporting research as required and regulatory compliance.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting CMS and any other official coding guidelines established for use with mandated standard code sets.Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles governmental regulations official coding guidelines and third-party requirements regarding documentation and billing.Assures that all services documented in the patients chart are coded with...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis position is full time as and fully remote.What You Will Do :The Remote Outpatient Multi-Specialty Surgery Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes as defined for the service type for coding billing internal and external reporting research as required and regulatory compliance.The success candidate will have multi-specialty surgical coding experience in but not limited to any Trauma Urology ENT Plastics General Surgeries OB / GYN Cardiovascular etc.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting CMS / MAC rules and the CPT rules established by the AMA and any other official coding guidelines established for use with mandated standard code sets.What You Will Need :RHIA RHIT CCS or CPC...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis position is a fully remote positionThis position is a part-time roleWhat You Will Do :Code Neurosurgery Operative notes for Physician ChargesCode Neurosurgery rounding chargesWhat You Will Need :Experience coding Neurosurgery - Brain and SpineMinimum 3 years experience coding NeurosurgeryCPC credential from AAPCMust maintain credentials during employmentWhat Would Be Nice To Have :Experience coding OrthoExperience coding Trauma#LI-AS1The annual salary range for this position is $51000.00-$85000.00.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...

Job Family : Finance & Accounting Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD's enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: Support and optimize MHS GENESIS revenue cycle configuration, including charge capture workflows, billing rules, and work queues. Validate charge accuracy, coding logic, modifiers, and payer requirements; troubleshoot system and workflow issues. Analyze financial, clinical, and operational...

Job Family : Finance & Accounting Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: The Revenue Integrity Analyst (Medical Coding) supports accurate documentation, compliant coding, and optimized charge capture within MHS GENESIS, the Military Health System's enterprise EHR. The role ensures correct configuration of revenue cycle workflows and reduces revenue leakage through data analysis, system support, and cross-functional collaboration. Responsibilities of this role are as follows, to include but not limited to: System Configuration & Support: Validate and troubleshoot MHS GENESIS revenue cycle build, including coding workflows, charge capture, charge router logic, and billing integrations. Ensure accurate mapping of CPT, ICD-10, HCPCS, modifiers, and charge codes. Data Analysis: Analyze clinical and financial data to identify coding variances, charge gaps, and revenue...

Job Family: Finance & Accounting Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD's enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: Support and optimize MHS GENESIS revenue cycle configuration, including charge capture workflows, billing rules, and work queues. Validate charge accuracy, coding logic, modifiers, and payer requirements; troubleshoot system and workflow issues. Analyze financial, clinical, and operational data to identify...

Job Family: Finance & Accounting Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: The Revenue Integrity Analyst (Medical Coding) supports accurate documentation, compliant coding, and optimized charge capture within MHS GENESIS, the Military Health System's enterprise EHR. The role ensures correct configuration of revenue cycle workflows and reduces revenue leakage through data analysis, system support, and cross-functional collaboration. Responsibilities of this role are as follows, to include but not limited to: System Configuration & Support: Validate and troubleshoot MHS GENESIS revenue cycle build, including coding workflows, charge capture, charge router logic, and billing integrations. Ensure accurate mapping of CPT, ICD-10, HCPCS, modifiers, and charge codes. Data Analysis: Analyze clinical and financial data to identify coding variances, charge gaps, and revenue integrity issues....

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: Pre-Authorization Coding: The coder will review documentation for planned procedures and provide the appropriate CPT for authorization. What You Will Need: High School Diploma or equivalent 3-5 years of relevant experience Certified Professional Coder (CPC) certification from AAPC Knowledge in coding guidelines Good written and oral communication skills Proficiency in use of excel What Would Be Nice To Have: Proficiency in CPT Surgical Coding Additional surgical specialty credentials from AAPC #LI- DNI The annual salary range for this position is $40,000.00-$66,000.00. 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...

Job Family: General Coding Travel Required: None Clearance Required: Ability to Obtain NACI What You Will Do: The Coding Inpatient, Outpatient, and Pro Fee Team Supervisor must be proficient in medical coding and have experience overseeing coding teams. The Supervisor will conduct training and initial QA reviews for their direct reports. Supervisors must be able to review clinical documentation and diagnostic results as needed to extract data and apply the appropriate ICD-10 diagnosis codes, CPT/PCS codes, and other relevant coding standards. These codes are used for billing, internal and external reporting, research, regulatory compliance, and other required purposes. Under the direction of the Coding Manager, Supervisors should be proficient in communicating with coding teams, client contacts, and providers regarding the coding of conditions and procedures. All coding must align with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules, CPT...

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers...

Job Family: Health Travel Required: None Clearance Required: None The Multispecialty Coder will Code for Multispecialty Surgery physicians primarily Single Path Coding. Multi-specialty surgical coding experience, any Trauma, Urology, ENT, Plastics, GenSurg, OB/GYN, Cardiovascular, Interventional Radiology, etc. Ability to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending...

What You Will Do Pre‑Authorization Coding: The coder will review documentation for planned procedures and provide the appropriate CPT for authorization. Job Family General Coding Travel Required None Clearance Required None What You Will Need High School Diploma or equivalent 3-5 years of relevant experience Certified Professional Coder (CPC) certification from AAPC Knowledge in coding guidelines Good written and oral communication skills Proficiency in use of Excel What Would Be Nice To Have Proficiency in CPT Surgical Coding Additional surgical specialty credentials from AAPC DNI The annual salary range for this position is $40,000.00-$66,000.00. 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...

A leading consulting firm in Washington, DC, seeks a coder to review documentation for planned procedures and provide appropriate CPT for authorization. Candidates must have a High School Diploma, CPC certification, and 3-5 years of relevant experience. Strong knowledge of coding guidelines and proficiency in Excel are required. This position offers a competitive salary between $40,000 and $66,000 and comprehensive benefits including medical, parental leave, and a 401(k) plan. #J-18808-Ljbffr