Guidehouse

A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team. The role involves reviewing and resolving Medicare claims, ensuring compliance with billing guidelines, and applying appropriate medical codes. The ideal candidate will have over three years of relevant experience and certification in coding. Competitive compensation ranges from $49,000 to $81,000 annually, alongside a rich benefits package that includes health insurance and retirement plans. #J-18808-Ljbffr

Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat You Will Do:Code Physician Plastic Surgery chargesCommunicate coding rationale to physiciansCode IP and OP Plastic Surgery chargesWhat You Will Need:High School Diploma/GED (Relevant experience may be substituted for formal education)3+ years of experience coding for Plastic SurgeryCPC from AAPCTrauma surgery coding experience related to PlasticsBreast Reconstruction coding experienceFlaps and adjacent tissue transfer experienceWhat Would Be Nice To Have:ENT facial plastics coding experienceMultispecialty surgical coding experienceOther coding credentials from AAPCThe annual salary range for this position is $44,000.00-$74,000.00. 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...

Guidehouse is hiring a full-time coder to perform high-quality medical record coding, specifically in neurology. The role requires a minimum of 3 years experience, CPC certification, and skills in communicating effectively. Offers medical, dental, and vision insurance, along with various other benefits including a 401(k) retirement plan and tuition reimbursement. Join a supportive team committed to compliance and quality work practices. #J-18808-Ljbffr

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: Coding OB/GYN surgeries for an Academic Medical Center Coding GYN/ONC procedures for an Academic Medical Center Communicating codes to the provider with official source rationale What You Will Need: High School Diploma or equivalent 3+ years of experience coding OB/GYN and GYN/ONC specialties CPC from the AAPC Ability to maintain 95% or higher quality accuracy What Would Be Nice To Have: Specialty OB/GYN credential from the AAPC The annual salary range for this position is $44,000.00-$74,000.00. 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...

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: The Remote Neurology Clinic Coder reviews clinical documentation and diagnostic results to assign accurate ICD-10, CPT, and HCPCS codes for billing, reporting, and compliance. Working under the coding manager or supervisor, this role applies official coding guidelines, supports denial review and resolution, and helps ensure accurate documentation and reimbursement. This position is full-time and 100% remote. Responsibilities: • Perform accurate, high-quality coding of medical records using ICD-10, CPT, and HCPCS guidelines. • Ensure documented services are coded appropriately and obtain clarification when documentation is incomplete. • Maintain productivity, accuracy, and turnaround standards for assigned work queues and chart review. • Review and communicate coding corrections, re-bills, denials, and documentation issues in a timely manner. • Respond professionally to coding and billing...

Medical Biller The Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. The medical biller will be working a Hybrid schedule two days in either the San Marcos, CA or El Segundo, CA offices and three days from home. Essential Job Functions Hospital Billing Emphasis Correcting and billing electronic and hardcopy claims Submits Adjusted claims Provides Follow-up Billing Prepares Billing...

Job Family : PFS Billing Travel Required : None Clearance Required : None What You Will Do : The Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. The medical biller will be working a Hybrid schedule two days in either the San Marcos, CA or El Segundo, CA offices and three days from home. Essential Job Functions Hospital Billing Emphasis Correcting...

Job Family : PFS Billing Travel Required : None Clearance Required : None What You Will Do : The Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. The medical biller will be working a Hybrid schedule two days in either the San Marcos, CA or El Segundo, CA offices and three days from home. Essential Job Functions Hospital Billing Emphasis Correcting...

Job Title General Coding Travel Required None Clearance Required None What You Will Do Coding OB/GYN surgeries for an Academic Medical Center Coding GYN/ONC procedures for an Academic Medical Center Communicating codes to the provider with official source rationale What You Will Need High School Diploma or equivalent 3+ years of experience coding OB/GYN and GYN/ONC specialties CPC from the AAPC Ability to maintain 95% or higher quality accuracy What Would Be Nice To Have Specialty OB/GYN credential from the AAPC Salary The annual salary range for this position is $44,000.00-$74,000.00. 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...

Job Family :Strategy & Transformation ConsultingTravel Required :Up to 25%Clearance Required :NoneIs 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 and educational programs. We...

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...

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 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 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...

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...

Remote Neurology Clinic Coder The Remote Neurology Clinic Coder reviews clinical documentation and diagnostic results to assign accurate ICD-10, CPT, and HCPCS codes for billing, reporting, and compliance. Working under the coding manager or supervisor, this role applies official coding guidelines, supports denial review and resolution, and helps ensure accurate documentation and reimbursement. This position is full-time and 100% remote. Responsibilities: Perform accurate, high-quality coding of medical records using ICD-10, CPT, and HCPCS guidelines. Ensure documented services are coded appropriately and obtain clarification when documentation is incomplete. Maintain productivity, accuracy, and turnaround standards for assigned work queues and chart review. Review and communicate coding corrections, re-bills, denials, and documentation issues in a timely manner. Respond professionally to coding and billing questions from providers, facilities, and internal teams....