Guidehouse

Guidehouse is seeking an Inpatient Pediatric Medical Coder to review clinical documentation and extract data to apply ICD-10-CM and CPT codes. The role is full-time and 100% remote, supporting hospital coding, billing, and regulatory compliance under the coding manager. Requires 5+ years of inpatient ICD-10-CM/PCS experience, 1 year pediatric inpatient coding, and credentials such as RHIA/RHIT/CCS/CIC/CPC. Strong communication and adherence to guidelines are essential. #J-18808-Ljbffr

Location: Birmingham, Alabama, United StatesCompany: US104 Guidehouse Managed Services LLCPosted: 2026-10-06Guidehouse is seeking an experienced healthcare coding professional in Birmingham, AL to assist with complex patient care case analyses and accurate code assignment, focusing on outpatient and inpatient coding, data management, and coder education. The role requires RHIA/RHIT/CCS/CPC credentials and at least five years of relevant experience, including two years of leadership.Demonstrated outpatient coding expertise and knowledge of E/M charging is essential.#J-18808-Ljbffr

Guidehouse is seeking an Inpatient Pediatric Medical Coder to review clinical documentation and apply ICD-10-CM and ICD-10-PCS codes for various pediatric inpatient cases. This full-time role is 100% remote and supports Medicare/NonMedicare, surgical, medical, cardiac, and trauma cases. Minimum 5+ years of inpatient coding, pediatric experience, and professional credentials (RHIA/RHIT/CCS/CIC/CPC) are required. #J-18808-Ljbffr

Guidehouse is seeking an Inpatient Pediatric Medical Coder to review clinical documentation and extract data to apply ICD-10-CM and CPT codes. The role is full-time and 100% remote, supporting hospital coding, billing, and regulatory compliance under the coding manager. Requires 5+ years of inpatient ICD-10-CM/PCS experience, 1 year pediatric inpatient coding, and credentials such as RHIA/RHIT/CCS/CIC/CPC. Strong communication and adherence to guidelines are essential. #J-18808-Ljbffr

Guidehouse is seeking a Coding Supervisor to lead inpatient, outpatient, and Pro Fee teams. You will train coders, perform QA, and ensure accurate ICD-10-CM, PCS, and CPT coding per guidelines. The role involves reviewing clinical documentation, communicating with providers, and guiding denial resolution with payer rules. The position is full-time and 100% remote. A university degree plus 5 years of coding leadership experience, credentials (RHIT/RHIA/CCS/CPC/COC), and US citizenship are #J-18808-Ljbffr

Guidehouse is seeking an experienced inpatient facility coder to join our health information management team. The role covers ICD-10/PCS coding across Medicare, non-Medicare, surgical, medical, cardiac, moms/babies, and trauma cases in inpatient accounts. The ideal candidate has 5+ years of inpatient facility coding, credentials such as RHIA, RHIT, or CCS, and a strong knowledge of regulatory guidelines. You will maintain coding accuracy, meet productivity standards, and support facility #J-18808-Ljbffr

Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat 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 perform training and initial QA review for coders who are direct reports. Supervisors must have the ability to review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/PCS 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—Supervisors should be proficient in communicating with coding teams, Client contacts and Providers regarding the coding of 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...

Inpatient Pediatric Medical Coder page is loaded## Inpatient Pediatric Medical Coderlocations: US - Remote (Any location)time type: Full timeposted on: Posted Yesterdayjob requisition id: 45096**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:****The Inpatient Pediatric Medical Coder** will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and CPT Diagnosis 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 and any other official coding guidelines established for use with mandated standard code sets. **This position is full-time and 100% remote.****Duties and Responsibilities:***...

Guidehouse is seeking a Coding Supervisor to lead inpatient, outpatient, and Pro Fee teams. You will train coders, perform QA, and ensure accurate ICD-10-CM, PCS, and CPT coding per guidelines. The role involves reviewing clinical documentation, communicating with providers, and guiding denial resolution with payer rules.The position is full-time and 100% remote. A university degree plus 5 years of coding leadership experience, credentials (RHIT/RHIA/CCS/CPC/COC), and US citizenship areJ-18808-Ljbffr

Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat You Will Do:The Inpatient Pediatric Medical Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and CPT Diagnosis 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 and any other official coding guidelines established for use with mandated standard code sets. This position is full-time and 100% remote.Duties and Responsibilities:Demonstrates the ability to perform quality hospital coding on Inpatient pediatric accounts including Medicare/NonMedicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases.Maintains a working knowledge of ICD-10 PCS,...

Guidehouse is seeking an Inpatient Pediatric Medical Coder to review clinical documentation and apply ICD-10-CM and ICD-10-PCS codes for various pediatric inpatient cases. This full-time role is 100% remote and supports Medicare/NonMedicare, surgical, medical, cardiac, and trauma cases. Minimum 5+ years of inpatient coding, pediatric experience, and professional credentials (RHIA/RHIT/CCS/CIC/CPC) are required. #J-18808-Ljbffr

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 Coding Travel Required: None Clearance Required: None What You Will Do: Demonstrates the ability to perform quality hospital coding on Inpatient accounts including Medicare/Non Medicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases Maintains a working knowledge of ICD-10 PCS, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing Assures that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codes When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards Achieves and maintains 96% accuracy in coding while maintaining a high level of productivity Ability to maintain average productivity standards as follows: 1 IP charts per hour final coded (these productivity standards are Guidehouse general expectations and are subject to change based upon Guidehouse...

Job Family : PFS Billing Travel Required : None Clearance Required : None The Medical Biller - Hospital Commercial 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 Commercial Medical Biller will be working a Hybrid schedule two days in the San Marcos, CA office and three days from home. Essential Job Functions Hospital Billing Emphasis Correcting and billing...

Guidehouse in Washington, DC is seeking an experienced inpatient coder to perform detailed hospital coding on inpatient accounts, including Medicare and non-Medicare cases across surgical, medical, cardiac, moms/babies and trauma categories. The role requires maintaining ICD-10/PCS knowledge, adherence to official coding guidelines, and timely documentation requests to ensure proper billing. Expect high accuracy, adherence to productivity standards, and comprehensive benefits. #J-18808-Ljbffr

Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat You Will Do:Demonstrates the ability to perform quality hospital coding on Inpatient accounts including Medicare/Non Medicare, Surgical, Medical, Cardiac, moms/babies, and trauma casesMaintains a working knowledge of ICD-10 PCS, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billingAssures that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codesWhen services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standardsAchieves and maintains 96% accuracy in coding while maintaining a high level of productivityAbility to maintain average productivity standards as follows: 1 IP charts per hour final coded (these productivity standards are Guidehouse general expectations and are subject to change based upon Guidehouse client agreements and/or...

Medical Biller - Hospital Commercial BillerThe Medical Biller - Hospital Commercial 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 Commercial Medical Biller will be working a hybrid schedule two days in the San Marcos, CA office and three days from home.Essential Job Functions:Hospital Billing EmphasisCorrecting and billing electronic and hardcopy claimsSubmits Adjusted claimsProvides Follow-up BillingPrepares...

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...