Guidehouse

Guidehouse is seeking a part-time Neurosurgery Medical Coder to perform surgical coding for Neurology surgery cases and E/M for associated providers. The role is remote with a 20-hour weekly commitment and requires 3+ years of Neurology Surgery coding and CPC certification. You will review clinical documentation to assign ICD-10 and CPT codes, ensure compliance, and handle denials per payer guidelines while maintaining HIPAA standards and timely communication with staff. #J-18808-Ljbffr

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: The Neurosurgery Medical Coder must be proficient in surgical coding for all Neurology 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 and...

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

Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Job Family Coding OP (India) Travel Required None Clearance Required None What You Will Do Accurately transforms medical diagnoses...

Guidehouse is seeking a part-time Neurosurgery Medical Coder to perform surgical coding for Neurology surgery cases and E/M for associated providers. The role is remote with a 20-hour weekly commitment and requires 3+ years of Neurology Surgery coding and CPC certification. You will review clinical documentation to assign ICD-10 and CPT codes, ensure compliance, and handle denials per payer guidelines while maintaining HIPAA standards and timely communication with staff. #J-18808-Ljbffr

Guidehouse India invites an experienced IP DRG coder to join our team. You will accurately transform medical diagnoses and procedures into ICD-10-CM and ICD-10-PCS codes and ensure timely turnaround with high accuracy. The role requires at least 2 years of IP DRG coding experience, a graduate degree, and certifications such as CIC, CCS, or CPC. You will review patient records, collaborate with clinical staff, and participate in QA meetings while upholding information security policies. #J-18808-Ljbffr

Guidehouse India is seeking an IP DRG coding specialist to transform diagnoses and procedures into ICD-10-CM/PCS codes. You will ensure timely turnaround, review volumes with TL, and maintain high quality while meeting monthly accuracy targets. The role requires 2+ years in IP DRG coding, CIC/CCS/CPC certifications, and strong communication and analytical skills. Collaboration with clinical staff and adherence to security policies are essential. #J-18808-Ljbffr

Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM and ICD-10-PCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and...

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 : 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...

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

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 :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...