Guidehouse

Job Family: PFS Billing Travel Required: None Clearance Required: None What You Will Do The Healthcare - 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. Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially but with opportunity for some hybrid (in office/remote) after training. We will consider individuals open to...

A leading consulting firm is seeking a Revenue Integrity Coding Billing Specialist in Minneapolis. This fully remote position is responsible for managing Medicare and third-party payer accounts, ensuring compliance with coding and billing guidelines. Candidates should have a high school diploma, extensive experience in Revenue Integrity, and certifications from AAPC or AHIMA. The annual salary ranges from $56,000 to $94,000, depending on qualifications and experience. #J-18808-Ljbffr

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...

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 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 : 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 : 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...

A leading consulting firm in New York is seeking a Revenue Integrity Coding Billing Specialist to provide support in resolving Medicare and third-party payer claims. This position is fully remote and requires 5+ years of Revenue Integrity experience along with proficiency in ICD-10, CPT, and HCPCS coding. The successful candidate will ensure compliance with billing guidelines and will be responsible for accurate coding of services provided. Benefits include medical insurance, 401(k), and tuition reimbursement. #J-18808-Ljbffr

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...

What You Will Do Accurately transform 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. Check input volumes allotted by the Team Lead. Create coding reports as per client and coding guidelines while maintaining operational quality and productivity. Maintain regular interaction with the Team Lead and respond to feedback. Work well independently and in a collaborative manner with the entire coding team. Understand in detail the workflow, procedures, and specific criteria for the assigned client. Meet the monthly target with above 95% accuracy consistently. Attend weekly QA/team meetings without fail and engage in two‑way communication with the Quality Analyst/Team Lead. What You Will Need Life Science or Paramedical graduate or postgraduate. Minimum experience: 1–2 years. Strong ability to interpret...

Guidehouse is seeking a Medical Coder in Indiana, Pennsylvania. The role involves accurately coding medical records using ICD-10-CM, CPT, and HCPCS codes. Candidates should have a Life Science or Paramedical degree, with 1-2 years of coding experience and certification from AAPC or AHIMA. Strong communication skills and the ability to meet high accuracy standards are essential. Guidehouse offers competitive compensation and a comprehensive benefits package as part of its commitment to a diverse workplace. #J-18808-Ljbffr

Job Family : Operational Effectiveness 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: Revenue Integrity & Charge Capture Optimize and validate MHS GENESIS / Cerner charge capture workflows, CDM logic, billing rules, and revenue cycle configuration. Conduct charge capture validation, reconciliation of clinical activity to billing outputs, and identification of DNFB risks and...

A reputable consulting firm offers a remote position for a Revenue Integrity Coding Billing Specialist in Saint Paul, Minnesota. Responsibilities include managing Medicare and third-party payer claims, ensuring compliance with coding practices, and applying relevant codes. The ideal candidate has a high school diploma and at least 5 years of Revenue Integrity experience along with AAPC or AHIMA coding certification. Competitive salary ranges from $56,000 to $94,000, plus a comprehensive benefits package. #J-18808-Ljbffr

A reputable consulting firm offers a remote position for a Revenue Integrity Coding Billing Specialist in Saint Paul, Minnesota. Responsibilities include managing Medicare and third-party payer claims, ensuring compliance with coding practices, and applying relevant codes. The ideal candidate has a high school diploma and at least 5 years of Revenue Integrity experience along with AAPC or AHIMA coding certification. Competitive salary ranges from $56,000 to $94,000, plus a comprehensive benefits package. #J-18808-Ljbffr

A consulting firm is seeking a Revenue Integrity Analyst to support the modernization of military health systems. Responsibilities include optimizing billing workflows, conducting audits for compliance, and performing data analysis to improve revenue outcomes. The ideal candidate should possess strong expertise in revenue cycle management, billing, coding, and be proficient in regulatory requirements. This role offers competitive compensation along with a comprehensive benefits package. #J-18808-Ljbffr

Job Family : Operational Effectiveness 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. Revenue Integrity & Charge Capture Optimize and validate MHS GENESIS / Cerner charge capture workflows, CDM logic, billing rules, and revenue cycle configuration. Conduct charge capture validation, reconciliation of clinical activity to billing outputs, and identification of DNFB risks and revenue leakage. Audit documentation and coding (ICD‑10‑CM, CPT/HCPCS, modifiers) to ensure...

Job Family Coding IP (India) Travel Required None Clearance Required None What You Will Do Strong knowledge and experience in ICD-10-CM and ICD-10-PCS coding systems Proficiency in assigning DRGs (Both MS & APR DRG) and ensuring compliance with regulatory standards Excellent attention to detail and accuracy in reviewing patient records Effective communication and collaboration skills with clinical staff Familiarity with EHR systems and coding software Ability to work independently and adhere to deadlines What You Will Need Minimum 1-2 years of experience in IP coding specialty. Mandatory certifications like CIC, CCS, CPC. Must be a Graduate. Good communication and analytical skills are required. ICD-10-PCS coding systems, ensuring accuracy and compliance with all regulatory and reimbursement requirements. Day-to-day tasks include reviewing patient records, assigning appropriate DRGs, collaborating with clinical staff to gather accurate documentation, and...

A healthcare consulting firm seeks a skilled Revenue Integrity Coding Billing Specialist to resolve claims and ensure compliance with Medicare and Medicaid guidelines. The ideal candidate will have 5+ years of experience, strong knowledge of ICD-10, CPT, and HCPCS coding, and excellent communication skills. The position offers a flexible, fully remote work environment with a competitive annual salary ranging from $56,000 to $94,000, along with comprehensive benefits including medical, dental, 401(k), and tuition reimbursement. #J-18808-Ljbffr

Job Family General Coding Travel Required None Clearance Required None What You Will Do Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home. What You Will Need High School Diploma/GED (relevant experience may be substituted for formal education) 1+ years of medical coding experience AAPC CPC or AHIMA CCS coding certification Experience in ICD-10, CPT and HCPCS Level II Coding Ability to determine medical necessity of services provided and charged based on provider/clinical documentation Knowledge, understanding and proper application of Medicare, Medicaid, and third‑party...

A leading consulting firm based in Birmingham, Alabama, is seeking a Medical Coder. Responsibilities include reviewing inpatient and outpatient coding requests for accuracy, filing claims, and reporting changes to collections teams. Candidates must have a High School Diploma, 1+ years of coding experience, and relevant certifications. The position offers a hybrid work model post-training with a strong benefits package, including medical and dental insurance, 401(k), and tuition reimbursement. #J-18808-Ljbffr

A healthcare services company in San Antonio is seeking a Medical Biller responsible for initial and secondary billing, handling government and non-government claims. The ideal candidate has 1-3+ years of experience in billing within the healthcare sector and is knowledgeable about insurance claims and coding. Strong communication skills and the ability to work collaboratively with various departments are essential. The position offers potential for hybrid work after training and a comprehensive benefits package. #J-18808-Ljbffr

A healthcare consulting firm is hiring a Revenue Integrity Coding Billing Specialist for a fully remote position. You will be responsible for resolving Medicare and third-party claims, ensuring compliance with billing regulations. The ideal candidate will have at least 5 years of Revenue Integrity experience, knowledge of ICD-10 and CPT coding, and strong communication skills. The role offers a salary range between $56,000 and $94,000 and a comprehensive benefits package including medical, dental, and a retirement plan. #J-18808-Ljbffr

A leading consulting firm is seeking a fully remote Revenue Integrity Coding Billing Specialist. The role requires at least 5 years of experience in Revenue Integrity, with proficiency in ICD-10, CPT, and HCPCS coding. Responsibilities include resolving claims, ensuring compliance with billing requirements, and validating clinical documentation. AAPC or AHIMA coding certification is a must. Benefits include medical insurance, tuition reimbursement, and a flexible rewards package. #J-18808-Ljbffr

A healthcare consulting firm is seeking a Revenue Integrity Analyst to ensure accurate billing and efficient claim resolution in San Antonio, Texas. The ideal candidate will have strong experience in revenue cycle management, analytics, and compliance, with a bachelor's degree and a preference for those who hold a Federal or DoD Public Trust. This position offers opportunities to work closely with clinical and IT teams, making impactful contributions to the Military Health System. #J-18808-Ljbffr