Coding Quality Manager

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

• Maintain a working knowledge of ICD-10-CM and CPT coding regulations and principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and coding for professional fee and surgical coding
• Ensure reviewers meet quality review productivity standards: 
• Creates and/or oversees creation of facility client template set up for GuideAudit to ensure consistency in naming conventions and accuracy in client reporting.
• Responsible for timely update and distribution of review team assignment spreadsheet as coder or reviewer assignments change, client contacts change and/or new client projects are added/changed
• Responsible for final review of Client reports and distribution
• Responsible for evaluations of QA Facility Team
• Assist with management of the DHA QA Team

What You Will Need:

• High school diploma or equivalent

• ​US Citizen

• Must hold one of the following credentials: (RHIA, RHIT, CCS, CPC, CIC, COC)

• Must maintain coding credential while employed by Guidehouse

• 5+ years of medical coding or review experience

• 1-2 years of experience mentoring and training other quality assurance reviewers

• Demonstrates the ability to manage and lead a team

• Abide by all client policies and procedures

• Willingness to undergo a Background Check process 

What Would Be Nice to Have:

• Excellent verbal and written Communication Skills

• High level of productivity

• Advanced Coding Skills, ICD-10-CM and CPT

• Strong knowledge of governmental regulations relating to coding

• Strong working knowledge of Protected Health Information

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 supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected].  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.