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GuidehouseCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding and quality review processes, with proficiency in ICD-10-CM/PCS and CPT coding systems. Holds relevant coding credentials and maintains compliance with quality review policies and procedures.
Highest-signal resume keywords
ICD-10-CM/PCS CodingCPT CodingRHIT CredentialRHIA CredentialCCS Credential
About the role
Key responsibilities & impact- Report directly to the Internal Quality Control Director
- Access and review medical record documentation, coding and abstracting accuracy
- Apply quality review policies and facility guidelines
- Utilize ICD-10-CM/PCS and CPT coding classification systems
- Review patient records via facility EMR, scanning technology or another established method
- Enter all reviews daily into Guidehouse proprietary quality review tracking and trending software
- Respond to coder rebuttals within the timelines defined in quality review policies and procedures
- Perform related job duties as assigned
Requirements
What you’ll need- 5+ years of medical coding or review experience
- High School Diploma (Relevant experience may be substituted for formal education)
- Must hold one of the following active credentials: RHIT, RHIA, CCS, CPC, CIC or COC
- Must maintain coding credential while employed by Guidehouse
- Must pass Guidehouse coding competency exam
- Experience with ICD-10-CM/PCS and CPT coding classification systems
- Previous audit experience preferred/nice to have
Benefits
Comp & perks- 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
- Flexible benefits package
- Reasonable accommodation for applicants who require it
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingQuality ReviewCoding AccuracyAbstracting AccuracyAudit Experience
Tools & Technologies
Guidehouse Quality Review SoftwareEMR SystemsScanning Technology
Certifications & Qualifications
RHITRHIACCSCPCCICCOC
Industry Keywords
Medical Record DocumentationQuality Review PoliciesFacility GuidelinesCoder RebuttalsQuality Review Tracking