Pro Fee Quality Reviewer

Guidehouse

. Report directly to the Pro Fee Quality Review Supervisor .

Posted 9/16/2026full-timeRemote • United StatesMid-LevelSenior💰 $65,000 - $108,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates advanced coding skills with proficiency in ICD-10-CM and CPT, along with extensive experience in medical record documentation review and coding accuracy. Holds relevant credentials and maintains compliance with client policies while ensuring high productivity and effective communication.

Highest-signal resume keywords

Advanced Coding SkillsICD-10-CMCPTCoding Credentials (RHIA, RHIT, CCS, CPC, CIC, COC)5+ Years of Coding Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding Accuracy ReviewMedical Record DocumentationICD-10-CMCPTHCPCSCoding ExperienceProtected Health InformationAbstracting AccuracyOrthopedics CodingTrauma Coding

Soft Skills

Excellent Verbal CommunicationExcellent Written CommunicationHigh Level of ProductivityAbility to Work Independently

Tools & Technologies

Excel

Certifications & Qualifications

RHIARHITCCSCPCCICCOC

Industry Keywords

OrthopedicsTransplantNeuro/SpineNeuro/CranialMaxillofacialDentalRadiologyInterventional RadiologyInjection and InfusionRadiation Oncology

About the role

Key responsibilities & impact

Report directly to the Pro Fee Quality Review Supervisor
Access and review medical record documentation
Review coding and abstracting accuracy performed by the Guidehouse coding team
Utilize ICD-10 CM, CPT and HCPCS coding classification systems

Requirements

What you’ll need

High school diploma or equivalent
US Citizenship
Must hold one of the following credentials: (RHIA, RHIT, CCS, CPC, CIC, COC)
Must maintain coding credential while employed by Guidehouse
5+ years of coding or review experience
Abide by all client policies and procedures
Experience in Orthopedics, Transplant, Neuro/Spine, Neuro/Cranial, Trauma, Maxillofacial, Dental, Radiology, Interventional Radiology, Injection and Infusion, Radiation Oncology, Pathology, or HCC
Advanced Coding Skills, ICD-10-CM and CPT
Strong working knowledge of Protected Health Information
Experience with Excel
Excellent verbal and written Communication Skills
High level of productivity
Ability to work independently

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