Pro Fee Quality Team Lead

Guidehouse

. Assist with onboarding and training pro fee reviewers on resource tools, facility-guideline drives, OneNote, Replicon, education portal, policies and procedures, and client-specific policies .

Posted 10/1/2026full-timeRemote • United StatesSenior💰 $74,000 - $124,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in pro fee coding and review, with a strong focus on coding accuracy, quality assurance, and training development. Proficient in utilizing coding systems and tools while maintaining compliance with client and organizational policies.

Highest-signal resume keywords

Pro Fee Coding ExperienceCPC CertificationICD-10-CM CodingCPT CodingAuditing Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Pro Fee CodingCoding Quality ReviewCode ValidationAbstractingICD-10-CMCPTModifier CodingHCPCS CodingCoder Productivity ReportingTraining Material Development

Soft Skills

CollaborationTroubleshootingLeadership

Tools & Technologies

Microsoft OfficeExcelGuideAuditOneNoteRepliconEducation Portal

Certifications & Qualifications

CPCCOCCPMARHITRHIACCSCIC

Industry Keywords

Pro Fee ReviewCoding PoliciesClient-Specific PoliciesQuality AssuranceHealthcare Coding

About the role

Key responsibilities & impact

Assist with onboarding and training pro fee reviewers on resource tools, facility-guideline drives, OneNote, Replicon, education portal, policies and procedures, and client-specific policies
Create client review training workflows and associated training materials as needed
Collaborate with coding operations leaders and oversee pro fee QA pre-bill assignments
Assist with reviewer connectivity for new or existing clients and troubleshoot with the review team
Collaborate with onshore and offshore coding leadership to update and distribute the pro fee review assignment sheet weekly
Review entire patient record documentation for audited dates of service to validate code and abstract-data accuracy
Validate applicable code elements
Complete monthly coding quality reviews for the required number of accounts per coder
Identify abstracting, ICD-10-CM, CPT, modifier, and HCPCS coding errors
Run coder productivity reports from facility systems or GuideAudit production, or pull random sample accounts from completed coding spreadsheets

Requirements

What you’ll need

Must hold one of the following active credentials: CPC, COC, CPMA, RHIT, RHIA, CCS, CIC or COC
Must have a high school diploma/GED
Relevant experience accepted in lieu of a degree
Must maintain coding credentials while employed by Guidehouse
Must pass Guidehouse coding competency exam
Must have at least 8 years of pro fee coding or review experience
Abide by all client policies and procedures
Abide by all Guidehouse policies and procedures
Ability to work with Microsoft Office, Excel, computer programs, and company-specific programs
Auditing experience is preferred
Previous leadership experience
BS/BA is preferred

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
Competitive compensation