Offer summary

Qualifications:

High School Diploma or equivalent required., 5 years of experience in medical coding and/or auditing in multiple specialties, or 3 years in a Medical Treatment Facility., RHIT or RHIA Certification is mandatory., Knowledge of ICD-CM, PCS, HCPCS, and CPT coding systems is preferred..

Key responsabilities:

Accurately assign diagnosis and procedure codes for inpatient services including surgical and ancillary procedures.

Ensure correct assignment of DRGs and code inpatient discharge records for optimal reimbursement.

Perform tasks within military coding systems like MHS GENESIS and 3M Encompass 360.

Research and resolve coding edit failures as assigned.

Job description

Job Family:

Health

Travel Required:

None

Clearance Required:

None

We offer:

Competitive compensation and comprehensive benefits
A flexible, remote work arrangement
The opportunity to work the #1 ranked Best in KLAS® medical coding team, and a rapidly growing global professional services firm
A collaborative, diverse, and supportive workplace
Corporate membership to AAPC and the AAPC webinar subscription for our full-time team coders who are AAPC members
Encoder Pro as a resource tool for our full-time team members
Monthly education newsletter and education opportunities provided through our education department
AAPC approver instructor who helps coordinate your CEU’s or expanded CPC specialty certifications

What You Will Do:

Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to; inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, and ancillary services
Work may involve areas such as Laboratory, Radiology, and Dental services
Ensures correct assignment of DRGs for inpatient stays
Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the Center to receive correct reimbursement or workload credit
Performs necessary tasks within MHS GENESIS and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV) to complete encounters
May be tasked with assisting with ambulatory and outpatient coding
Researches and resolves coding edit failures as assigned

What You Will Need:

High School Diploma or equivalent
5 years of experience in medical coding and/or auditing in two or more medical, surgical, and ancillary specialties OR 3 years of experience medical coding and/or auditing experience in a Medical Treatment Facility
RHIT or RHIA Certification
Must be a US Citizen

What Would Be Nice To Have:

Knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT)
Knowledge of reimbursement systems, including Prospective
Payment System (PPS) and Diagnostic Related Groupings (DRGs)
Practical knowledge of EHR systems and workflows pertaining to medical coding
Practical knowledge of clinical documentation improvement and
continuous process improvement processes
Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS)
Advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes
Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to: Laboratory, Dental, Occupational Therapy, Physical Therapy, and Radiology); and revenue cycle management concepts related to medical coding
Experience working in any of the following systems: EPIC, Cerner, Next Gen, Allscripts or any other EHR
Associates Degree

The annual salary range for this position is $0.00-$0.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

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 Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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 RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

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.

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