Overview
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
Responsibilities
The Pro Fee – Medical Information Coder- ED and E&M codes medical documents and/or charge tickets as assigned. If requested by supervisor, provides technical guidance and training on medical coding to physicians and/or other department staff. Maintains knowledge of AMA guidelines and billing compliance and performs all other duties as required.
Must be self-directed / self-motivated; must have good communication and interpersonal skills.
Must be detail oriented.
Accept responsibility for the direction, control and planning of one’s own work.
Recognize the rights and responsibilities of patient and employee confidentiality.
Adaptable to change and improvement.
Relate to others in a manner which creates a sense of teamwork and cooperation.
Show exemplary attitude in levels of maturity, responsibility, judgment and conduct.
Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment.
Perform effectively when confronted with emergency, critical, unusual or dangerous situations.
Demonstrate the quality work ethic of doing the right thing the right way.
Assigns required CPT/ ICD-10 codes and/or modifiers as needed per documentation.
Determines if accident date/type is applicable.
Inspects each case for missing information and gives to appropriate party for follow up.
Resolves TES Work files.
Reviews encounter to determine the appropriate action required.
Achieves and maintains 95% accuracy in coding while maintaining high level of productivity.
Ability to maintain average productivity standards.
Coders are responsible for maintaining HIPPA compliant workstations.
It is the responsibility of each coder to review and ahere to the coding dividion policy and procedure manual content.
Examines documents in various programs (HealthQuest/IPV, etc.,) for missing information.
Furnishes liaisons with facts to help clear edits.
Edits the dollar amount on cosmetic cases based on department’s instructions.
Maintains open channels of communication.
Informs others as needed in a clear, concise manner; selects the proper mode of communication and includes appropriate parties.
Verifies all written communication is grammatically correct and free of typographical errors.
Works well with other members of the facility coding and billing team to ensure maximum efficiency and reimbursement for properly documented services.
Notifies supervisor promptly when problems arise with equipment, programs, etc.
Qualifications
High school diploma or equivalent
Previous coding experience related to Emergency Room Services coding
Certified Professional Coder AAPC (CPC) or AHIMA (CCS-P)
Good written and verbal communication skills
Basic computer skills
Preferred Qualifications:
Experience with Cerner, IDX or Powerchart
Previous 2+ years coding experience
Experience with Encoder applications
Additional Requirements
The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.
Candidates from Eastern Standard Time, Central Standard Time, and Pacific Standard Time Zones as well as candidates from Arizona, New Mexico and Utah will be considered for this position.
Disclaimer
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action 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 [email protected] . 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.
Rewards and Benefits
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 and Adoption Assistance
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
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