McLean, Virginia, United States · Remote OK
$65k–$108k/yr
Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: The Coding Quality Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing…
Skills: Medical coding, ICD-10 CM/PCS, CPT coding, Quality review, Medical record documentation
Columbia, South Carolina, United States · On-site
Job Family: Management Consulting Travel Required: Up to 25% Clearance Required: None What You Will Do: As a Consultant on our State and Local Government team in Columbia, you will support public sector clients by conduc…
Skills: Analytical Problem Solving, Strategic Planning, Stakeholder Engagement, Client Deliverable Development, Data Analysis
San Antonio, Texas, United States · On-site
$70k–$116k/yr
Job Family: Database Administration Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Administer and optimize enterprise databases supporting cloud and on-premises workloads.…
Skills: Database administration, Infrastructure engineering, SQL Server, Oracle, PostgreSQL
Tysons, Virginia, United States · Remote OK
$130k–$216k/yr
Job Family: Data Science & Analysis, Data Science Consulting Travel Required: None Clearance Required: None Guidehouse is seeking a Databricks Solution Architect to join our AI & Data team to support client projects invo…
Skills: Databricks, Unity Catalog, Data Architecture, Cloud Platforms, Python
Thiruvananthapuram, Kerala, India · On-site
Job Family: EBO Management Information System (India) Travel Required: None Clearance Required: None What You Will Do:Understand high-level client requirements, break them down into detailed tasks, and collaborate with t…
Skills: Data Analysis, MIS Reporting, MS Excel, Power Pivot, Power Query
Chennai, Tamil Nadu, India · On-site
Job Family: EBO Accounts Receivable (India) Travel Required: None Clearance Required: None What You Will Do: Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of den…
Skills: Accounts receivable, Claims processing, Denial management, Communication skills, Typing
Washington, District of Columbia, United States · On-site
$98k–$163k/yr
Job Family: Management Consulting Travel Required: Up to 10% Clearance Required: Active Top Secret (TS) What You Will Do: Review and analyze requests for exceptions and authorizations to conduct transactions that are gen…
Skills: Sanctions analysis, Financial crimes investigation, OFAC regulations, Data analysis, Link analysis
Hyderabad, Telangana, India · On-site
Job Family: EBO Accounts Receivable (India) Travel Required: None Clearance Required: None What You Will Do: Initiate calls requesting status of claims in queue.Contact insurance companies for further explanation of deni…
Skills: Accounts Receivable, US Healthcare, Claims Processing, Denial Management, HIPAA Compliance
Annapolis Junction, Maryland, United States · On-site
$98k–$163k/yr
Job Family: Finance & Accounting Consulting Travel Required: Up to 10% Clearance Required: Active Top Secret SCI with Polygraph What You Will Do: Our financial management senior consultants help clients optimize all elem…
Skills: Financial Management, Internal Controls, Budgeting, Accounting, Auditing
Bethesda, Maryland, United States · On-site
$133k–$199k/yr
Job Family: Subject Matter Experts - Technical (SMT) Travel Required: Up to 10% Clearance Required: Active Top Secret SCI with Polygraph What You Will Do: The objectives of the Technical SETA are to assist with the coord…
Skills: Financial Intelligence, Geoeconomics, Supply-Chain Analysis, Network Analysis, Beneficial Ownership Mapping
Hyderabad, Telangana, India · On-site
Job Family: EBO Accounts Receivable (India) Travel Required: None Clearance Required: None What You Will Do: Initiate calls requesting status of claims in queue.Contact insurance companies for further explanation of deni…
Skills: Accounts Receivable, US Healthcare Claims Processing, Denial Management, HIPAA Compliance, Analytical Skills
Tampa, Florida, United States · On-site
Job Family: Data Science Consulting Travel Required: Up to 10% Clearance Required: Active Secret What You Will Do: We are seeking an experienced Data Analyst to join our growing Defense & Security practice, with a dedica…
Skills: Data Analytics, Python, Spark, SQL, Databricks
Hyderabad, Telangana, India · On-site
Job Family: EBO Accounts Receivable (India) Travel Required: None Clearance Required: None What You Will Do: Initiate calls requesting status of claims in queue.Contact insurance companies for further explanation of deni…
Skills: Accounts Receivable, US Healthcare Claims Processing, Denial Management, HIPAA Compliance, Analytical Skills
Washington, District of Columbia, United States · On-site
$100k–$150k/yr
Job Family: Software Architecture (SYA) Travel Required: Up to 10% Clearance Required: Active Top Secret SCI (TS/SCI) What You Will Do Guidehouse is seeking a highly capable Senior Solutions Architect to support a large-…
Skills: Enterprise Architecture, Solution Design, Cloud Transformation, Cybersecurity, Infrastructure Modernization
New Haven, Connecticut, United States · Remote OK
$65k–$108k/yr
Job Family: Scientist Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust Our federal client conducts microbiological and chemical food safety, nutrition, and food defense research related to re…
Skills: Analytical Chemistry, Laboratory Research, Method Development, Method Validation, Data Interpretation
Boston, Massachusetts, United States · Hybrid
$162k–$270k/yr
Job Family: Data Science Consulting Travel Required: Up to 25% Clearance Required: None Guidehouse is seeking a Databricks Solution Architect to join our AI and Data team to support client projects in the utility industr…
Skills: Databricks, Unity Catalog, Cloud Architecture, SQL, Python
McLean, Virginia, United States · On-site
Job Family: Management Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: Serve as a workstream lead supporting the Department of Veterans Affairs (VA) client throu…
Skills: Management Consulting, Healthcare Strategy, Technology Modernization, Data Architecture, Stakeholder Engagement
Washington, District of Columbia, United States · Hybrid
$98k–$163k/yr
Job Family: Management Consulting Travel Required: None Clearance Required: Active Top Secret (TS) What You Will Do: The Change Management and Communications Analyst will provide a federal agency’s Chief Information Offi…
Skills: Change Management, Executive Communication, Technical Liaison, Stakeholder Engagement, Strategic Planning
Washington, District of Columbia, United States · On-site
$98k–$163k/yr
Job Family: Network Engineering Travel Required: Up to 10% Clearance Required: Active Top Secret (TS) What You Will Do: Guidehouse is seeking a capable Network Engineer – Mid to support a large-scale federal enterprise i…
Skills: Network Engineering, Routing, Switching, VLANs, Network Segmentation
Chicago, Illinois, United States · Remote OK
$135k–$225k/yr
Job Family: Finance & Accounting Consulting Travel Required: Up to 75%+ Clearance Required: None What You Will Do: Guidehouse is seeking an experienced Front-End Healthcare Revenue Cycle/Patient Access leader for our Hea…
Skills: Revenue Cycle Management, Patient Access, Financial Transformation, Management Consulting, Project Management
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The Quality Reviewer is responsible for reviewing medical record documentation and coding accuracy using ICD-10 and CPT systems. They must enter review findings into proprietary software and respond to coder rebuttals in a timely manner.
Candidates must have 5+ years of medical coding experience and hold an active credential such as RHIT, RHIA, CCS, CPC, CIC, or COC. A high school diploma is required, and applicants must pass a coding competency exam.
Travel Required:
Clearance Required:
The Coding Quality Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines utilizing ICD-10 CM/PCS and CPT coding classification systems. Review of patient records will be conducted via facility EMR, scanning technology or other established method. All reviews will be entered daily into Guidehouse proprietary quality review tracking and trending software and will respond to coder rebuttals in a timely manner (timeline defined in quality review policies and procedures). This position will perform any and all related job duties as assigned.
What You Will 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.
What Would Be Nice To Have:
Previous audit experience
#LI-DNI
The annual salary range for this position is $65,000.00-$108,000.00. 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
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities 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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
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.
Empowering our clients to meaningfully shape the future.
Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.
Offices: 1676 International Dr, 800, McLean, Virginia 22102, US · 1800 Tysons Blvd, McLean, Virginia 22102, US · 1000 Wilson Blvd, Suite 1400, Arlington, Virginia 22209, US · 111 Congress Ave, Suite 2500, Austin, Texas 78701, US · 125 High St, Suite 401, Boston, Massachusetts 02110, US
Empowering our clients to meaningfully shape the future.
Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.
Offices: 1676 International Dr, 800, McLean, Virginia 22102, US · 1800 Tysons Blvd, McLean, Virginia 22102, US · 1000 Wilson Blvd, Suite 1400, Arlington, Virginia 22209, US · 111 Congress Ave, Suite 2500, Austin, Texas 78701, US · 125 High St, Suite 401, Boston, Massachusetts 02110, US
