Guidehouse Inpatient Medical Coding -Compliance Coordinator (Remote) in Boston, Massachusetts
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.
The Inpatient Medical Coding- Compliance Coordinator (Remote) organizes, maintains, and analyzes results from inpatient chart reviews for adherence to compliant documentation. Performs review of selected charts from SMART compliance tool to validate coding accuracy and Diagnosis Related Group (DRG). Provides feedback to coders and clinical documentation specialists and may provide reports involving coding and documentations activate and other related tasks. This is a 100% remote position.
Analyzes documentation and coding based on official coding guidelines to ensure all charts are coded to the accurate DRG
Generates SMART software tools as requested
Reviews medical records flagged in PWC SMART software for patterns of coding errors and opportunism for coder/or clinical education
Initiates corrective action to ensure resolution of problem areas identified during and internal investigation or audition and monitoring activity
Serves as a technical expert/resource for department managers, staff, physicians, administration, and external customers to provide information for clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements
Preforms other duties as assigned
Associates Degree from an accredited Heath Information Management program and 6 or more years of related experience OR an equivalent combination of relevant education and experience
Must have Certified Coding Specialist (CCS) Certification from AHIMA
Mastery of ICD-10 CM/PCS Coding
Proficiency in MS Office
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.
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 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.
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.
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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