IP Quality Reviewer

Guidehouse

Medical coding quality reviewer auditing medical records and coding accuracy for Guidehouse, an AI-led professional services firm. Using ICD-10-CM/PCS, CPT, EMR, and quality-tracking software.

Posted 8/17/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $65,000 - $108,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in medical coding and quality review processes, utilizing ICD-10 CM/PCS and CPT coding systems. Proficient in conducting patient record reviews and maintaining coding credentials while adhering to quality review policies.

Highest-signal resume keywords

Medical Coding ExperienceICD-10 CM/PCS CodingCPT CodingRHIT/RHIA/CCS/CPC/CIC/COC CredentialQuality Review Policies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record Documentation ReviewCoding Accuracy ReviewPatient Record ReviewQuality Review Tracking SoftwareCoding Competency Exam

Tools & Technologies

EMR SystemsScanning TechnologyGuidehouse Software

Certifications & Qualifications

RHITRHIACCSCPCCICCOC

Industry Keywords

Quality ControlAudit ExperienceHealthcare ComplianceCoding GuidelinesAbstracting Accuracy

About the role

Key responsibilities & impact

Report directly to the Internal Quality Control Director
Access and review medical record documentation
Review coding and abstracting accuracy according to quality review policies and facility guidelines
Use ICD-10 CM/PCS and CPT coding classification systems
Conduct patient record reviews via facility EMR, scanning technology, or another established method
Enter all reviews daily into Guidehouse proprietary quality review tracking and trending software
Respond to coder rebuttals within the timelines defined in quality review policies and procedures
Perform related job duties as assigned

Requirements

What you’ll need

5+ years of medical coding or review experience
High School Diploma; relevant experience may be substituted for formal education
Must hold one active credential: RHIT, RHIA, CCS, CPC, CIC, or COC
Must maintain coding credential while employed by Guidehouse
Must pass Guidehouse coding competency exam
Previous audit experience is nice to have

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