Revenue Integrity Coding Billing Specialist; remote

Position: Revenue Integrity Coding Billing Specialist (remote)
Location: New York
locations:
US - Remote (Any location):
US - NY, New York:
US - MN, Minneapolis:
US - FL, Tampa:
US - NC, Raleigh
** Job Family:
** General Coding
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* Travel Required:

** None
*
* Clearance Required:

** None This position is fully remote
** What You Will Do****:
** The annual salary range for this position is $56,000.00-$94,000.00. 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.
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* 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 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 or via email at Recruitin 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  or   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  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.*- Daily duties for this position include:  
* Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving standard billing edits such as:  
* Correct Coding Initiatives (CCI)  
* Medically Unlikely Edits (MUE)  
* Medical Necessity edits  
* Other claim level edits as assigned  
* As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers.  
* Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system.  
* Ensures coding and billing practices are in compliance with Federal/State guidelines by utilizing…