Revenue Integrity Coding Billing Specialist (remote)

Guidehouse(3 months ago)

RemoteFull TimeSenior$56,000 - $94,000Revenue Integrity

About this role

Guidehouse is hiring a Revenue Integrity Coding Billing Specialist to support the revenue cycle by reviewing and resolving payer claims impacted by pre-bill edits, billing scrubber holds, and denials. The role partners closely with the Director of Revenue Integrity and focuses on ensuring accurate outpatient coding and compliant billing outcomes for Medicare, Medicaid, and other third-party payers. The position is fully remote with no travel or clearance required.

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Required Skills

Revenue Cycle
Revenue Integrity
Medical Coding
ICD-10
CPT
HCPCS
Claims Denials
Billing Edits
Medical Necessity
CCI Edits

+11 more

Qualifications

High School Diploma
AAPC Certification
AHIMA Certification

About Guidehouse

guidehouse.com

Guidehouse is a leading advisory firm that specializes in integrating commercial and public sector solutions to tackle complex challenges faced by clients. As a unique scaled advisory organization, it leverages insights from both government and commercial perspectives within its various industry segments. Guidehouse provides a range of technology and managed services, focusing on key sectors such as healthcare, financial services, defense, and infrastructure. The firm is recognized for its innovative approach to problem-solving, which combines strategic expertise with practical implementation.

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