Charge Clearance Team Lead - Remote

Job Family:

General Coding

Travel Required:

None

Clearance Required:

None

What You Will Do:

Under general supervision and in accordance to UAHSF established policies & procedures, The Charge Clearance Team Lead reviews and codes medical documents and/or charge tickets as assigned. Identifies, documents and provides follow up on deficiencies.  Processes edits/denials and makes necessary corrections. Provides technical guidance and assistance to team members. Performs all other duties as required.

• Monitor multiple systems for actionable requirements.

• Provides liaison/departmental contacts with facts to help clear edits.

• Notifies management of any delays when documents are not received in a timely manner as determined by guidelines.

• Reviews encounter to determine the appropriate action required.

• Evaluates medical records documentation to determine correct coding.

• Determines if accident date/type is applicable.

• Inspects each encounter for missing information and follows up with the appropriate party.

• Examines documents in various for missing information.

• Oversee the day-to-day operations of one or more designated teams or areas according to established policies and procedures including daily staff assignments and work schedules.  

What You Will Need:

• Minimum High school diploma or equivalent

• 3 Years Experience with Excel

• 2 Years Data Analysis

• Ability to pivot workload based on department needs

What Would Be Nice To Have:

• Experience training others

• Subject Matter Expertise

• Experience with Cerner, Athena IDX, and EPIC

The annual salary range for this position is $59,000.00-$98,000.00. 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

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 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 doe