Charge Clearance Team Lead

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:

• High school diploma or equivalent
• 3 years' experience with medical billing, coding, and/or medical records

What Would Be Nice To Have:

• Knowledge of ICD, CPT coding and insurance guidelines

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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 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 [email protected]. 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.