PFS Clinical Trials Coder/Biller

Job Family:

Travel Required:

Clearance Required:

What You Will Do:
 

Under general supervision, the PFS Clinical Trials Coder/Biller will code medical documents and/or charge tickets as assigned in the clinical trials department. If requested by a Supervisor, they will provide technical guidance and training on medical coding to physicians and/or other department and staff.  Responsible for maintaining knowledge of AMA guidelines, billing compliance and performs all other duties as required. Responsible for performing clinical trial research, billing and coding, charge corrections and price quotes.

• Perform processes specific to coding for clinical trials.

• Assigns required CPT/ICD/ASA/ HCPCS codes and/or modifiers as needed per documentation.  

• Inspect each case for missing information and gives to appropriate party for follow up.

• Identify “canceled cases” and follows departmental guidelines.

• Research all cases that could be “study related”.

• Resolve interactive edits

• Review encounter to determine the appropriate action required.

• Examined documents in various programs (HealthQuest/CTBN Central, etc.) for missing information.

• Furnish liaisons with facts to help clear edits.

• Verify all written communication is grammatically correct and free of typographical errors.

• Validate claims through the billing system.

What You Will Need:

• High School Diploma or equivalent

• 0-2 years of relevant medical coding experience

• Working knowledge of hospital medical billing

• Knowledge of medical billing terminology

• Certified Professional Coder (CPC), (CCS-P) or will consider (CPC-A)

What Would Be Nice To Have:

• Previous experience with Waystar, Metrix, Health Quest, Outlook

• Detail Oriented

• Flexibility in an ever- changing fast paced healthcare environment

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 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 recruiting@guidehouse.com. 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.