{"id":1647586,"url":"https://alion.io/job/guidehouse-pro-fee-quality-team-lead","title":"Pro Fee Quality Team Lead","company":{"id":4179,"name":"Guidehouse","domain":"guidehouse.com","url":"https://alion.io/company/guidehouse","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"services","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":88,"open_postings":126,"ghost_share":0.008,"stale_share":0.635,"repost_share":0.024,"time_to_fill_p50_days":21,"computed_at":"2026-10-14T06:34:16Z"}},"role":"Management","role_family":"Management","seniority":"lead","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["McLean, United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":74000,"max":124000,"currency":"USD","period":"year","gross":null,"usd_annual":124000},"salary_estimate":null,"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-10-01T00:00:00Z","employer_posted_date":"2026-10-01","last_verified_at":"2026-10-14T11:59:15Z","board_verified":true,"closed_at":null,"days_open":13,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":13},"description":"Job Family:\nGeneral CodingTravel Required:\nNoneClearance Required:\nNoneWhat You Will Do:\nLead Duties (50%; approximately 20 hours/Week)\nThe Lead will be responsible for assisting with the onboarding and training of pro fee reviewers to include but not be limited to resource tools, drives where facility guidelines are stored, One Note, Replicon, education portal, P&P’s, and client specific policies.\nThe Lead will be responsible for creating client review training workflows and associated training materials as needed.\nThe Lead will collaborate with coding operations leaders and oversee the pro fee QA pre-bill assignments\nAssist with reviewer connectivity process for new or existing clients and troubleshooting with the review team for resolution\nThe lead will collaborate with onshore and offshore coding leadership to update the pro fee review assignment sheet and distribute to the review team weekly\nQA Duties (50%; approximately 20 hours/Week)\nThe Pro Fee quality reviewer will be responsible for reviewing the entire patient record documentation for the date of service being audited to validate the accuracy of code and abstract data elements.\nValidation of the applicable code elements.\nEnsure coding quality review number of accounts per coder (as noted on review assignment list) for each coder’s work is completed monthly.\nCoding quality review will be conducted to identify abstracting, ICD-10-CM, CPT, modifier, and HCPCS coding errors for codes assigned by the coding team (see quality review policies for review details).\nWill run coder productivity reports (where applicable) from the facility system, GuideAudit production or pull random sample accounts from the completed coding spreadsheet for review.\nWhat You Will Need:\nMust hold one of the following active credentials: (CPC, COC, CPMA RHIT, RHIA, CCS, CIC or COC).\nMust have a high school diploma/GED. Relevant experience accepted in lieu of a degree.\nMust maintain coding credentials while employed by Guidehouse.\nMust pass Guidehouse coding competency exam.\nMust have at least 8 years of pro fee coding or review experience.\nAbide by all client policies and procedures.\nAbide by all Guidehouse policies and procedures.\nPersonal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.\nAbility to work with Microsoft Office, Excel, and computer programs as well as company specific programs.\nWhat Would Be Nice To Have:\n·Auditing experience is preferred.\nPrevious leadership experience.\nBS/BA is preferred\nThe annual salary range for this position is $74,000.00-$124,000.00. 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:\nGuidehouse 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.\nBenefits include:\nMedical, Rx, Dental & Vision Insurance\n\nPersonal and Family Sick Time & Company Paid Holidays\n\nPosition may be eligible for a discretionary variable incentive bonus\n\nParental Leave\n\n401(k) Retirement Plan\n\nBasic Life & Supplemental Life\n\nHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts\n\nShort-Term & Long-Term Disability\n\nTuition Reimbursement, Personal Development & Learning Opportunities\n\nSkills Development & Certifications\n\nEmployee Referral Program\n\nCorporate Sponsored Events & Community Outreach\n\nEmergency Back-Up Childcare Program\n\nAbout Guidehouse\nGuidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.\nGuidehouse 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.\nIf 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 . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.\nAll communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com 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.\nIf 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.\nGuidehouse 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.","description_format":"text","description_chars":5724,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["Parental leave","Retirement plans","Vision insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Digital Government","IT Consulting & Digital Transformation","Management Consulting"],"lifecycle":[{"event":"open","at":"2026-10-02T00:04:51Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 24 · green card filings: 14","filings_12m":24,"filings_prev_12m":23,"green_card_filings_12m":14,"median_offered_wage_usd":132500,"route":null,"cap_exempt":false,"checked_at":"2026-10-03T21:08:04+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":52,"band":"ok","label":"Likely open","p_open":1,"p_active":0.572,"p_room":0.9,"age_days":13,"expected_fill_days":21,"reasons":["conf:5","stale_co","velocity","win:mid","comp:brand"],"computed_at":"2026-10-14T06:34:16Z"},"pay":{"stated_usd_annual":124000,"is_top_pay":false},"html_url":"https://alion.io/job/guidehouse-pro-fee-quality-team-lead","json_url":"https://alion.io/job/guidehouse-pro-fee-quality-team-lead.json","meta":{"generated_at":"2026-10-14T15:18:41Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":19333,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-15T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4179},"rest":"https://alion.io/mcp/rest/get_company?id=4179"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fguidehouse-pro-fee-quality-team-lead"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fguidehouse-pro-fee-quality-team-lead"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fguidehouse-pro-fee-quality-team-lead"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/guidehouse-pro-fee-quality-team-lead\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fguidehouse-pro-fee-quality-team-lead"}]}