Medical Reimbursement Review Coordinator
Job Family:
General Coding
Travel Required:
None
Clearance Required:
None
What You Will Do: The Medical Reimbursement Review Coordinator is responsible for analyzing reimbursement data from third-party payers to identify trends, high-volume errors, and systemic issues impacting revenue. This role involves initiating and tracking appeals, managing fee schedule updates, and collaborating with payers on contract-related matters. The coordinator serves as a key liaison between Coding, Revenue Integrity, AR follow-up and Payer Contracting to ensure compliance, optimize reimbursement, and support data-driven decision-making. The position currently operates within the IDX environment and utilizes Experian Contract Management for fee schedules and contract modeling. The role will transition to Epic as the enterprise moves to a unified EHR and revenue cycle platform. What You Will Need:
Bachelor's degree (Relevant experience may be substituted for formal education)
2-4 years of prior relevant experience
Strong working knowledge of ICD-10, CPT, and HCPCS coding standards.
Proficiency in interpreting EOBs, remittance advice, and payer contracts
Experience with Experian Contract Management and fee schedule uploads/maintenance.
Familiarity with IDX and experience preparing for or working within Epic
Proficiency in Microsoft Excel (including pivot tables) and other Office tools
Strong analytical, problem-solving, and written communication skills.
Ability to work both independently and collaboratively in a high-volume, deadline-driven environment
What Would Be Nice to Have:
Strong analytical, problem-solving, and written communication skills.
Ability to work both independently and collaboratively in a high-volume, deadline-driven environment
#IndeedSponsored
The annual salary range for this position is $51,000.00-$85,000.00. 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 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.
About the job
Apply for this position
Medical Reimbursement Review Coordinator
Job Family:
General Coding
Travel Required:
None
Clearance Required:
None
What You Will Do: The Medical Reimbursement Review Coordinator is responsible for analyzing reimbursement data from third-party payers to identify trends, high-volume errors, and systemic issues impacting revenue. This role involves initiating and tracking appeals, managing fee schedule updates, and collaborating with payers on contract-related matters. The coordinator serves as a key liaison between Coding, Revenue Integrity, AR follow-up and Payer Contracting to ensure compliance, optimize reimbursement, and support data-driven decision-making. The position currently operates within the IDX environment and utilizes Experian Contract Management for fee schedules and contract modeling. The role will transition to Epic as the enterprise moves to a unified EHR and revenue cycle platform. What You Will Need:
Bachelor's degree (Relevant experience may be substituted for formal education)
2-4 years of prior relevant experience
Strong working knowledge of ICD-10, CPT, and HCPCS coding standards.
Proficiency in interpreting EOBs, remittance advice, and payer contracts
Experience with Experian Contract Management and fee schedule uploads/maintenance.
Familiarity with IDX and experience preparing for or working within Epic
Proficiency in Microsoft Excel (including pivot tables) and other Office tools
Strong analytical, problem-solving, and written communication skills.
Ability to work both independently and collaboratively in a high-volume, deadline-driven environment
What Would Be Nice to Have:
Strong analytical, problem-solving, and written communication skills.
Ability to work both independently and collaboratively in a high-volume, deadline-driven environment
#IndeedSponsored
The annual salary range for this position is $51,000.00-$85,000.00. 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 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.