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About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Serves in a consulting role by evaluating the work of client’s coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters. Performs concurrent or retrospective reviews to inventory code assignments and report the data to the client. Develops and delivers educational content to clients related to audit findings.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Essential Functions: Perform complex, concurrent and/or retrospective analysis of medical record documentation to Validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.</li><li>Analyze findings and identify potential root causes of produced errors.</li><li>Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided audit report.</li><li>Provides second-level review of processes to ensure compliance with legal and procedural policies and to ensure appropriate code assignments.</li><li>Research, analyze, and respond to inquiries regarding compliance, coding, and denials.</li><li>In all situations, protect the privacy and confidentiality of patient health and client information, and follow the Standards of Ethical Coding as set forth by AHIMA and adhere to official coding guidelines and compliance practices, standards, and procedures.</li><li>Functions as a member of the Consulting Services Team which develop and provide coding education to clients.</li><li>Conduct Audits as assigned meeting the productivity standards as set by record type for each audit. The threshold for billable productive hours, when client work is available, is expected to be at or above 80%.</li><li>Prepare deliverables for the client as required for the audit scope while meeting timelines.</li><li>Conduct independent QA of their assigned audit results prior to final submission for QA review and approval. The minimum accuracy expectation is 95%.</li><li>Report work time and work products in a timely and accurate manner.</li><li>Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.</li><li>Interact with clients in a professional manner that, always, exhibits excellent relationships, work performance and communication skill so as to support the company and its business interests.</li><li>Provide schedule of planned work activities, events and sites, and any changes to same, to Management and appropriate staff.</li><li>Maintenance of professional credentials and knowledge of coding, reimbursement, and compliance issues through continuing education.</li><li>Other duties and responsibilities, as assigned.</li></ul>Additional Job DescriptionKnowledge, Skills &amp; Abilities:&nbsp;<ul><li>Recognized credential from AHIMA or AAPC.</li><li>Experience with telecommuting and electronic medical record systems required.</li><li>Strong analytical skills.</li><li>Proficient computer skills, specifically Microsoft Office products.</li><li>Strong team player.</li><li>Ability to work with multiple and diverse clients and projects.</li><li>Ability to work with minimal supervision.</li><li>Ability to maintain and access multiple files.</li><li>Assure that work product is completed with high levels of accuracy and attention to detail.</li><li>5+ years’ experience coding and/or auditing in an acute care facility or clinic, of patient types listed in the Job Summary of this document, or other relevant experience.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Auditing & Education Consultant Profee PRN

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).</li><li>Must have at least a minimum of 6 months of on the job experience.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Multi-Specialty Profee Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Data and Financial Analyst maintains databases that support our web tool and all the services provided to clients. This position is responsible for receiving data from clients, loading data into databases using SQL and validating the results for accuracy and completeness. Primary duties also include answering client and internal questions, managing tasks, and follow-ups. Secondary functions include producing reports to support pricing projects and retrieving and loading data from government websites.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Essential Functions:Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent’s performance objectives as outlined by the incumbent’s immediate supervisor or manager.<ul><li>Provides data support for the successful delivery of services to clients including data mining, validation, sorting and analysis, and day-to-day operational functions.</li><li>Retrieves data from CMS and imports it into SQL databases.</li><li>Use SQL to maintain and update databases that support our web tool and services.</li><li>Imports client data into databases using SQL and proprietary tools.</li><li>Validates and tests to ensure accuracy and quality of data.</li><li>Builds relationships with staff and clients to ensure client expectations and deliverables are accurate and timely.</li><li>Works with the Financial Analytics team to collect data and develop materials for client presentations and analysis.</li><li>Prepares professional and accurate spreadsheets and Word documents.</li><li>Tracks client projects and tasks</li><li>Other duties may be assigned as necessary.</li></ul>Knowledge, Skills &amp; Abilities:<ul><li>High School diploma or equivalent</li><li>Minimum of one (1) year experience working in a healthcare setting working with chargemasters and healthcare data</li><li>Bachelor’s degree in computer science, HIS, or related field, preferred</li><li>Experience executing SQL commands and writing basic queries</li><li>Strong working knowledge of Microsoft Excel</li><li>Experience and knowledge with healthcare data, specifically 835/837 EDI files, chargemasters, financials, and patient accounting data</li><li>Knowledge of hospital operations and hospital chargemaster data elements (revenue codes, CPT/HCPCS codes, Bill Types, etc.)</li><li>Experience with electronic health record systems (Cerner, Meditech, EPIC and others)</li><li>Critical thinker with excellent communication skills, both written and verbal</li><li>Detail-oriented with the ability to manage multiple projects in a fast-paced, results-oriented environment to meet deadlines</li><li>Ability to work independently and also collaborate with cross-functional teams</li><li>Exceptional customer service and follow-up skills</li></ul>Physical Requirements and Demands: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, incumbents are subject to sitting for prolonged periods. Infrequently, incumbent must be able to lift and move material weighing up to 20 lbs. Incumbent may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.A job description is only intended as a guideline and is only part of the employee’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Data and Financial Analyst

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.The Development Support Coordinator is responsible for maintaining the high-volume within Outlook email inboxes and other applications. The Development Support Coordinator will be responsible for confirming receipt of inbound emails, documenting inbound requests into monitoring system, triaging and determining proper escalation to appropriate team members, and tracking of outstanding deliverables. Job Description &amp; Responsibility<ul><li>Work as primary for monitoring high-volume shared inboxes and internally used systems for incoming requests or issues</li><li>Documenting inbound requests into monitoring system; check completed work for accuracy and respond appropriately to requestor with confirmation of receipt or requesting additional information as required</li><li>Assist with the organization and prioritization of operational projects </li><li>Track responses needed and deliverables </li><li>Pre-emptive communication with internal staff and external clients regarding the status of requests that have been submitted but remain without determination or current process issue</li><li>Completing lower-level support requests</li><li>Maintain and update documentation for internal processes</li><li>Additional responsibilities as requested by management that would correlate with the growth of the company</li></ul>Skills Required&nbsp;<ul><li>Able to manage multiple emails and track deliverables</li><li>Ability to adapt and work in an open, fast-paced, collaborative environment</li><li>Strong people skills – friendly, approachable, and works well with a variety of personalities</li><li>Works independently but also a team player</li><li>Excellent critical thinking skills</li><li>Strict adherence to HIPAA/HITECH compliance and confidentiality</li><li>Superb organizational and time management skills; seeks out issues to resolve to increase departmental productivity</li><li>Able to manage multiple emails and track deliverables</li><li>Shows initiative and responsibility in taking the necessary steps towards problem resolution</li></ul>Education/Experience&nbsp;<ul><li>High School Diploma or equivalent required</li><li>Highly Proficient in MS Outlook, Word, and Excel</li><li>Accurate keyboard skills</li><li>Demonstrated ability to present and communicate ideas clearly and professionally via email</li><li>Excellent time management, organizational, and prioritization skills</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Coordinator, Development Support

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant. Analyzes audit findings to identify potential root causes of coding errors and prevent their reoccurrence Provides second –level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices. Research, analyze and respond to inquiries regarding compliance, inappropriate coding, denials and billable services Provides technical support and feedback training to internal coding staff regarding coding compliance, documentation, regulatory provisions, third part payer requirements, medical necessity requirements Protects the privacy and confidentiality of patient health and client information. Follows the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines and compliance practices. Suggests physician query opportunities query Physicians based upon documentation and clinical needs. Prepare deliverables for the coders as required Report work time and work productions in a timely and accurate manner Communicates with coworkers in an open and respectful a manner which promotes teamwork and knowledge sharing. Provide schedule of planned work activities, events and sites, and any changes to same to management and appropriate staff. Maintenance of professional coding credentials and knowledge of coding, reimbursement methodologies and compliance issues through education Monitor the on-going progress and success of each coder Maintain QA percentages within two internal quality goals; 1) overall minimum coder accuracy of 95% and 2) QA review percentages as close to 10% as possible Identify and resolve coding quality problems or issues in a timely manner Maintain a continual knowledge of problems or issues that could affect coding quality levels Assist in design of systems to help improve coder productivity and assist in improving accuracy of coding Provide monthly reports Participate in corporate training and meetings Provide status reports to senior manager as requested Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program Interpret coding guidelines for accurate code assignment Identify the importance of documentation on code assignment and the subsequent reimbursement impact Comply with all internal policies and procedures Actively participate in Company provided training and education Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health InformationQualifications and Requirements: Regular, predictable and punctual attendance is required Strong verbal and written communication skills are required Ability to prioritize workload, meet deadlines and maintain a high level of quality and accuracy Recognized coding credential from AHIMA or AAPC; and RHIA or RHIT may also be consideredExperience with telecommuting and electronic medical records systems strongly preferredStrong analytical skillsExcellent written communication skillsStrong team playerAbility to work with multiple and diverse clients and projectsAbility to work with minimal supervision5-7 years’ experience coding and/or auditing in an acute care facility or clinic, of patient types listed in the Job Summary of this document&nbsp;Initiative, resourcefulness and attention to detail Customer service support -- minimum one (1) year experience Familiarity with hospital outpatient billing processes Understand hospital APC assignment and associated coding and documentation Coding Certification -- preferred (CPC or CCS) Strong communication skills, proficient in Microsoft Office applications including Word and Excel Ability to navigate in a variety of EMR environments and review hand-written chartsPHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Profee Coding Quality Specialist

Profee and Facility Coding Quality Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Corro Clinical, a division of CorroHealth, is an innovative, rapidly growing physician-led organization that helps hospitals improve financial performance by benchmarking hospital performance by payer and functional area, identifying sources of lost revenue or risk, creating, and implementing operational solutions to address the issues uncovered, and monitoring ongoing results. The company has a vibrant culture that strives to promote a positive work-life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Location: Remote within US onlySchedule: Monday - Friday, 8:00 AM - 5 PM ESTEssential Functions: <ul><li>You will be on the phone approximately 60% of the day.</li><li>Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors&nbsp;</li><li>Call payers on cases that are past Peer to Peer scheduled time frame.&nbsp;</li><li>Document information from payer call in CorroHealth proprietary system.&nbsp;</li><li>Enter account status into multiple databases.&nbsp;</li><li>Support various functions within the department such as case entry support, Peer to Peer support, and appeals support.&nbsp;</li><li>You will work independently but must also be able to collaborate and work within a team setting.</li><li>Perform other duties as assigned.&nbsp;</li></ul>Skills Required: <ul><li>Must love communicating with others over the phone.</li><li>Strong verbal and written communication skills. Will need to articulate to payors what is needed and be able to quickly document any relevant information that is obtained.</li><li>Detail-oriented. This position requires the ability to multi-task, work on multiple screens and programs at a time, so must be able to toggle back and forth and keep everything organized.</li><li>You will be working to solve issues, so someone who likes to problem solve, seeks resolution and likes to take initiative will be a great fit!</li><li>Works independently but is a team player.&nbsp;</li><li>Able to work in a fast-paced environment.</li><li>Required to keep all client and sensitive information confidential.&nbsp;</li><li>Strict adherence to HIPAA/HITECH compliance&nbsp;</li></ul>Education/Experience Required: &nbsp;<ul><li>High School Diploma or equivalent required. Bachelor’s degree preferred.</li><li>Call center experienced preferred.</li><li>Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines, a plus&nbsp;</li><li>Prior experience of accessing hospital EMR’s and Payer Portals preferred.&nbsp;</li><li>Proficient in MS Word and Excel.</li><li>In excel you must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying. You should be able to copy in past in cells as well as create multiple worksheets within a workbook.</li><li>Accurate keyboard skills. You should be able to type a minimum of 30wpm.</li></ul>What we offer:<ul><li>Hourly Salary: $18.27</li><li>Equipment provided</li><li>Comprehensive Medical/Dental/Vision Insurance Plan Options</li><li>401k program</li><li>PTO: 80 hours accrued, annually</li><li>9 paid annual holidays</li><li>Tuition reimbursement program</li><li>Professional growth and more!</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Coordinator, P2P Appeals

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:IR/IC Coding SpecialistESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Coding Specialists 2 are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more client, facility, or multiple facilities or clients. The Coding Specialist 2 will code ProFee, Facility or HCC. The Coding Specialist 2 could be an Inpatient coder or could include a minimum of four specialties. ProFee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include IR, Infection Disease, OBS, Oncology, Neurology, SDS, OT, PT, Urgent Care, ED, or a variety of other specialties.All CorroHealth Team Members are expected to conduct themselves in a way that is consistent with our Values.We are United · We come together, daily · We have the brightest minds · We share formidable Knowledge · We celebrate our shared success We are Drivers · Open minded · Boldly energetic · Seeking new solutions · Refuse ComplacencyWe are Partners· Deliver results· Earn trust· Dive in and serve as expert advisors We are Proud · Believe in our work · Engaged, exceptional Team Members propel us forward.ESSENTIAL DUTIES AND RESPONSIBILITIES:Note: The essential duties and responsibilities below are intended to describe the general duties and requirements of this position and are not intended to be an exhaustive statement of duties. A Coding Specialist 1 may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate supervisor or manager.· Team Member must be able to work from home and be independent in their coding skills.· Provide various components of coding services to support our clients.· Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company (training is provided).· Recognize critical care cases by patient acuity.Job Title: Coding Specialist 2 Division/Department: Date Approved:Reports To:Director, Coding Operations FLSA Classification: Non-Exempt Job Location: RemoteTravel Requirements:None Job Code:· Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.· Apply ICD-10-CM diagnosis codes to the highest level of specificity available.· Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.· Interpret coding guidelines for accurate code assignment.· Identify the importance of documentation on code assignment and the subsequent reimbursement impact.· Must maintain quality and productivity standards.· Communicate with clients in a professional manner that fosters an excellent working relationship to support the company and its business interests· May assist Leadership, or Lead Coding Specialist, with reports as needed· Potential opportunity to begin helping with auditing.· Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.· Comply with all internal policies and procedures.· All Coders must maintain at least one credential either through AAPC or AHIMA.· Actively participate in Company provided training and education.· Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:· All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P)· Must have a minimum of 2 years of experience.· Must have advanced working knowledge and experience with systems such as EMR, Billing, etc· Must be proficient in Microsoft Office programs such as Excel and Outlook. Examples include:o Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.o Outlook: you should be able to manage emails and schedule and attend meetings.· Must have current coding materials such as CPT and ICD-10-CM coding references.· Regular, predictable, and punctual attendance is required.· Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher.· Will be required to maintain an ongoing quality score of 95% or higher.· Ability to communicate effectively and professionally both verbally and written.· Ability to coordinate, analyze, observe, make decisions, and meet deadlines.· May be required to perform other duties as assigned by Leadership Team Member.PHYSICAL DEMANDS:Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

IR/IC Coding Specialist (Must have CIRCC)

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Corro Clinical, a division of CorroHealth, is an innovative, rapidly growing physician-led organization that helps hospitals improve financial performance by benchmarking hospital performance by payer and functional area, identifying sources of lost revenue or risk, creating, and implementing operational solutions to address the issues uncovered, and monitoring ongoing results. The company has a vibrant culture that strives to promote a positive work-life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Essential Functions: <ul><li>You will be on the phone approximately 60% of the day.</li><li>Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors&nbsp;</li><li>Call payers on cases that are past Peer to Peer scheduled time frame.&nbsp;</li><li>Document information from payer call in CorroHealth proprietary system.&nbsp;</li><li>Enter account status into multiple databases.&nbsp;</li><li>Support various functions within the department such as case entry support, Peer to Peer support, and appeals support.&nbsp;</li><li>You will work independently but must also be able to collaborate and work within a team setting.</li><li>Perform other duties as assigned.&nbsp;</li></ul>Skills Required: <ul><li>Must love communicating with others over the phone.</li><li>Strong verbal and written communication skills. Will need to articulate to payors what is needed and be able to quickly document any relevant information that is obtained.</li><li>Detail-oriented. This position requires the ability to multi-task, work on multiple screens and programs at a time, so must be able to toggle back and forth and keep everything organized.</li><li>You will be working to solve issues, so someone who likes to problem solve, seeks resolution and likes to take initiative will be a great fit!</li><li>Works independently but is a team player.&nbsp;</li><li>Able to work in a fast-paced environment.</li><li>Required to keep all client and sensitive information confidential.&nbsp;</li><li>Strict adherence to HIPAA/HITECH compliance&nbsp;</li></ul>Education/Experience Required: &nbsp;<ul><li>High School Diploma or equivalent required. Bachelor’s degree preferred.</li><li>Call center experienced preferred.</li><li>Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines, a plus&nbsp;</li><li>Prior experience of accessing hospital EMR’s and Payer Portals preferred.&nbsp;</li><li>Proficient in MS Word and Excel.</li><li>In excel you must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying. You should be able to copy in past in cells as well as create multiple worksheets within a workbook.</li><li>Accurate keyboard skills. You should be able to type a minimum of 30wpm.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:We are seeking an experienced and motivated Account Executive for our medical coding team, based in India. The primary responsibility of this role will be managing and overseeing the medical coding operations for our clients, ensuring high-quality and accurate coding services are provided in compliance with industry standards and regulations.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Key Responsibilities:1. Client Relationship Management: Serve as the primary point of contact for clients, addressing any concerns, ensuring satisfaction, and providing updates on coding progress.2. Project Oversight: Coordinate with the India-based coding team to ensure timely and accurate completion of coding tasks, meeting client expectations and deadlines.3. Quality Assurance: Review coding quality, ensuring adherence to the ICD, CPT, HCPCS, and other relevant coding standards. Work with global team to ensure there are &nbsp;corrective actions where necessary to maintain accuracy.4. Reporting: Provide regular reports to clients on coding progress, potential issues, and key metrics related to coding accuracy and productivity.5. Process Improvement: Continuously assess and recommend improvements to coding processes, utilizing feedback from both clients and internal teams to increase efficiency and quality.6. Compliance &amp; Training: Ensure that all coding activities are in compliance with healthcare regulations (such as HIPAA) and work with education and auditing to assist in training of coding team on any changes in coding guidelines or industry best practices.7. Billing Coordination: Work closely with clients to align coding outputs with billing processes, ensuring that claims are submitted correctly and timely for reimbursement.8. Team Collaboration: Collaborate with other departments (e.g., billing, auditing) to ensure the overall success of client projects and resolve any issues that arise.9. Access Collaboration: Work directly in client access system to initiate uder access requests.Qualifications:• Certification in medical coding (e.g., CPC, CCS)&nbsp;• Previous experience in medical coding, billing, or healthcare account management.• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.• Excellent communication and interpersonal skills to manage client relationships and collaborate with cross-functional teams.• Ability to multitask, prioritize, and manage client expectations in a fast-paced environment.• Familiarity with healthcare regulations, including HIPAA compliance.• Experience with medical coding software and tools is a plus.Location:&nbsp;RemoteIf you’re passionate about healthcare, medical coding, and client relations, we invite you to apply for this dynamic and rewarding role.PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

43 CorroHealth Jobs