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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:The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. The DRG - A will perform chart reviews and will ensure that all reviewed charts capture the patient’s true clinical picture from the codes assigned by the facility’s coders in compliance with federal laws. The DRG - A will utilize International Classification of Diseases - Clinical Modification (CM) and Procedure Coding System (PCS) Terminology to ensure accurate coding. Responsible for validating proper sequencing and accuracy of ICD-10-CM/PCS codes, POA assignments, severity of illness (SOI), risk of mortality (ROM), Hierarchical Condition Category (HCC) capture CMI and other coding factors. Usage of most current Clinical Criteria, MCG, InterQual, payers’ Clinical Policy Bulletins, CMS Guidelines, NCDs and/or LCDs. Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported and composing and sending queries when necessary. Analyze records for potential query opportunities and appropriate code assignment along with correct code sequencing. Maintain quality of reviews by making sure the true clinical picture is captured timely. Staying up to date with medical and coding guidelines, along with advancements within their field. Support CorroHealth in developing accurate training materials. Provide training and shadowing to new hires. Assist CorroHealth with project data analysis, reporting, and feedback internally and externally to CorroHealth clients. Maintain professional etiquette. Ensures all PHI is appropriately stored and delivered to authorized individuals. Meets or exceeds production and quality metrics. Attend all mandatory meetings and trainings. Additionally, DRG - A may also be required to audit clients’ clinical documentation integrity (CDI) program to include query review, analysis of coding, and overall program accuracy. Responsible to keep up with your company and EMR access log ins and passwords. All other position related duties as delegated by management. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below is representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.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.Important Duties and Responsibilities:<ul><li>Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported</li><li>Analyze records for potential query opportunities and appropriate code assignment and code sequencing</li><li>Maintain quality of reviews and making sure the true clinical picture is captured, along with ensuring chart review productivity</li><li>Staying up to date with official coding guidelines, coding clinics and clinical criteria</li><li>Available to provide training to other new hires, if required, along with supporting development of training materials, as well as clinical, coding and CDI policies</li><li>Assisting with project data analysis, reporting, and feedback both internally and to clients</li><li>In all situations, protecting the privacy and confidentiality of patient health and client information, and follows the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines and compliance practices, standards, and procedures</li><li>Conduct chart reviews as assigned, meeting the productivity standards as set forth for each&nbsp;project or record type</li><li>Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing</li><li>When interacting with clients, always conducts themselves in a professional manner, exhibiting excellent relationship, work performance and communication skill so as to support the company and its business interests</li><li>Maintenance of professional credentials and knowledge of CDI, coding, reimbursement, and compliance issues through continuing education</li><li>Other duties and responsibilities, as assigned</li></ul>Work Experience:<ul><li>Five or more years working in an acute care setting or a third-party&nbsp;vendor as a DRG Auditor or Clinical Documentation Specialist (CDS).</li><li>Prior experience of working as a CDI/Coding auditor is preferred but NOT a requirement.</li></ul>Knowledge, Skills &amp; Abilities:<ul><li>Experience with telecommuting and electronic medical record systems required</li><li>Good computer skills and familiarity with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc.</li><li>Strong analytical skills</li><li>Works well with numbers, using basic math skills</li><li>Strong team player</li><li>Ability to work with multiple and diverse clients and projects</li><li>Ability to switch between multiple clients throughout the day and week</li><li>Ability to work with minimal supervision</li><li>Ability to maintain and access multiple files</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

PRN DRG Revenue Integrity Auditor

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 Operations Support Coordinator is responsible for the day-to-day coordination and management of operational activities to support the CorroHealth team. They will align with both internal and external customers on a daily basis in order to drive and support company objectives. This role is essential to ensure the consistent high standard of quality and service delivery of CorroHealth.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 OnlyRequired Schedule: Monday - Friday, 8:00 AM EST - 5:00 PM ESTJob Responsibilities:<ul><li>Interact virtually with designated client contacts to align CorroClinical program with existing provider systems and processes.</li><li>Coordinate projects as assigned to ensure completeness and timeliness of project delivery.&nbsp;</li><li>Comprehension and writing of business requirements for internal applications - while tracking of the project through training, deployment, and post-deployment support.&nbsp;</li><li>Maintenance of critical operational records in an accurate and detailed manner.&nbsp;</li><li>Act as a key liaison related to operational processes and objectives.</li><li>Management of complex operations tasks as assigned.</li><li>Manage and maintain excellent working relationships with internal/external customers via face to face, telephonic, and electronic interactions.</li><li>Additional responsibilities that would correlate with the growth of the company.&nbsp;</li></ul>Skills:<ul><li>Exceptional communication and time management skills</li><li>Outstanding customer service skills</li><li>Ability to work in a fast-paced environment.</li><li>Attention to Detail</li><li>Confidentiality</li><li>Strict adherence to HIPAA/HITECH compliance</li></ul>Education/Experience Required:<ul><li>Bachelor’s degree required</li><li>Prior related healthcare experience required</li><li>Knowledge of EMR system functionality required</li><li>Excellent computer skills, including typing, email, and Microsoft Office</li><li>Prior customer service experience preferred</li></ul>What we offer:<ul><li>Hourly Salary: $20.00 - $21.00</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</li><li>Life Insurance</li><li>Short/Long Term Disability options</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, Clinical Operations

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.Job Description:The Manager, Analytics and Reporting, will support the Senior Director in overseeing the Clinical Documentation team's workflow operations and participating in reviews of organizational and functional activities. They will assist in managing a comprehensive and practical schedule of daily production coverage, financial expectations, and client success. Additionally, they will collaborate with the Senior Director to ensure that all client expectations are met to the highest degree of quality. The Manager, Clinical Operations&nbsp;will contribute to producing and presenting reports to leadership to trend and track the success and gaps of the division. Furthermore, they&nbsp;will play a role in achieving operational excellence by assisting in the construction of plans and strategies to overcome challenges.Principal Duties and Responsibilities:<ul><li>Report directly to the Senior Director of Clinical Documentation.</li><li>Assist the Senior Director in overseeing the Clinical Documentation team's workflow operations and contribute to reviews of organizational and functional activities.</li><li>Manage a comprehensive and practical schedule of daily production coverage, financial expectations, and client success in alignment with the company directives.</li><li>Ensure that all client expectations are met to the highest degree of quality.</li><li>Produce and present reports to the Clinical Documentation team and other leadership members to trend and track the success and gaps of the division.</li><li>Collaborate with the Clinical Documentation team to achieve operational excellence by implementing plans and strategies to overcome challenges.</li><li>Organize, prioritize, and delegate workload within the Clinical Documentation team in line with the company's vision and objectives.</li><li>Implement Performance Improvement Programs to drive continuous quality and productivity improvements.</li><li>Assist in the preparation and documentation of policies and procedures.</li><li>Identify opportunities for process and product improvements to enhance the department's competitive market position and outcomes for clients.</li><li>Participate in cross-functional projects and process improvement initiatives.</li><li>Facilitate departmental and client meetings, ensuring effective communication and collaboration.</li><li>Produce and facilitate monthly or quarterly executive report outs to clients.</li><li>Provide timely and accurate reporting regarding department performance, financial goals, and objectives.</li><li>Collaborate with stakeholders to address operational risks and mitigate their impact on cost, schedule, and quality factors.</li><li>Develop and maintain manuals and training aids&nbsp;to support ongoing staff training and development initiatives.</li><li>Accumulates data, maintains records, and prepares reports on the administration of production projects and other assigned activities.</li><li>Works with client management coding, CDI and technical support services to ensure client expectations are met.</li><li>Minimum of three years' experience in Revenue Cycle Management.</li><li>Six Sigma or related LEAN/OPEX/Process Excellence experience desirable.</li><li>Proficient in Microsoft Word, Excel, and PowerBI.</li><li>Strong verbal and written communication skills.</li><li>Ability to work independently, exercise good judgment, and make confident decisions.</li><li>Proficiency in generating, interpreting, and analyzing reports.</li><li>Effective team player with the ability to collaborate and communicate effectively across departments.</li></ul>QUALIFICATIONS AND REQUIREMENTS:<ul><li>4-year computer science or Information Technology degree</li><li>AHIMA or AAPC accreditation preferred.</li><li>5+ years of experience in an Analytics &amp; Reporting Role</li><li>Expert in Microsoft Excel and Microsoft BI Tools</li><li>Experience in developing reports, dashboards and ETLs</li><li>Knowledge of Microsoft SQL and OS</li><li>Developing in an Agile / SCRUM framework a plus</li><li>Experience in enterprise-class, scalable analytics design</li><li>Strong written/verbal communication and presentation 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.

Manager, Analytics & Reporting

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 be coding ORTHO and General Surgery.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 2 years 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.

Profee Surgery 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: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.JOB SUMMARY:The Junior Support Engineer provides technical support, monitors systems, and assists in resolving operational issues for both internal users and clients. This role involves troubleshooting, documentation, and collaborating with various teams to maintain system performance and ensure smooth operations. The ideal candidate will have a foundational understanding of operating systems and software applications, with a focus on delivering excellent customer service..Key Responsibilities:System Monitoring and Support:<ul><li>Respond to and troubleshoot issues reported by monitoring systems or users in a timely manner.</li><li>Assist in monitoring system performance and health, ensuring that issues are identified and addressed proactively.</li><li>Escalate issues to senior engineers when necessary and track progress to resolution.</li></ul>Documentation and Reporting:<ul><li>Maintain and update documentation for processes, systems, and troubleshooting steps to ensure accurate and easy-to-follow guidance for future reference.</li><li>Generate reports on system performance, incidents, and other relevant metrics, providing insight into system health and identifying areas for improvement.</li><li>Document resolutions and troubleshooting procedures in the knowledge base.</li></ul>Collaboration:<ul><li>Communicate effectively with development teams, operations staff, and clients to understand and resolve operational challenges.</li><li>Maintain a positive and professional demeanor while interacting with internal users and clients, ensuring issues are addressed efficiently and respectfully.</li><li>Participate in team meetings to discuss ongoing issues and improvements to support processes.</li></ul>Skills Required:<ul><li>Technical Knowledge:<ul><li>Basic understanding of operating systems (e.g., Windows, Linux), software applications, and hardware components.</li><li>Familiarity with SQL, PowerShell, or Python is a plus, with a willingness to learn more advanced technical skills as needed.</li></ul></li></ul><ul><li>Problem-Solving:<ul><li>Ability to troubleshoot and diagnose technical issues with a systematic and logical approach.</li><li>Capable of analyzing problems and proposing effective solutions in a fast-paced environment.</li></ul></li><li>Communication Skills:<ul><li>Strong verbal and written communication skills, with the ability to interact with users and document issues clearly and concisely.</li><li>Ability to explain technical issues to non-technical users.</li></ul></li><li>Customer Service:<ul><li>A customer-focused approach, with a genuine willingness to assist users and address their technical needs efficiently and professionally.</li><li>Ability to stay calm and helpful under pressure.</li></ul></li><li>Attention to Detail:<ul><li>Careful and accurate in handling technical issues and documenting information to ensure thorough and precise troubleshooting processes.</li><li>Keen attention to detail in maintaining system health and performance reports.</li></ul></li></ul>Preferred Qualifications:<ul><li>Experience with ticketing systems or help desk tools.</li><li>Previous experience in a technical support role is a plus.</li><li>Exposure to scripting or automation tools is beneficial.</li><li>Basic understanding of network protocols and security practices.</li></ul>Work Environment:<ul><li>This role may involve a mix of office-based and remote work, depending on company policy.</li><li>On-call availability may be required to address critical issues outside of regular business hours.</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.

Jr. Support Engineer

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.As a vital member of our team, the Strategic Solutions Coordinator will play a pivotal role in driving our organization’s strategic initiatives. In this dynamic position, you will support multiple projects simultaneously across various business lines, ensuring that our strategic goals are met through effective project prioritization, development, and implementation. Working closely with cross-functional teams, you will facilitate collaboration and innovation, helping to translate strategic objectives into actionable plans that deliver tangible results. If you are a proactive problem-solver with a passion for strategic development and project coordination, we invite you to join us in making a significant impact on our organizational success!Job Responsibilities: <ul><li>Solution Development: Work with cross-functional teams to assist with coordinating the design, develop, and implement innovative solutions that address strategic challenges.</li><li>Project Coordination: Assist in the planning, execution, and monitoring of strategic projects, ensuring alignment with organizational goals within the development teams.</li><li>Team Coordination: Collaborate with cross-functional teams to ensure seamless communication and collaboration throughout the project lifecycle.</li><li>Requirements Gathering: Collaborate with stakeholders to identify and document detailed business needs and requirements. Translate business requirements into functional specifications for technical teams.</li><li>Risk Management: Identify potential development risks and issues early in the project. Develop mitigation strategies and contingency plans to challenges effectively.</li><li>Support Leadership: Provide support to senior management in the development and execution of strategic plans, including conducting research and preparing briefing materials.</li><li>Quality Assurance: Ensure that project deliverables meet quality standards through regular reviews and testing. Collaborate with QA teams to address any issues that arise.</li><li>Documentation and Reporting: Maintain accurate project documentation, including plans, reports and meeting notes. Prepare status reports for stakeholders and senior management. Create Support team training materials and maintain a repository of Standard Operating Procedures and Best Practices.</li><li>Continuous Improvement: Identify areas for improvement within current processes and recommend solutions to enhance efficiency and effectiveness.</li></ul>Skills:&nbsp;<ul><li>Exceptional written and verbal communication</li><li>Superb organizational and time management skills</li><li>Attention to detail</li><li>Accurate keyboard skills</li><li>Able to manage multiple emails and track deliverables</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>Ability to adapt and work in an open, fast-paced, collaborative environment</li><li>Shows initiative and responsibility in taking the necessary steps towards problem resolution</li><li>Strict adherence to HIPAA/HITECH compliance and confidentiality</li></ul>Education/Experience Required:&nbsp;<ul><li>High School Diploma or equivalent required</li><li>Bachelor’s degree preferred or work equivalent</li><li>Proven experience in project coordination, preferably in a strategic or operational role.</li><li>Highly Proficient in MS Outlook, Word, and Excel</li><li>Demonstrated ability to present and communicate ideas clearly via email</li><li>Excellent time management, organizational, and prioritization skills</li><li>Ability to balance multiple priorities at a single time</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.

Strategic Solutions Coordinator/ Project Coordinator

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:CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client’s evolving needs. We work with 300+ providers in 25+ states and bring a client-focused approach that makes each provider feel like our only client. CorroHealth offers the following products and services: Denials Management and Complex Claim Resolution, A/R Outsourcing, Patient Access, Revenue Cycle Technology, and Consulting.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 OnlyRequired scheduled: Monday - Friday, 8:00 AM - 4:30 PM ESTHourly Salary: $18.50 - $21.00Job Summary:<ul><li>​Differentiates between clinical and technical denials through EOB'S, denial letters/payer correspondence and data mining.</li><li>Identifies payer and hospital’s managed care contracts.</li><li>Reviews managed care contracts against application of rates, provisions and terms.</li><li>Reviews timely filing guidelines regarding the appeals process.</li><li>Contacts payers to negotiate resolution on technical denials.</li><li>Appeals denials using all means necessary (appeal letters, medical records and other supporting documentation, utilization of on-staff clinicians).</li><li>Evaluates appeal outcome for next steps (logs recovered funds, supports uphold decision or initiates 2nd level appeal).</li><li>Manages assigned workload of accounts through timely follow up and accurate record keeping.</li></ul>Qualifications: <ul><li>HS Diploma or equivalent Required. Four-year degree preferred or equivalent experience in hospital related billing/follow-up field</li><li>Benefits/fund administration experience preferred.</li><li>Knowledge of UB04 and HCFA 1500 Forms</li><li>Knowledge of/experience working with managed care contracts.</li><li>Experience working with customer support/client issue resolution management.</li><li>Strong analytical acumen.</li><li>Strong multi-tasking skills.</li><li>Proficiency with MS Office.</li><li>Excellent oral and written communication skills.&nbsp;</li></ul>What we offer:<ul><li>Comprehensive Medical/Dental/Vision Insurance</li><li>401k program</li><li>PTO: 80 hours accrued, annually</li><li>9 paid annual holidays</li><li>Tuition reimbursement</li><li>Professional growth and much 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, Denials Management

DRG Revenue Integrity Auditor

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.

Coding Specialist - Observations/Injections & Infusions

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.Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties.<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.

46 CorroHealth Jobs