CorroHealth
Claim Review Specialist - Coding Certification
US - Remote · Full-time
Sponsorship not specified$10k-$70kDetected 6 days ago
Data AnalysisExcelICD-10ResearchLeadershipCommunicationPublic SpeakingMicrosoft Office
About the role
- Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product.
- Client education, written FAQ answer preparation, and other duties as assigned.
- 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.
Responsibilities
- This position may perform all or most of the primary duties listed below.
Requirements
- 5+ years of current directly related experience
- CCS, COC or CPC certification required
- Must have strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines.
- Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS and ICD-10 CM)
- Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I)
- Medical Terminology and anatomy knowledge is required
- Clinical Documentation and Inpatient coding experience is preferred. New hires will be expected to learn IP during employment.
- Strong Microsoft Excel, PowerPoint, Word and OneNote skills
- Strong analytical capability, independent thinker and good decision-making skills
- Excellent written and verbal communication and presentation skills
- Strong computer and technology knowledge and skills
- Highly professional demeanor, great client satisfaction skills
Nice to have
- IP facility coding is plus
- Critical Access setting experience is a plus
- Clinical Documentation and Inpatient coding experience is preferred.
- New hires will be expected to learn IP during employment.
Skills
- It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities.
Compensation
- $10k-$70k
Benefits
- Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation.
Company info
- 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.
- 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.
- 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.
- 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.
- The company has reviewed this job description to ensure that the essential functions and basic duties have been included.
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This listing is sourced directly from CorroHealth's careers page and normalized into a canonical job model.