Jobs at CorroHealth

Identify and resolve unpaid or denied insurance claims by reviewing UB04s, EOBs and medical records; use proprietary software, EMRs and insurer portals; make calls and generate correspondence; meet production and quality targets while complying with HIPAA.

Analyze and investigate incorrectly paid medical insurance claims, pursue underpayments via phone and written appeals, review hospital claims and payer contracts, mentor and train junior analysts, manage multiple projects, and communicate results with auditors and clients to maximize reimbursement and profitability.

Perform inpatient DRG validation and quality audits using ICD-10-CM/PCS, DRG logic, MCG/InterQual and CMS guidance. Review charts for accurate coding, POA, SOI/ROM, HCC and CMI; compose queries; maintain productivity and quality metrics; support training, onboarding, reporting, and client feedback while protecting PHI and adhering to coding and CDI best practices.

Remote medical coder responsible for assigning ICD-10, CPT, HCPCS and ICD-10-PCS codes for professional fee and facility charts across 1-4 specialties, calculating E/M levels using company algorithms, recognizing critical care and ER procedures, maintaining certifications and productivity/quality metrics, and adhering to coding ethics, privacy, and company policies.

Maintain operational integrity of internal business applications and manage hospital/clinic chargemasters. Troubleshoot service requests, enter CDM changes in EHRs, validate CPT/HCPCS/revenue codes, audit charge capture, ensure billing compliance, train users, and track client projects to maximize reimbursement and reduce coding errors.

Configure and manage Epic charge capture and billing modules, document and improve charge-capture workflows, build Epic order sets and preference cards, train staff, collaborate with coding and revenue integrity teams, ensure CDM and compliance, advise on Medicare/Medicaid reimbursement, lead client meetings, produce written guidance, and travel quarterly to client sites.

Perform retrospective coding audits and second-level reviews for professional fee (ProFee) encounters to ensure accurate diagnosis, procedure, and billing codes per AHA/CMS/AMA guidelines. Identify root causes of coding errors, provide coder feedback/training, suggest physician queries, prepare reports, and maintain QA standards and professional coding credentials.

Remote outpatient coding specialist responsible for accurate CPT, HCPCS, ICD-10-CM/PCS coding across 1-4 specialties, calculating E/M levels, recognizing critical care and surgical codes, maintaining certifications (AAPC/AHIMA), and meeting productivity and quality targets (95%+).

The Manager will oversee the CDI Staffing Division, assist in onboarding, monitor productivity, and collaborate on education topics, ensuring project success.

The Profee Coding Specialist will provide accurate coding services, support revenue growth through coding, and ensure compliance with coding standards and ethics. Requires certification and 2 years of experience.

Manage end-to-end authorization and appeals processes, document records in EMR and payer portals, verify eligibility/benefits, liaison between hospital staff and payers, track pending authorizations, escalate issues to prevent delays or denials, and maintain HIPAA compliance.

Assist the Director of HIM in claim audits, reviewing coding and billing for hospital outpatient claims, and client education.

The DRG Revenue Integrity Auditor performs audits on inpatient charts to ensure coding accuracy and compliance with clinical guidelines. Responsibilities include chart reviews, training new hires, and maintaining coding best practices while analyzing data for client reporting.

Supervise DRG coding audits, ensuring compliance with coding guidelines, provide training, conduct quality assurance, and generate reports for clients.

Review outpatient medical records to improve documentation specificity and completeness, query providers per AHIMA guidance, support accurate problem lists and risk adjustment (HCCs), collaborate with coding/quality/revenue teams, track CDI interventions, ensure compliance with CMS and payer rules, and provide provider education.

The Coding Specialist codes professional fee specialties, ensures coding accuracy, adheres to ethical standards, and complies with internal policies. Requires certification and at least 2 years of coding experience.

CDI Specialists collaborate with healthcare teams to improve clinical documentation quality, ensuring accuracy for coding and reporting outcomes. They conduct reviews, issue queries, and meet productivity standards while adhering to guidelines.