Teams 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.