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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:Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will code multispecialty, professional fee charts. Specialties could include Podiatry, Plastics, Pediatrics, Family Medicine, OB, Ortho, General Surgery, Internal Medicine, Urgent Care, Pulmonary, ED, or a variety of other specialties. Must have VistA EHR experience.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 3 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 VistA EHR, 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.

CorroHealth

Multispecialty 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: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.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 SummaryTitle: Coordinator, Utilization ManagementLocation: Remote within US ONLYSchedule: Full-time shifts from 8:00 AM to 5:00 PM EST on a rotating weekly schedule, including weekends and holidays as assigned.Hourly Salary:&nbsp;$19.00 - $20.00Responsibilities:<ul><li>Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up all the way to determination and discharge.</li><li>Maintain detailed documentation of the record in the EMR system, in the internal CorroHealth system and in the Health Payer portals.</li><li>Verify correct eligibility and benefits for patients.</li><li>Act as a liaison between the hospital staff and the Health Payer to facilitate information sharing and successful process completion within allocated timeframe.</li><li>Review timely filing guidelines regarding the utilization management process.</li><li>Track and follow up with payers on pending authorizations to ensure timely responses.</li><li>Contact payer to elicit further information regarding status, decisions and remove hurdles in the processing.</li><li>Identify and escalate issues that may result in delays or denials.</li><li>Manage assigned workload of accounts through timely follow up and accurate record keeping.</li><li>Maintain compliance with HIPAA and other healthcare regulations.</li></ul>Minimum Qualifications:<ul><li>High School Diploma or equivalent. Associate degree in healthcare administration or equivalent preferred.</li><li>2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field.</li><li>Knowledge of/experience working with managed care contracts</li><li>Experience working with customer support/client issue resolution management.</li><li>Strong understanding of medical terminology and insurance processes.</li><li>Experience working in EMR systems, Epic preferred.</li><li>Excellent communication and organization skills.</li><li>Strong multi-tasking skills, working in a face paced environment.</li><li>Proficiency with MS Office and websystems.</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, Utilization Management

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.

Coding Quality Specialist (Inpatient/Outpatient Facility)

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.<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>Strong experience in Hospital Outpatient (Facility) denials.</li><li>Understanding of Remit &amp; CARC codes</li><li>Review and resolve denials in EPIC</li><li>Research payer policies</li><li>Identify trending denial issues that can be escalated to management</li><li>Resolve Medical Necessity and CCI edits</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 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 Edits/Denial 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:As a Clinical Trainer for CorroHealth, you’ll have the opportunity to provide education to new and existing clinical team members. You will be an interdisciplinary resource amongst the Versalus clinical teams, acting in a variety of roles – such as subject matter expert, coach, and mentor. CorroHealth offers a career path that allows you to continue using your clinical knowledge and allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.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 - 5:00 PM ESTAs a Clinical Trainer for CorroHealth, you’ll have the opportunity to provide education to new and existing clinical team members. &nbsp;You will be an interdisciplinary resource amongst the clinical teams, acting in a variety of roles – such as subject matter expert, coach, and mentor. &nbsp; CorroHealth offers a career path that allows you to continue using your clinical knowledge and allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.The Impact You Will Have:&nbsp;CorroHealth&nbsp;is&nbsp;led&nbsp;by like-minded&nbsp;clinicians who share the same innate calling to help.&nbsp;Over the last 20 years,&nbsp;many&nbsp;hospitals have struggled financially&nbsp;due to complex regulations and policy changes set forth by Medicare&nbsp;and&nbsp;private&nbsp;payer&nbsp;organizations.&nbsp;CorroHealth clinicians lead challenging and rewarding careers&nbsp;by providing&nbsp;our hospital clients with guidance to improve compliance&nbsp;and ensure&nbsp;appropriate payment&nbsp;for the care delivered. Your direct&nbsp;impact&nbsp;will not only help&nbsp;the hospitals we serve,&nbsp;but also the communities that rely on their services and clinicians providing hands-on patient&nbsp;care.In this role you will:<ul><li>Serve as a key training resource for CorroHealth clinicians, offering high-quality education and feedback aligned with CorroClinical operational procedures.</li><li>Navigate multiple digital systems simultaneously - you'll need to be extremely computer-savvy, comfortable toggling between platforms like EMRs, internal systems, and communication tools with precision and efficiency.</li><li>Lead onboarding and training for new physicians, supporting them throughout intensive training periods ranging from 2 to 4+ weeks. You'll play a pivotal role in ensuring they understand documentation standards, platform navigation, and clinical workflows.</li><li>Be cross-trained across various training departments, expanding your expertise and building flexibility within the team. Your input will help shape onboarding strategies and operational training content.</li><li>Access and analyze electronic medical records (EMRs)&nbsp;from clients remotely to identify critical clinical information, ensuring accurate documentation within CorroHealth’s information system.</li><li>Collaborate with physicians, team leads, and operational leadership&nbsp;on training procedures, feedback mechanisms, and quality improvements.</li><li>Deliver constructive feedback and maintain detailed documentation&nbsp;to support clinician development and operational excellence.</li><li>Registered Nurse (RN)&nbsp;with 2–3 years of recent hands-on experience&nbsp;in acute care settings-Emergency Department (ED), Trauma, ICU, or similar high-acuity hospital environments.</li><li>Teaching, precepting, or onboarding background&nbsp;strongly preferred. You should feel confident guiding new clinicians and tailoring training to different learning styles.</li><li>Highly proficient with technology and digital tools. The role demands seamless multitasking across multiple platforms and systems, often simultaneously.</li><li>Excellent communication and collaboration skills. You’ll work closely with physicians, trainers, and operational teams, so an adaptable and professional demeanor is key.</li><li>Detail-oriented with strong documentation skills. Experience reviewing EMRs and entering clinical data accurately is essential.</li><li>Comfortable working remotely and navigating virtual training spaces with independence and accountability.</li></ul>Do You Have What It Takes:&nbsp;<ul><li>RN degree with strong clinical knowledge</li><li>Active unrestricted nursing license in at least one state within the United States</li><li>Previous education/training experience preferred</li><li>Utilization Management experience preferred</li><li>Strong verbal and written communication skills</li><li>Excellent Computer proficiency</li><li>Knowledge of PowerPoint, Excel, and Word applications</li></ul>What we offer:<ul><li>Annual salary: $70,000 (firm)</li><li>Medical/Dental/Vision Insurance</li><li>Equipment provided</li><li>401k matching (up to 2%)</li><li>PTO: 120 hours accrued, annually</li><li>9 paid holidays</li><li>Tuition reimbursement</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.

Trainer, Clinical Solutions (Remote/Full-Time) (Active RN License Required)

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.&nbsp; Performs concurrent or retrospective reviews to inventory code assignments and report the data to the client.&nbsp; 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>Periodic travel, as applicable.</li><li>Other duties and responsibilities, as assigned.</li></ul>Knowledge, Skills &amp; Abilities:&nbsp; Recognized credential from AHIMA or AAPC. Experience with telecommuting and electronic medical record systems required. Strong analytical skills. Proficient computer skills, specifically Microsoft Office products. Strong team player. Ability to work with multiple and diverse clients and projects. Ability to work with minimal supervision. Ability to maintain and access multiple files. Assure that work product is completed with high levels of accuracy and attention to detail. 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.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.

Auditing & Education Consultant - OP Facility

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:Lead, Provider Risk Adjustment Coding Services As a member of the CorroHealth team, the Lead, utilizes Provider Risk Adjustment Coding Services coding knowledge to assist the Director of Coding Services and other members of the Management team in maintaining a high level of client satisfaction through managing the overall quantity and quality of coding production for assigned clients. The candidate will supervise a team of Client Account Coders.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>Collaborators with global leaders on daily production quantity and quality for each assigned client while maintaining client service level agreement metrics and delivery expectations</li><li>Review pending accounts and second level quality reviews and for errors or assigns to appropriate staff for remediation and completion</li><li>Monitors client reports – production, quality, query compliance, and response and resolves issues as necessary</li><li>Assists in research and resolution of QA disputes and education/trends</li><li>Tests system and workflow changes related to specific client hospitals</li><li>Assist assigned Coding Director with independent responsibilities for client reporting and data analysis</li><li>Recommended staffing modifications and FTEs, assist in overtime planning when necessary</li><li>Recommend and process salary changes/adjustments/promotions as necessary</li><li>Responsible for training assistance of new and existing HCC Coding Specialists</li><li>Participate in and/or lead special projects requiring coding and/or auditing for clients across the organization, as needed</li><li>Develops and communicates coder schedule and resolves changes to schedule</li><li>Assist direct reports with accurate application of diagnosis and procedure codes utilizing CMS/HHS HCC models, ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Provide and/or aid direct reports with interpretation of coding guidelines for accurate code assignment</li><li>Identify and ensure that direct reports understand the importance of documentation on code assignment and the subsequent reimbursement impact</li><li>Align personal conduct with and build a team culture that aligns conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct</li><li>Comply with, promote and support direct report’s compliance with all internal policies and procedures</li><li>Actively participate in Company provided training and education and ensure that direct reports complete mandatory training and education by established deadlines and are able to properly implement and/or practice the principles taught via the Company’s training and education program</li><li>Ensure individual and direct report 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><li>Thoughtfully evaluate risk, participate in the development of risk mitigation activities and engage in correcting deficiencies</li></ul>Knowledge, Skills &amp; Abilities:<ul><li>College degree in healthcare-related field preferred.</li><li>National certification through AAPC or AHIMA required, CCDS or CDIP, RHIT or RHIA, or Certified Coding Professional -REQUIRED</li><li>At least 3+ years of previous provider-based risk adjustment coding experience with strong understanding of physician query compliance and composition</li><li>Previous supervisory experience is preferred</li><li>Strong computer skills, proficient in Microsoft Office applications including Word and Excel.</li><li>Ability to navigate in a variety of EMR environments and review hand-written charts</li><li>Strong verbal and written communication skills are required</li><li>Ability to prioritize workload, to meet deadlines and to maintain a high level of quality and accuracy</li><li>Initiative, resourcefulness, and attention to detail</li><li>Regular, predictable, and punctual attendance is required</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.

Lead, Provider Risk Adjustment

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 Regional Director of Sales is an integral part of the CorroHealth Sales and Marketing team. Their primary function will be to maximize all Revenue Cycle Management business opportunities on behalf of the Company. The position drives the sales and profit opportunities for the Company within the assigned territory. This position will develop and execute a Territory Sales Plan and conduct the entire sales process within a designated region of the country.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>Utilize effective sales techniques to increase revenue and exceed established annual sales quota.</li><li>Develop relationships with prospects and discover their needs to accurately compose the appropriate value proposition to address those needs.</li><li>Conduct the entire sale process from initial research to contract closing.</li><li>Gain detailed knowledge of company marketing position and technical resources required for implementing services.</li><li>Conduct research and prepare for sales calls in assigned markets to ensure successful outcomes.</li><li>Prepare and present product demonstrations and required technical and support information for company products and services.</li><li>Customize sales presentations and develop sales skills to increase effectiveness in establishing rapport, assessing individual needs and communicating product features and differences.</li><li>Represent the Company to prospective customers – hospitals, emergency departments and/or emergency physician groups; at conferences, tradeshows, conventions and other group meeting/events.</li><li>Maintain information on all accounts in assigned territory using SalesForce and other criteria established by the Company.</li><li>Prepare sales reports, forecasts and related administrative documentation and submit on time.</li><li>Grow the sales pipeline and constantly think about how to expand market share.</li><li>Work with other sales team members to drive cross-selling opportunities.</li><li>Directs implementation and execution of sales policies and practices.</li><li>Recommends sales strategies for improvement based on market research and competitor analyses.</li></ul>Knowledge, Skills &amp; Abilities:<ul><li>Bachelor’s degree</li><li>Minimum of 5 years in a Sales role within the Healthcare Industry.</li><li>Familiarity with Revenue Cycle Management, medical billing and coding for both facility billing and physician billing; very comfortable with operational aspects of how we administer the coding management processes – customer needs to be able to trust that this person knows what he/she is talking about and will come through for them.</li><li>Track record of achieving and exceeding established sales goals.</li><li>Demonstrated ability to effectively identify customer needs and make product recommendation based on these needs.</li><li>High degree of accountability and is committed to delivering against goals</li><li>Strong customer service orientation.</li><li>Well-developed written and oral communication skills.</li><li>Team player and works well in an environment of shared goals and dotted lined structure.</li><li>3-5 years’ experience with selling RCM solutions, preferably outsourced facility insurance AR management.</li><li>Bachelor’s degree in related major is preferred.</li><li>Must have solid presentation skills, high energy level, experience in contract negotiations, creativity and strong work ethic.</li><li>Track record of success in assigned geography.</li><li>Experienced working in a remote environment.</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.

Regional Director, Business Development

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 CDI Reconciliation Auditor is responsible for performing detailed quality reviews and reconciliations of clinical documentation and coding outcomes, with a focus on DRG (Diagnosis-Related Group) validation and Physician Audit reviews. This role ensures that documentation supports accurate coding and billing practices, in compliance with regulatory and payer requirements.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>Conduct reconciliations of CDI and coding outcomes to ensure alignment with final DRG assignments.</li><li>Review discrepancies between CDI specialists and coders, resolving variances to support accurate claim submission.</li><li>Perform quality audits on Physician Audit reviews to validate the appropriateness of coding and documentation.</li><li>Ensure clinical documentation meets regulatory standards, payer guidelines, and organizational policies.</li><li>Identify trends and patterns in documentation and coding errors, providing feedback and education to CDI and coding teams.</li><li>Collaborate with internal teams to develop and implement process improvements based on audit findings.</li><li>Provide education and training to CDI and coding staff on reconciliation outcomes and audit findings.</li><li>Serve as a liaison between CDI specialists, coders, and physicians to resolve documentation and coding queries.</li><li>Maintain up-to-date knowledge of coding guidelines (ICD-10, CPT, etc.), payer policies, and regulatory requirements.</li><li>Prepare and present regular reports on reconciliation and audit outcomes, including key metrics and recommendations.</li></ul><ul><li>Bachelor’s degree in Nursing, Health Information Management, or a related field; or equivalent clinical experience.</li><li>3-5 years of experience in CDI, coding, or clinical auditing roles.</li><li>Strong background in DRG validation and Physician Audit processes.</li><li>Experience with healthcare coding systems and standards (ICD-10, CPT, HCPCS).</li><li>Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) preferred.</li><li>Certified Coding Specialist (CCS) or equivalent coding certification required.</li><li>Strong analytical and problem-solving skills.</li><li>Proficient in coding software and EHR systems.</li><li>Excellent written and verbal communication abilities.</li><li>Detail-oriented with a focus on accuracy and compliance.</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.

CDI Reconciliation 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 Manager, Clinical Operations 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 will contribute to producing and presenting reports to leadership to trend and track the success and gaps of the division. Furthermore, they will play a role in achieving operational excellence by assisting in the construction of plans and strategies to overcome challenges.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.Role &amp; 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></ul>Knowledge, Skills &amp; Abilities:<ul><li>AHIMA or AAPC accreditation preferred.</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>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.

33 CorroHealth Jobs