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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: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.Key Responsibilities:Strategic Sales Leadership: Develop and execute aggressive, data-driven sales strategies to achieve and exceed revenue targets for the CDI portfolio. Identify market opportunities, define target segments, and position CorroHealth solutions effectively. C-Suite Engagement &amp; Relationship Building: Leverage existing and cultivate new, high-level relationships with key executive decision-makers (CFO, CEO, CNO, CMIO, CIO, VP Revenue Cycle, etc.) within target health systems and hospitals. Understand their strategic priorities, challenges, and position CorroHealth's solutions as essential partners in achieving their financial and clinical goals. Complex Sales Cycle Management: Lead and manage the entire sales process for large, complex opportunities, from prospecting and qualification through negotiation and closing. Effectively articulate the compelling value proposition of CDI solutions at an executive level. Pipeline Management &amp; Forecasting: Build and maintain a robust sales pipeline. Provide accurate and timely sales forecasts and reports to senior leadership. Utilize Salesforce.com tools effectively for tracking and analysis. Market Intelligence: Stay abreast of healthcare industry trends, competitive landscape, regulatory changes, and evolving customer needs related to CDI, revenue cycle management, and denials. Provide feedback to product and marketing teams. Cross-Functional Collaboration: Work closely with Marketing, Product Management, Implementation, Operations, and Account Management teams to ensure seamless customer experience and alignment on go-to-market strategies. Represent CorroHealth: Serve as an ambassador for CorroHealth at industry conferences, trade shows, and executive-level client meetings.Required Qualifications &amp; Experience:<ul><li>Bachelor's degree in Business, Marketing, Healthcare Administration, or a related field.</li><li>Minimum of 10-12 years of progressive sales experience within the healthcare technology or healthcare services sector.</li><li>Demonstrated, extensive experience and a proven track record of successfully selling complex solutions (technology, services, or both) directly to C-suite executives within large hospital systems and integrated delivery networks (IDNs). Verifiable history of closing multi-million-dollar deals.</li><li>Strong existing network of C-level contacts within the US hospital and health system market.</li><li>Deep understanding of hospital financial operations, revenue cycle management (RCM), clinical documentation integrity (CDI), and denials management processes and challenges.</li><li>Proven ability to navigate complex organizational structures and buying processes within large healthcare providers.</li><li>Exceptional communication, presentation, negotiation, and interpersonal skills – comfortable and credible interacting at the highest levels of an organization.</li><li>Strong strategic thinking, analytical skills, and business acumen.</li><li>Demonstrable history of consistently meeting and exceeding sales quotas.</li><li>Ability to travel significantly as needed to meet with clients and prospects (50-75%)</li><li>Proficiency with CRM software (e.g., Salesforce) and standard business tools.</li></ul>Preferred Qualifications:<ul><li>Direct experience selling CDI technology/software or RCM solutions services.</li><li>Experience working in a high-growth, private equity-backed 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.

CorroHealth

Sr Regional VP, Clinical Documentation

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.The Manager, Clinical Documentation Improvement (CDI) Services is responsible for leading and overseeing the CDI program to ensure accurate, timely, and complete clinical documentation that reflects the severity of illness and quality of patient care. This role involves managing a team of CDI specialists, collaborating closely with internal stakeholders as well as the client, to promote best practices in clinical documentation, and ensuring compliance with regulatory standards and coding guidelines.The Manager analyzes documentation trends, develops educational initiatives for providers and staff, and implements process improvements to enhance the quality of documentation and quality metrics. The role requires a strong clinical background, excellent leadership skills, and a solid understanding of coding, DRG assignment, and healthcare data analysis.<ul><li>Effectively communicates with Director, other Managers, Leads and staff on schedule needs and assignments</li><li>Facilitates initial onboarding process of all concurrent review CDIS to ensure proper understanding of overall workflow process, expectations, and established access</li><li>Reviews the productivity report weekly with each Project Lead; responsible for discussing the CDI’s productivity, monitoring and developing remediation plans for CDIS with Director as needed</li><li>Reviews timecards weekly</li><li>Notifies Director of CDI Services of errors found, specifically trending by CDIS/Auditor, concerns reported by Project Leads</li><li>Report project status updates to Director&nbsp;weekly and additionally as needed</li><li>Participates in report writing, education development and/or delivery</li><li>&nbsp;Assists in new hire orientation</li><li>&nbsp;Collaborates with CDI Director on Education topics</li><li>&nbsp;Monitors for maintenance of Share Point folders for all staffing projects, discussing needs with Project Leads</li><li>Rounds with each CDI Project lead weekly for updates and needs of individual projects</li><li>Billable 50% per month</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>Interacts with clients in a professional manner, that at all times exhibits excellent relationship, 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 coworkers</li><li>Maintenance of professional credentials and knowledge of coding, reimbursement and compliance issues through continuing education</li><li>Periodic travel as required</li><li>Performs other duties as assigned</li><li>Desired Minimum Qualifications</li><li>Recognized credential from ACDIS (CCDS) or AHIMA (CDIP).</li><li>Experience with telecommuting and electronic medical record systems required.</li><li>Current license as a registered nurse (RN)</li><li>BSN or MSN preferred</li><li>Possess sound judgment and strong analytical skills.</li><li>Proficient computer skills, specifically Microsoft Office products.</li><li>Proficient skills utilizing a management system.</li><li>Strong team player with ability to train and mentor others.</li><li>Ability to work with multiple and diverse clients and projects.</li><li>Ability to work with minimal supervision.</li><li>Ability to maintain and access multiple files.</li><li>Assure that work product is completed with high levels of accuracy and attention to detail.</li><li>Possess extensive knowledge of medical and health care policies and processes.</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, CDI Services

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:VP, Management ConsultingESSENTIAL 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:As a Vice President in our Management Consulting Practice, you will bring your extensive consultative insight and knowledge of the hospital’s Clinical Revenue Cycle to drive optimal internal processes that deliver better revenue outcomes. You’ll build long-lasting and impactful relationships with hospital executives as you help them realize value from the CorroHealth program and drive their success. Through data and analytics, you’ll benchmark hospital performance by payer and functional area, identify sources of lost revenue or risk, create, and implement operational solutions that address these issues, and manage performance to drive outcomes. You’ll join a team of motivated and creative problem solvers who thrive under pressure and work in a fast-paced but collaborative team environment.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.About CorroHealth:CorroHealth is the leading provider of clinically led healthcare analytics and technology-driven solutions dedicated to positively impacting the financial performance of hospitals and health systems. With more than 7,500 employees worldwide, CorroHealth delivers integrated solutions, proven expertise, intelligent technology, and scalability to address needs across the entire revenue cycle. To learn more, visit corrohealth.com.CorroHealth provides data-driven solutions combined with clinical operations support to hospitals and health systems nationwide to help them improve financial performance and Medicare compliance. The company has a vibrant culture that strives to promote a positive work-life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.As a Vice President in our Management Consulting Practice you will bring your extensive consultative insight and knowledge of the hospital’s Clinical Revenue Cycle to drive optimal internal processes that deliver better revenue outcomes. You’ll build long-lasting and impactful relationships with hospital executives as you help them realize value from the CorroHealth program and drive their success.&nbsp; Through data and analytics, you’ll benchmark hospital performance by payer and functional area, identify sources of lost revenue or risk, create, and implement operational solutions that address these issues, and manage performance to drive outcomes. You’ll join a team of motivated and creative problem solvers who thrive under pressure and work in a fast-paced but collaborative team environment.&nbsp;The Impact That You Will Have:Over the last 20 years, many hospitals have been struggling financially due to complex regulation and policy changes set forth by Medicare and private payer organizations. Many have faced bankruptcy and in extreme situations some have even closed. Individuals on our Management Consulting Team lead challenging and rewarding careers providing our hospital clients with strategies and solutions to ensure our clients are paid fairly which benefits them and the communities that rely on their services. &nbsp;Additionally, through coaching, development, and mentoring you will be responsible for growing members in our Consulting Practice.In This Role You Will: <ul><li>Help the Management Consulting Team deliver transformative programs that involve analyzing hospital claims and encounter data, identify issues, formulate, and test hypotheses and develop an approach to solve the client’s problem</li><li>Use your knowledge of healthcare industry and the Clinical Revenue Cycle to evaluate the impact of regulatory updates, process changes, new commercial payer agreements, and new strategic direction for hospital clients</li><li>Translate data into meaningful presentations and reports for key decisions makers and client executives. Identify nuances in the standard deliverables that are likely to raise concerns or questions, research the issue and present a client-ready response. Identify the salient points to share with the client based on the metrics or other standard deliverables.</li><li>Develop, present, and implement recommended processes, education, training and KPIs.</li><li>Collaborate with Sales, regulatory and clinical leaders to create initial assessments for prospective clients and develop action plans with proposed solutions.&nbsp;</li><li>Work closely with other teams and CorroHealth subject matter experts in the development of business cases for new products</li></ul>Do You Have What It Takes?<ul><li>Bachelor’s Degree, with demonstrated capability and experience in economics, finance, accounting, business or other related analytical field is required</li><li>5+ years of hospital revenue cycle consulting experience and experience analyzing hospital claims data; 5+ years of healthcare industry experience in a client-facing role preferred</li><li>Exceptional analytical and quantitative problem-solving skills and the ability to learn and adapt quickly</li><li>Ability to synthesize data and information and summarize conclusions</li><li>Outstanding written and oral presentation skills, ability to engage in back-and-forth conversations with senior leaders, ability to be convincing and develop strong relationships</li><li>Possess strong Excel modeling skills – comfortable working with large amounts of data and relevant database (i.e., Access, etc.)</li><li>Strong interpersonal and organizational skills including the ability to effectively work with people across all functions and levels of the organization and under tight timelines</li></ul>Physical Requirements:May be expected to sit at a desk for long hours. Repetitive movement of hands and fingers – typing and/or writing.&nbsp; Occasional standing, walking, stooping, kneeling or crouching.&nbsp; Ability to reach with hands and arms, talk and hear.CorroHealth is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics, or any other basis forbidden under federal, state, or local law.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.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.

VP, Management Consulting

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.IMMEDIATE interviews for ideal candidates who can start mid-July!Location: Remote (within US only) equipment providedJob Overview:This is a REMOTE, independent contractor (IC) position performing medical claim denial research follow-up work with insurance companies via payer portals (NO PHONES) to resolve appeals that have been submitted but remain without determination.You MUST commit to at least 20 hours per week (after training)but can work as many hours as you like!Schedule is flexible AFTER Training&nbsp;which requires you to be available for 5 consecutive business days (8 hours a day from 8:00 - 5:00 PM EST. You will also be required to do self-paced compliance training that should take 3-4 hours.You MUST be available to attend training on one of the following days (no exceptions): Monday, July 14, - Friday July 18, (8:00 AM - 5:00 PM EST)Wednesday, July 16 - July 22, (excluding weekend) (8:00 AM - 5:00 PM EST)Monday, July 21, - July 25, (8:00 AM - 5:00 PM EST)Hourly Pay:$20.00 during training and then you will be paid $4.00 per account - time spent updating each account should only take 5 minutes! The more accounts you touch the more you make!Job Summary<ul><li>Perform denial research and follow-up work with insurance companies via payer portal or phone to resolve appeals that have been submitted but remain without a determination</li><li>Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner</li><li>Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system</li><li>Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy</li><li>Monitor and complete tasks within shared inboxes and internal request dashboards</li><li>Receive and document incoming emails, calls, tickets, or voicemails</li><li>Follow up with the client or internal staff via email or phone for additional information as requested</li><li>Export and upload documents within CorroHealth proprietary system</li><li>Cross-trained on various functions within the department to support other teams as needed</li><li>Other responsibilities as requested by management</li></ul>Minimum Qualifications:<ul><li>High School Diploma or equivalent</li><li>Computer proficient. Must have intermediate skills with Outlook and Excel.</li><li>Must be able to schedule meetings, log onto Teams for meetings.</li><li>Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting.</li><li>Must be able to type a minimum of 25wpm</li><li>Detail oriented</li><li>Shows initiative and responsibility in taking the necessary steps towards problem resolution</li><li>Works independently, but is a team player</li><li>Able to work in a fast-paced environment</li><li>Possess good verbal and written communication skills</li><li>Required to keep all client and sensitive information confidential</li><li>Strict adherence to HIPAA/HITECH 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.

Appeals & Denials Support Specialist (IC)

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. This Coding Team Member must have a CIRCC and have experience in interventional cardiology and interventional radiology coding.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>Must have experience in interventional cardiology and interventional radiology coding. </li><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>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>Must have a CIRCC or 10-15 years experience in IVR</li><li>Must have at least a minimum of 3yrss 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 MUST HAVE CIRCC

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 Revenue Analyst role consists of thorough and extensive analyzation and investigative assessment of claims that have been identified as paid incorrectly. Through phone and written correspondence with insurance companies, the Revenue Analyst initiates pursuit of incorrectly paid medical insurance claims.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>Independently, consider business needs and adjust workflow accordingly when reviewing and researching available accounts for potential payer underpayments to pursue.</li><li>Analyze and ascertain pertinent information from multiple sources (e.g., hospital systems, medical records, claims) to identify true causality for underpayments.</li><li>Recognize payor and client trends and perform research to maximize profitability.</li><li>Consider account profitability and cost analysis when reviewing for potential rebills.</li><li>Analyze payer contracts for revenue risks when business needs arise.</li><li>Facilitate and communicate results of rebills with auditors.</li><li>Mentor and assist with onboarding of incoming Revenue Analysts.</li><li>Coordinate and lead training for incoming team members.</li><li>Facilitate and or annotate internal team meetings.</li><li>Collaborate with manager and project leads to perform client work as assigned.</li><li>Manage multiple internal projects while adhering to deadlines and weekly goals.</li><li>Other duties as assigned.</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>Associate’s Degree or 3-5 years relevant work experience preferred</li><li>Knowledge of Revenue Cycle industry preferred</li><li>Experience reviewing hospital claims and payor contracts</li><li>Professional experience communicating with insurance companies verbally and writing complex appeals for contractual underpayments</li><li>Comprehension of key risk areas of contract reimbursement methodologies</li><li>Ability to conduct research via multiple channels (internet, client and payer systems, and internal resources</li><li>Ability to navigate Hospital’s optical storage and patient accounting systems</li><li>Critical thinking and decision-making skills</li><li>Must be able multi-task and remain diligent with workload/multi-project while maintaining strong attention to detail</li><li>Excellent written and verbal communication skills</li><li>Strong computer skills, including OneNote, Word, Excel (advanced formulas, pivot tables)</li><li>Ability to adapt to mentee learning style and adjust training accordingly</li><li>Strong independent work ethic while also collaborating with a team to achieve goals</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.

Revenue Analyst 2, Zero Balance

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:IP Coding Specialist are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more clients, facility, or multiple facilities or clients. The IP Coding Specialist will be an Inpatient coder or could be asked to help out and coder other chart types.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.Team Member must be able to work from home and be independent in their coding skills.<ul><li>Provide various components of coding services to support our clients.</li><li>Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPCS codes.</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>Must maintain quality and productivity standards.</li><li>Communicate with clients in a professional manner that fosters an excellent working relationship to support the company and its business interests</li><li>May assist Leadership, or Lead Coding Specialist, with reports as needed</li><li>Potential opportunity to begin helping with auditing.</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>All Coders must maintain at least one credential either through AAPC or AHIMA.</li><li>Actively participate in Company provided training and education.</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>Preferred Certification is CCS</li><li>Must have a minimum of 2 years of experience.</li><li>Must have advanced working knowledge and experience with systems such as EMR, Billing, etc</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, and create a basic pivot table.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Must have current coding materials such as CPT and ICD-10-CM coding references.</li><li>Regular, predictable, and punctual attendance is required.</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 an ongoing quality score of 95% or higher.</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.

Inpatient 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: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. **Sign on bonus available**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>We Offer:<ul><li>Quality of life with a remote predictable, full-time schedule</li><li>Exempt/Salaried positions</li><li>Opportunities for career growth within the organization</li><li>Medical, Dental, Vision coverage, 401K with match</li><li>Long-term disability insurance, life insurance and more</li><li>Holidays Time and ample paid time off</li><li>Allowance for CME and/or license renewal</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.

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:CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures.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 clinical documentation tasks, meeting productivity and quality standards as set for each project.&nbsp;</li><li>Adhere to all coding and clinical documentation improvement guidelines as endorsed by AHIMA and ACDIS.&nbsp;</li><li>Perform review on clinical documentation and issue queries when appropriate.</li><li>Review medical records for completeness and accuracy for severity of illness and risk of mortality.&nbsp;</li><li>Accurate and timely record review.&nbsp;</li><li>Demonstrate knowledge of DRG payer issues, documentation opportunities, and clinical documentation requirements.&nbsp;</li><li>Analyze findings and identify potential root causes of produced errors.&nbsp;</li></ul>Qualifications and Requirements:<ul><li>Experience with telecommuting, working with EMRs and other electronic tools.&nbsp;</li><li>Strong analytical skills.&nbsp;</li><li>Strong Microsoft Office skills.&nbsp;</li><li>Works well with numbers.&nbsp;</li><li>Strong team player.&nbsp;</li><li>Ability to work with multiple and diverse clients and projects.&nbsp;</li><li>Ability to work with minimal supervision.&nbsp;</li><li>Ability to maintain and access multiple files.&nbsp;</li><li>Assure that work product is completed with high levels of accuracy and attention to detail.&nbsp;</li></ul>Education &amp; Experience:<ul><li>CCDS or CDIP certification required. **Or be willing to get CCDS certification within 6 months of employment.</li><li>Current RN license.</li><li>Three years CDI experience.</li><li>Two years or more clinical experience in an acute care setting preferred.</li></ul>We Offer:<ul><li>Quality of life with a remote predictable, full-time schedule</li><li>Opportunities for career growth within the organization</li><li>Medical, Dental, Vision coverage, 401K with match</li><li>Long-term disability insurance, life insurance and more</li><li>Holidays Time and ample paid time off</li><li>Allowance for CME and/or license renewal</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 Specialist, RN/BSN, CCDS (FT/REMOTE) (CDI experience req'd)

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.

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