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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.JOB SUMMARY:The Coding Specialist II is responsible for accurately coding (ICD-10-CM, CPT, if applicable, Level I &amp; II modifiers, if applicable) evaluation and management, lab, radiology, and rehab services. May also code: outpatient facility ancillary or clinic services. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide. *This role will be focused on Primary Care Coding and ancillary services - experience with professional fee, Annual Wellness Visits, Office Procedures, Multi-specialty, laboratory, radiology, rehab services and etc.* *Cerner and/or Meditech ExperienceESSENTIAL 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 JOB FUNCTIONS:Project Work<ul><li>Outpatient Facility Coding (Ancillary &amp; Clinic, etc.)</li><li>Professional Clinic or Specialty Coding (E&amp;M)</li></ul>Record Keeping<ul><li>Completion of Masterlog of accounts coded daily</li><li>Completion of Time Allocation reports daily</li></ul>Analysis/Reporting<ul><li>Identifies trends and reports to Coding manager</li><li>Identifies daily work queues</li><li>Identifies potential issues or errors</li></ul>Customer Service<ul><li>Client liaison to communicate account inquiries</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.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

Coding Specialist (EM, Ancillary and Rehab)

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.JOB SUMMARY: The Patient Services Rep 2 – Registration is responsible for tasks relating to the completion of patient registration for hospital and/or physician services. The Patient Services Rep 2 – Registration will be required to have flexibility to learning and comprehending complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Patient Services Rep 2 – Registration will be responsible that their patient, payer and provider interactions are carried out according to company, client and federal guidelines.The Patient Services Rep 2 – Registration will be required to work schedules that accommodate a 7/24 work schedule and be able to independently make compliant decisions on how to apply HIPAA and FCC regulations.ESSENTIAL JOB FUNCTIONS:Access Registration Tasks&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Exceed productivity standards as outlined by business line</li><li>Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage</li><li>Accurately document patient demographics and health plan information</li><li>Support access registration, insurance verification and authorization functions</li><li>Contact physician offices and/or payers for follow-up on eligibility and authorizations and</li><li>Maintain quality scoring and accuracy on all accounts worked</li><li>Ability to work independently and make responsible decisions</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals</li><li>Acts as a knowledge resource for team members</li><li>High level understanding of client host system functions</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li></ul>Ensure all accounts are worked within client standards and Federal Regulations.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Work within federal, state regulations, department/division &amp; all Compliance Policies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications&nbsp;&nbsp;</li></ul>Maintain continuing education, training in industry career development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attend training sessions as directed by management and disseminate to colleagues</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>EDUCATION: High SchoolEXPERIENCE: <ul><li>Minimum of 1 year of Access Registration or front office physician healthcare experience</li><li>Minimum of 3 year in hospital or physician operation</li><li>Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE-State other desired, but not required, education or experience.<ul><li>Epic hospital system experience</li><li>Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements</li><li>Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred</li><li>Remote working experience</li></ul>KNOWLEDGE, SKILLS and ABILITIES - Describe specific minimum knowledge, skills, and abilities required for this position.&nbsp; Also, list any special courses, certifications, or physical requirements that are necessary.&nbsp; This is especially critical for screening candidates.<ul><li>Exceptional customer service skills.</li><li>Excellent verbal and written communication skills.</li><li>Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.</li><li>Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.</li><li>Ability to follow regulations outlined by state, federal, and third-party coverage procedures.&nbsp;</li><li>Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.</li><li>Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.</li><li>Ability to prioritize and effectively anticipate and respond to issues as they arise.</li><li>Ability to post transactions in multiple systems.</li><li>Good analytical and problem-solving skills.</li><li>Ability to work independently.</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.

Patient Services Rep 2 - Registration

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:Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will be coding OP Facility Chart types that could include OBS, SDS, ED (must know I&amp;I), and some ancillary.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>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, 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 2 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 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.

OP 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: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: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:CorroHealth is seeking a Lead Inpatient Quality Specialist.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>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.</li><li>Analyzes audit findings to identify potential root causes of coding errors and prevent their reoccurrence</li><li>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.</li><li>Research, analyze and respond to inquiries regarding compliance, inappropriate coding, denials and billable services</li><li>Provides technical support and feedback training to internal coding staff regarding coding compliance, documentation, regulatory provisions, third part payer requirements, medical necessity requirements</li><li>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.</li><li>Suggests physician query opportunities query Physicians based upon documentation and clinical needs.</li><li>Prepare deliverables for the coders as required</li><li>Report work time and work productions in a timely and accurate manner</li><li>Communicates with coworkers in an open and respectful a manner which promotes teamwork and knowledge sharing.</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 coding credentials and knowledge of coding, reimbursement methodologies and compliance issues through education Monitor the on-going progress and success of each coder</li><li>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</li><li>Identify and resolve coding quality problems or issues in a timely manner</li><li>Maintain a continual knowledge of problems or issues that could affect coding quality levels</li><li>Assist in design of systems to help improve coder productivity and assist in improving accuracy of coding</li><li>Provide monthly reports</li><li>Participate in corporate training and meetings</li><li>Provide status reports to senior manager as requested</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>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact</li><li>Comply with all internal policies and procedures</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>Qualifications and Requirements:<ul><li>Regular, predictable and punctual attendance is required</li><li>Strong verbal and written communication skills are required</li><li>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 considered</li><li>Experience with telecommuting and electronic medical records systems strongly preferred</li><li>Strong analytical skills</li><li>Excellent written communication skills</li><li>Strong team player</li><li>Ability to work with multiple and diverse clients and projects</li><li>Ability to work with minimal supervision</li><li>5-7 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;</li><li>Initiative, resourcefulness and attention to detail</li><li>Customer service support -- minimum one (1) year experience</li><li>Familiarity with hospital outpatient billing processes</li><li>Understand hospital APC assignment and associated coding and documentation</li><li>Coding Certification -- preferred (CPC or CCS)</li><li>Strong communication 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></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 Inpatient Quality Specialist

About CorroHealth: At CorroHealth 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&nbsp;Medical Director, Denials Management you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will perform clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. CorroHealth offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.&nbsp;The Impact You Will Have:CorroHealth&nbsp;is&nbsp;led&nbsp;by like-minded&nbsp;clinicians who share the same innate calling to help.&nbsp; Hospitals nationwide have recently struggled with managing complex and unforeseen challenges such as global pandemics, complex regulatory updates, and downstream policy changes set forth by Medicare and private payer organizations – resulting in financial difficulty.&nbsp; CorroHealth physicians lead challenging and rewarding careers by providing our hospital clients with guidance to improve compliance and ensure appropriate payment for the care delivered. The impact of your role will allow attending physicians to focus on what is most important, providing dedicated care to the patients they serve.&nbsp; &nbsp;Your Schedule:&nbsp; Training (The first 3-4 weeks):<ul><li>Training will occur Monday-Friday 9A-5P ET</li></ul>After Completion of Training:<ul><li>Schedule will be Monday-Friday, anywhere between 8a-5p ET to 10a-7p ET.</li><li>Each of your shifts will be 9 hours in length, which includes one hour of dedicated break time.</li><li>Includes an expectation of 1 weekend 6-hour shifts of “prep” for peer-to-peer cases, within a 6-week business period</li></ul>Working at CorroHealth:<ul><li>All necessary hardware and software is provisioned to each of our Medical Directors&nbsp;</li><li>You have the ability to work remotely in a comfortable environment</li></ul>In This Role You Will: <ul><li>Perform Peer-to-Peer case discussions with payer medical directors</li><li>Utilize clinical expertise to identify the salient points within a case review</li><li>Perform focused real-time and post-discharge hospital case reviews in hospital’s EMR</li><li>Identify areas of process improvements and inefficiencies</li><li>Perform related duties and projects as assigned</li></ul>Do You Have What It Takes? <ul><li>MD or DO degree with strong clinical knowledge&nbsp;</li><li>Active unrestricted medical license in at least one state within the United States&nbsp;&nbsp;</li><li>Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, or Infectious Disease; Board certification (preferred)&nbsp;</li><li>At a minimum, 1 year of acute care adult hospital experience in a US hospital within the past 5 years or recent relevant physician advisor experience&nbsp;</li><li>Working knowledge of hospitals’ EMR&nbsp;</li><li>Computer proficient&nbsp;</li><li>Excellent verbal and written communication skills&nbsp;</li><li>Team Player</li></ul>We Offer:&nbsp; <ul><li>Quality of life with a remote predictable, full-time schedule&nbsp;</li><li>Comprehensive training and education program&nbsp;</li><li>Opportunities for career growth within the organization&nbsp;</li><li>Salary plus bonus opportunities</li><li>Medical, Dental, Vision coverage, 401K&nbsp;</li><li>Holidays, paid time off, short term and long-term disability insurance, and life insurance&nbsp;</li><li>Allowance for CME and/or license renewals&nbsp;&nbsp;</li></ul>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.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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