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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:Account Executives are subject matter experts of zero balance projects, conducting in depth research of hospital contracts, data, and other sources to address client questions. They manage external project relationships, which includes compiling and presenting reports and analysis. They also manage internal projects and assignments.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.Role &amp; Responsibilities: <ul><li>Manage client projects and relationships by participating in meetings, managing action items through to completion, answering client questions, and independently writing client emails</li><li>Compile, QA, and independently manage client processes from start to finish, such as provider relation escalations, bulk issues, regular reports, and invoices</li><li>Manage internal staffing and project needs, including answering questions from other team members on assigned client and monitoring project profitability</li><li>Research and determine next steps for complex and new payer issues and reimbursement areas to uncover potential opportunities, such as reimbursement guidelines and healthcare legislation</li><li>Create and update project plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify within the data</li><li>Review and summarize pricing documents based on hospital contracts to calculate expected payments, including Medicaid, percentage of charge, per diems, Medicare IPPS, MSDRG, outlier and/or stoploss, implants, drugs, and other reimbursement models</li><li>Make thorough client observations and recommendations after completing a project audit regarding underpayment exposure, contract risk, and other potential issues</li><li>Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing (e.g. rebill)</li><li>Escalate accounts to insurance provider relations for resolution and payment, including corresponding appropriately with provider relations teams, tracking progress of issues and ensuring that deadlines are met</li><li>Examine feedback from other internal teams on project activity and provide teams appropriate direction regarding account action when auditing and/or pursuing payments</li><li>Contribute meeting content to team meetings, AC biweekly meetings, and internal project related meetings</li><li>Help create and implement process improvements and trainings to protect future revenue</li><li>Understands and implements best practices for internal processes, communication, and documentation</li><li>Other duties as assigned</li></ul>Skills &amp; Experience<ul><li>A minimum of 3 years of experience in areas of research and analysis</li><li>A minimum of 3 years of verifiable work history</li><li>A minimum of 3 years of experience with managed care contracts and hospital reimbursement</li><li>A minimum of 2 years of experience working with clients or equivalent</li><li>Must have achieved High School Diploma or GED</li><li>3 years of experience working in MS Office, with emphasis on advanced Excels skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports</li><li>Demonstrated problem solving and critical thinking skills</li><li>Demonstrated ability to meet project deadlines</li><li>Demonstrated excellent written and verbal communication skills, to include writing professional documents and delivering presentations.</li><li>Diligent and strong attention to detail</li></ul>Preferred Skills:<ul><li>Access: Update and link queries and tables, create steps to calculate reimbursement</li><li>Understanding the basics of MySQL (specifically: modification in a field or table- following field and data requirements)</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

Account Executive, 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:The ONSITE Patient Access Registration Rep II is responsible for tasks relating to the completion of patient registration and scheduling for hospital and/or physician services. The Access Registration Rep II will be required to have flexibility to learn and comprehend complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Access Registration Rep will interact with patients, payer, provider and clients according to company, client and federal guidelines. The rep will provide input for process development and reporting. The Patient Business Services Rep-Access 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. ***100% onsite position - Kona Hawaii (local candidates only)***ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL 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.<h4>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;</h4><ul><li><h4>Complete patient registration (post clinical triage of patient) by obtaining and verifying health plan coverage</h4></li><li><h4>Accurately capture and document patient demographics and health plan information </h4></li><li><h4>Support access registration, insurance verification and authorization functions </h4></li><li><h4>Contact patient, physician offices and/or payers for follow-up on eligibility and authorizations </h4></li><li><h4>Schedule patients for services as directed by department guidelines</h4></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 - ONSITE Hawaii

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:Supervisors lead a group of Team Members performing work for assigned client(s). Supervisors ensure client needs are met by organizing inventory and workflow and ensuring that Team Members are engaged and able to adequately perform their duties. Key leadership position with high visibility on site, client facing, interacts with facility leaders and key customer facing leader with focus on improving customer and client experiences. **This position is 100% ONSITE in Liberal, KS**ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL DUTIES AND RESPONSIBILITIES: <ul><li>Manage staff in accordance with Company policies and procedures in a manner that engages and motivates.</li><li>Monitor Team Member performance and provide feedback and training to improve production and quality.</li><li>Assess training needs and provide development opportunities for team members.</li><li>Participate in the interview and selection process for new team members.</li><li>Facilitate positive and productive working relationships with Global Team Members.</li><li>Understand Client requirements, analyze data, identify trends and participate in client meetings.</li><li>Ensure ParaPath module reflects current client desk procedures and most efficient process.</li><li>Create and maintain client preference guides; ensure that client preferences are clearly articulated to Team Members.</li><li>Ensure Team Members have appropriate and timely access to client systems.</li><li>Actively manage new inventory, high balances and ageing from placements.</li><li>Monitor and manage inventory to ensure that account resolution is achieved quickly.</li><li>Other duties as assigned.</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>Highschool diploma or equivalent</li><li>At least 2 years supervisory experience preferred</li><li>Knowledge of Revenue Cycle Management preferred</li><li>Experience effectively managing remote team members</li><li>Excellent verbal and written communication skills</li><li>Ability to present information professionally to clients</li><li>Basic Outlook, Word and Power Point skills (ability to create emails, schedule meetings and prepare documents and presentations)</li><li>Intermediate Excel skills (vlookup, sumif, countif, pivot tables, basic formulas)</li><li>Ability to organize and facilitate meetings (prepare agenda, assign to-do’s, record meeting minutes, follow ups)</li><li>Ability to analyze data and identify trends</li><li>Ability to work independently and with a team to meet multiple competing priorities</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.

Supervisor, AR Operations

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, Hospitalists, 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.

Profee Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:CorroHealth is 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.

26 CorroHealth Jobs