field_job_employment_type

job_industry

field_job_occupational_field_parents_all

job_organization_name

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 will support the overall success of the CDI Staffing Division by managing and assisting the&nbsp;Director and SVP of CDI Services.Essential Duties and Responsibilities <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 or Assistant 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>Important Duties and Responsibilities</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>&nbsp;Preforms 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>&nbsp;Possess sound judgment and strong analytical skills.</li><li>&nbsp;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> Education &amp; Experience<ul><li>&nbsp;3+ years’ experience staffing and/or auditing in an acute care facility or clinic, of patient types listed in the Job Summary of this document, or other relevant experience.</li><li>Previous experience in management of multiple clients and staff.</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

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: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.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>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:The Payer Performance Analyst will be responsible for evaluating, analyzing, and improving payer performance and payer relationships. This role will assist CorroHealth clients in ensuring that payers are adjudicating and paying according to their contract guidelines. This includes analytics and tracking of denials, escalation inquiries and responses, reimbursement levels and claims/appeals data. This role will leverage data analytics to assess payer performance and provide actionable insights to enhance the effectiveness of payer contracts and strategies. The Analyst will represent the client at monthly payer meetings along with Revenue Cycle leaders. The ideal candidate will be skilled in data analysis, contract management, and possess a strong understanding of healthcare payer processes. **This position is HYBRID in Chicago, IL** MUST HAVE: -Government Payer experience - specifically IL Medicaid -Leadership skills/experience -Hospital Billing 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: <ul><li>Analyze large volumes of hospital data and provide weekly/monthly reporting of payer denials, trends and behaviors with data analytics tools. Conduct root-cause analysis of payer denials and trends. Produce ad-hoc reports as needed.</li><li>Develop and maintain regular payer escalation spreadsheets, master files of escalations and payer guidelines. Submit spreadsheets and necessary documentation to meet payer deadlines for monthly meetings. Handle Revenue Cycle project management as needed.</li><li>Reconcile payer escalation and system WQs to keep abreast of current payer inventories within the AR, and ensure proper KPIs. Create and maintain master file of payer guidelines.</li><li>Serve as a key representative in payer communications, claim negotiations and meetings. Take and maintain minutes of payer meetings and records of payer communications.</li><li>Identify patterns, discrepancies, and opportunities to improve claim submission and follow-up processes in relation to payer trends to mitigate denials and grow cash flow.</li><li>Monitor payer compliance with contracted terms, including reimbursement schedules and payment accuracy.</li><li>Communicate findings to senior leadership, recommending actionable steps to optimize payer performance, accelerate cash, and improve the clean claim rate.</li><li>Keep abreast of industry trends, payer policy changes, and healthcare regulations that may impact payer performance.</li></ul>Required QualificationsEducation: <ul><li>Some college or equivalent experience. Area of study may include:</li><li>Business, Informatics, Data Analytics</li><li>Finance, Accounting, Healthcare Administration or related field</li></ul>Experience:<ul><li>3+ years of experience working with data in a healthcare environment or healthcare financial management</li><li>2+ years working with Government and Commercial payers or equivalent years of experience with payer contracting</li><li>Advanced level proficiency with Microsoft Excel require</li><li>Some college or equivalent experience. Area of study may include: Business, Informatics, Data Analytics, Finance, Accounting, Healthcare Administration or related field</li></ul>Other Helpful Education or Experience:Proficient in Microsoft Excel, including advanced functions and pivot tables.<ul><li>Bachelor’s Degree Preferred</li><li>Epic, Meditech or other EMR experience preferred</li><li>Experience with Illinois Medicaid payers preferred</li><li>SQL or other database software experience preferred</li></ul>Knowledge, Skills and Abilities<ul><li>Acute attention to detail and strong analytical skills (required)</li><li>Strong understanding of Revenue Cycle, Commercial and Government Payers</li><li>Strong written and verbal communication skills</li><li>Ability to employ critical thinking skills and work independently while also working well within a team environment</li><li>Receptiveness to differing views and ideas with the ability to apply industry-specific concepts</li><li>Highly adaptable to changing circumstances and/or directives in day-to-day priorities</li><li>Ability to perform well on frequent repetitive tasks while continually improving skills and competencies</li><li>Comfortable in faced paced working environment</li><li>Ability to manage and complete short- and long-term projects</li><li>Ability to set and meet deadlines</li><li>Willingness to travel occasionally</li></ul>Work Environment:<ul><li>Hybrid position requiring on-site attendance as needed – most likely a few days a week.&nbsp; Position can change to 100% on-site as business need or client dictates.</li><li>Good internet connection needed to work from home.</li><li>Occasional travel may be required for training, conferences, etc.</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.

Payer Performance Analyst

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 responsible for coding Oncology Infusion Clinic for procedures and diagnosisESSENTIAL 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.

Oncology Infusions Coder

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.

Coding Specialist - Oncology Coder with Injection & Infusion experience

Coding Specialist - Observations/Injections & Infusions

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.Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties.<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.

Coding Specialist _IR/Cath/Endoscopy Coder

Profee Surgery 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: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:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Location: Remote within US ONLYRequired Schedule: Monday - Friday, 8:00 AM EST - 5:00 PM ESTJob Summary<ul><li>Perform denial research and follow-up work with insurance companies via 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>Must love communicating with others over the phone</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>Education/Experience Required:<ul><li>High School Diploma or equivalent required</li><li>Bachelor’s degree preferred</li><li>Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines</li><li>Prior experience of accessing hospital EMR’s and Payer Portals preferred</li><li>Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting.</li><li>Must have basic skils in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond ot email and set up folders.</li><li>Must be able to type a minimum of 25 wpm with a 90% accuracy rate.</li></ul>What we offer:<ul><li>Hourly Payrate: $18.27</li><li>Equipment provided</li><li>Medical/Dental/Vision Insurance</li><li>401k program</li><li>PTO: 80 hours accrued, annually</li><li>9 paid annual holidays</li><li>Tuition reimbursement</li><li>Professional growth and more!</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

35 CorroHealth Jobs