Jobs at CorroHealth

Supports Account Executives and Price Transparency/No Surprises Act teams with administrative coordination, calendar management, correspondence, meeting preparation, CRM and client-data maintenance, troubleshooting, password assistance, reporting, and audit support. The role requires applying CMS price transparency regulations and healthcare coding knowledge while providing accurate, organized, remote administrative and client support.

Provide outpatient Cath/IVR coding services using CPT, HCPCS, and ICD-10-CM codes. Interpret coding guidelines, assess documentation, protect patient health information, maintain at least 95% accuracy and quality scores, and meet productivity requirements while working independently in a remote environment.

Provides outpatient emergency department coding using CPT, HCPCS, and ICD-10-CM codes across professional fee and facility charts. Reviews documentation, applies coding guidelines, captures appropriate surgical procedure revenue, and maintains coding accuracy, quality, productivity, privacy, and compliance standards. Works independently from home while using EMR and billing systems, Microsoft Office, and current coding references.

Supports the Client Services team by resolving complex client issues, serving as a subject matter expert in healthcare appeals, analyzing operational performance, developing SOPs and training materials, mentoring team members, and collaborating with technical, operational, and client-facing stakeholders. The role focuses on payer requirements, timely filing, documentation standards, revenue cycle workflows, and HIPAA/HITECH-compliant service delivery.

Reviews inpatient DRG payer denials and medical records to validate MS/APR DRGs, ICD-10-CM/PCS codes, HACs, POA indicators, and discharge dispositions. Develops evidence-based appeal letters within payer deadlines, documents audit findings, and applies coding, clinical validation, CDI, and payment methodology expertise. Maintains coding and documentation knowledge through continuing education while meeting quality and productivity expectations.

Provide professional fee coding using CPT, HCPCS, ICD-10-CM, and ICD-10-PCS across primary care, trauma, orthopedic, and neurology specialties. Calculate ProFee levels, recognize critical care cases, interpret coding guidelines, ensure documentation supports accurate reimbursement, and maintain at least 95% productivity, accuracy, and quality scores. Work independently from home while protecting patient health information, complying with ethical and company standards, completing training, and maintaining an AAPC or AHIMA certification.

Reviews and resolves outstanding hospital billing insurance receivables using Epic, Prism, and client systems. Responsibilities include researching accounts, updating claims, requesting documentation, preparing appeals, documenting actions, meeting cash recovery and productivity goals, and complying with healthcare, federal, state, HIPAA, privacy, and collections regulations.

Investigate and resolve unpaid or denied medical claims by reviewing UB04s, EOBs and medical records; use proprietary software, EMR portals, phone and written correspondence to obtain claim resolution while meeting production and quality targets and complying with HIPAA.

Provides remote facility observation coding using CPT, HCPCS, ICD-10-CM, and ICD-10-PCS, with specialized experience in infusions and injections. Applies coding guidelines, assigns diagnoses and procedures accurately, evaluates documentation, protects patient health information, and maintains required productivity, quality, and accuracy standards. Requires AAPC or AHIMA certification, facility coding experience, EMR and billing-system familiarity, and proficiency with Microsoft Office.

Manage healthcare authorization processes from initial notification through determination and discharge. Responsibilities include verifying eligibility and benefits, documenting records in EMR and payer systems, coordinating with hospital staff and payers, tracking pending authorizations, resolving processing barriers, escalating potential delays or denials, and maintaining HIPAA compliance. The role requires healthcare or authorization experience, medical terminology knowledge, insurance-process expertise, strong organization, and proficiency with EMR, payer portals, and Microsoft Office.

The DRG Revenue Integrity Auditor performs audits on inpatient charts to ensure coding accuracy and compliance with clinical guidelines. Responsibilities include chart reviews, training new hires, and maintaining coding best practices while analyzing data for client reporting.

Supervise DRG coding audits, ensuring compliance with coding guidelines, provide training, conduct quality assurance, and generate reports for clients.

Provide professional fee coding across multiple specialties using CPT, HCPCS, ICD-10-CM, and ICD-10-PCS. Calculate evaluation and management levels, identify critical care cases, apply accurate diagnosis and procedure codes, interpret coding guidelines, and assess documentation impacts on reimbursement. Maintain coding credentials, confidentiality, productivity, and quality standards while working independently from home and participating in training.

Audits inpatient, outpatient, and physician practice coding using medical record documentation and official coding guidelines. Identifies errors and root causes, prepares client reports, performs compliance reviews, researches coding and denial inquiries, and develops coding education. Maintains audit accuracy and productivity standards, protects patient confidentiality, collaborates with clients and consulting teams, and maintains professional coding credentials. This is a remote role with periodic travel.

Audits zero-balance hospital accounts to identify underpaid inpatient and outpatient claims. Reviews payer contracts, medical records, policies, regulations, and payment data; models reimbursement methodologies; researches underpayment trends; and develops audit plans, pricing documents, and technical procedures using Excel, Access, and SQL. Senior auditors lead complex investigations, provide quality reviews, mentor staff, and recommend process improvements.

CDI Specialists collaborate with healthcare teams to improve clinical documentation quality, ensuring accuracy for coding and reporting outcomes. They conduct reviews, issue queries, and meet productivity standards while adhering to guidelines.

Remote role resolving outstanding insurance balances for hospital and physician accounts. Perform account research in client systems (including Prism), prepare appeals, follow client and federal guidelines, meet cash and quality targets, document actions, and maintain compliance with HIPAA, FDCPA, and related regulations.