Senior Manager, Coding Auditing – Education

Job not on LinkedIn

🕒 6 days ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

👔 Manager

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Directs audit team to complete external audits by prioritizing and organizing projects to ensure completion within required timeframes • Responsible for preparation and presentation of the coding audit to the client and coding team including participation in rebuttals • Interview, hire and train Audit and Education Specialists (Auditors) • Monitor and evaluates auditor performance and carries out improvement activities • Ensure auditors meet 95% or higher quality standards • Collaborate with sales to complete proposals, participate in new customer discovery, and scheduling of new client activities • Responsible for analyzing, reviewing and resolving coding and documentation issues that are related to reimbursement, compliance and revenue enhancement for each client • Reviews and approves employee timecards as appropriate • Monitors and maintains multiple project budgets to ensure financial accuracy and timely completion • Ensures expenditures align with financial plans and project timelines • Implements ad hoc audit requests from clients as needed

🎯 Requirements

• Five (5) years’ supervisory experience • Ten or more years’ experience with coding audits • One or more active credentials from AHIMA and/or AAPC: CCS, CCS-P, CPC, CPMA, RHIA or RHIT • Strong working knowledge of ICD-10-CM, ICD-10-PCS, MS DRG and APR DRG assignments, CPT, HCPCS and applicable NCCI edits • Working knowledge of Medicare and other regulatory guidelines • Experience with multiple electronic medical record systems and encoders required • Strong analytical skills and attention to detail • Proficient computer skills, specifically Microsoft Office products

🏖️ Benefits

• Professional development opportunities • Remote work options