Claim Review Specialist – Coding Certification Required

Job not on LinkedIn

🕒 July 16

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

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

• Assist the Director of HIM in preparing claim audits • Review and recommend coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product • Use software to develop standardized reports • Meet with clients and respond to coding questions in clear, concise, grammatically correct English • Provide support for other members of the revenue cycle consulting team • Client education, written FAQ answer preparation, and other duties as assigned

🎯 Requirements

• Coding certification through AHIMA or AAPC required (we do not accept CPC-A) • Must have extensive experience (5+ years) in OP facility coding to include ED, SDS, I&I, OBS, E/M for facility, etc. • Critical Access setting experience is a plus • Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I) • CCS, COC or CPC certification required • Medical Terminology and anatomy knowledge is required • Clinical Documentation and Inpatient coding experience is preferred • Strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines • Strong Microsoft Excel, PowerPoint, Word and OneNote skills • Strong understanding of the Official Coding Guidelines, OP coding and billing

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development opportunities