Coding Denials & Edits Specialist, AAPC/AMHIMA Certification Required

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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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

• Interact with insurance plans, patients, physicians, attorneys, and fellow team members as needed • Verify or obtain patient eligibility and authorization for healthcare services • Update patient demographics and insurance information in appropriate systems • Research and appropriately status unpaid or denied claims • Monitor claims for missing information, authorization, and control numbers (ICN/DCN) • Research EOBs for payments or adjustments to resolve claims • Contact payers by phone or written correspondence to secure claim payments • Access client systems for received payments, open claims, and other data needed to resolve claims • Follow prioritization guidelines, timely filing deadlines, and notation protocols • Secure medical documentation requested by third-party insurance carriers • Obtain billing guidelines and requirements by researching provider billing manuals • Work denials and code edits • Write appeal letters for technical appeals • Verify underpayment accuracy by researching contracts and claims data • Prepare claims for clinical audit processing when authorization, coding, level-of-care, or length-of-stay denials occur • Ensure timely collection of outstanding government or commercial healthcare insurance receivables • Report to the Manager, AR Services

🎯 Requirements

• 3+ years of accounts receivable experience within the healthcare revenue cycle • Must have an AAPC or AHIMA certification such as CPC or RHIT • 2+ years of experience with healthcare and/or insurance billing and processing • Experience with professional physician and hospital facility claims • Ability to read and interpret an EOB • Knowledge and understanding of UB04 and HCFA 1500 forms • High School diploma • Proficiency with Outlook, Excel, and Word • Ability to manage email, Outlook calendar, and tasks • Ability to perform basic formulas such as addition, subtraction, and multiplication • Ability to communicate in a professional and clear manner • Strong interpersonal skills • Ability to work independently • Analytical and critical thinking skills • Ability to perform computer-based work for 6–8 hours per day • Ability to lift and move material weighing up to 20 lbs. infrequently

🏖️ Benefits

• Professional development and personal growth opportunities • Investment in employee career development

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