Coding Edits & Denials Specialist, AAPC or AHIMA Certification Required

Job not on LinkedIn

🔥 18 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

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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

• Provide coding services to support clients • Resolve ProFee and hospital outpatient/facility denials • Understand remit and CARC codes • Review and resolve denials in EPIC • Research payer policies • Identify trending denial issues for escalation to management • Resolve Medical Necessity and CCI edits • Code surgical procedures typical of an ER setting to capture additional revenue when appropriate • Apply ICD-10-CM diagnosis codes to the highest level of specificity available • Apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS codes accurately • Interpret coding guidelines for accurate code assignment • Evaluate documentation and its reimbursement impact • Follow AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct • Comply with internal policies and procedures • Participate in company-provided training and education • Maintain at least one AAPC or AHIMA credential • Protect confidential information and Personal Health Information • Perform other duties assigned by leadership

🎯 Requirements

• Permanent work status (USC/Greencard) is required • Employees must reside within and work within the continental U.S. • Certified through either AAPC (CPC or COC) or AHIMA (CCS or CCS-P) • At least 6 months of on-the-job experience • Regular, predictable, and punctual attendance • Working knowledge and experience with systems such as EMR and Billing • Phone, reliable internet connection, and current coding materials such as CPT and ICD-10-CM coding references • Maintain an ongoing productivity level and accuracy rate of 95% or higher • Proficient in Microsoft programs such as Excel and Outlook, including basic Excel formulas and managing Outlook emails and meetings • Ability to communicate effectively and professionally verbally and in writing • Ability to coordinate, analyze, observe, make decisions, and meet deadlines • Ability to work from home independently • Ability to perform work at a computer terminal for 6–8 hours a day • Ability to lift and move material weighing up to 20 lbs. infrequently

🏖️ Benefits

• Quality of life with a remote predictable, full-time schedule • Competitive hourly rate commensurate to experience • Medical, Dental, Vision coverage and more • Long-term disability insurance and life insurance • Ample parental leave • 401K with company match • Certification and Tuition Reimbursement • Holidays and paid time off