Inpatient and Facility Coding Auditor, Claims Review Specialist

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Serve as a revenue cycle and coding consultant, partnering with the Director of HIM • Perform complex concurrent and retrospective audits of hospital inpatient, facility, and outpatient claims • Evaluate coding accuracy and documentation compliance by validating ICD-10, CPT, and HCPCS code assignments in accordance with CMS, AHIMA, AHA Coding Clinic, and official coding guidelines • Analyze claim and coding data using proprietary software • Identify opportunities for coding, billing, and revenue cycle improvement • Develop standardized reports and communicate audit findings to clients • Provide coding education and answer client questions • Prepare written guidance and FAQs • Support client meetings • Collaborate with the revenue cycle consulting team to drive compliance, operational excellence, and reimbursement optimization • Analyze findings and identify potential root causes of errors • Prepare summary reports with specific supporting references • Provide second-level review of processes and code assignments for compliance • Research, analyze, and respond to compliance, coding, and denials inquiries • Protect patient health and client information confidentiality and follow AHIMA Standards of Ethical Coding and official coding guidelines • Conduct assigned audits while meeting record-type productivity standards and an expected billable productive-hours threshold of at least 80% when client work is available • Prepare audit deliverables within required timelines • Conduct independent QA of assigned audit results before final QA review; minimum accuracy expectation of 95% • Report work time and work products accurately and promptly • Communicate respectfully with coworkers and promote teamwork and knowledge sharing • Interact professionally with clients and support company business interests • Provide management with schedules of planned work activities, events, sites, and changes • Maintain professional credentials and coding, reimbursement, and compliance knowledge through continuing education • Travel periodically, as applicable • Perform other assigned duties

🎯 Requirements

• Active AHIMA or AAPC credential required; CCS, CPC or RHIT required • Minimum of five (5) years of coding and/or auditing experience in an acute care hospital or healthcare consulting environment, including inpatient and facility services • Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, reimbursement methodologies, regulatory compliance, and audit best practices • Proficiency with electronic health record (EHR) systems, such as Epic, Cerner/PowerChart, Meditech, and other healthcare applications • Advanced analytical, critical-thinking, and problem-solving skills with the ability to interpret complex clinical, coding, and regulatory information • Strong computer skills, including proficiency in Microsoft Office applications and auditing/reporting software • Excellent written and verbal communication skills with the ability to present findings and provide clear, client-focused guidance to both operational and executive audiences • Demonstrated ability to manage multiple projects, client engagements, and priorities while working independently with minimal supervision • Highly organized with strong attention to detail, accuracy, and commitment to ethical coding and auditing practices • Experience working remotely and collaborating effectively within a team-oriented, consulting-focused environment • Ability to work successfully with multiple clients, diverse stakeholders, and cross-functional teams while maintaining productivity and quality standards • Ability to perform work at a computer terminal for 6-8 hours a day • Infrequent ability to lift and move material weighing up to 20 lbs.

🏖️ Benefits

• Quality of life with a remote predictable, full-time schedule • Medical, Dental, Vision coverage and more • Long-term disability insurance • Life insurance • Ample parental leave • 401K with company match • Certification and Tuition Reimbursement • Holidays • Flexible Time Off