Lead, Coding Quality

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

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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

• Direct the day-to-day work of a small team of coding quality specialists conducting internal hospital and physician provider auditing • Audit and code facility inpatient, emergency room, outpatient surgery, observation, ancillary, recurring therapy, clinic, professional, and billing/coding edit resolution services • Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and Level I and II modifiers • Work with facility-specific and state billing and coding guidelines and Medicare Administrative Contractors nationwide • Collaborate with the Coding Department on coding audits and training • Assign tasks, ensure deadlines are met, and mentor and train staff on quality and compliance • Ensure compliance with departmental standards and coding practices • Monitor team efficiency and performance expectations • Conduct code reviews to assess quality, compliance, and risk • Identify coding issues and recommend corrective actions • Communicate audit findings to staff and management • Maintain detailed records of audits and outcomes • Audit the work of aligned team members and perform auditing and coding as an individual responsibility • Follow AHIMA ethical coding standards, the company Code of Ethics and Business Conduct, privacy and security rules, and internal policies

🎯 Requirements

• 3+ years of production coding experience, including hospital and/or physician practice, inpatient coding, and prior auditing experience • Must hold one of: Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) • Must be certified through AAPC (CPC or COC) or AHIMA (CCS or CCS-P) • Understanding of healthcare billing practices and compliant claims preparation for governmental and commercial payers • Regular, predictable, and punctual attendance • Working knowledge and experience with EMR and billing systems • Phone, reliable internet connection, and current CPT and ICD-10-CM coding references • Maintain ongoing productivity and accuracy of 95% or higher • Maintain quality score of 95% or higher • Proficiency in Microsoft Excel and Outlook • Ability to communicate effectively and professionally verbally and in writing • Ability to coordinate, analyze, observe, make decisions, and meet deadlines • Demonstrated ability to lead and direct the work of others • Ability to work at a computer terminal 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 • Company-provided training and education • Reasonable accommodations for individuals with disabilities