Manager, Denials Management

Job not on LinkedIn

🔥 17 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 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

• Serve as the primary point of contact for denial-related activities for assigned clients • Participate actively in implementation activities • Manage the denial delivery process and denial team for clients • Manage client service-level agreement metrics and denial delivery turnaround expectations • Drive monthly client meetings by phone or in person • Communicate regularly with CorroHealth team members to meet client and corporate objectives • Monitor client satisfaction, progress, and success using various metrics • Identify and resolve client problems or issues in a timely manner • Provide periodic client status reports to CorroHealth leadership • Meet with clients monthly to review reporting packages and operational issues • Develop and present executive-level reporting packages quarterly • Manage 3+ direct reports, including performance reviews, employee development, and disciplinary action • Resolve coding and charge-capture issues with client points of contact • Collaborate with Quality Assurance teams on coding quality issues • Improve existing products and services and develop new products and services • Assist direct reports with diagnosis and procedure code application using ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS • Provide or assist with interpretation of coding guidelines • Ensure direct reports understand documentation requirements and reimbursement impacts • Promote compliance with AHIMA’s Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct • Ensure compliance with internal policies, procedures, privacy, and security regulations • Complete company training and ensure direct reports complete mandatory training • Evaluate risk, participate in risk mitigation activities, and correct deficiencies

🎯 Requirements

• Bachelor’s degree or equivalent experience preferred • National coding certification through AAPC or AHIMA • Minimum of 3 years of previous coding experience, including facility level of service and Professional E/M coding • Experience with facility trauma and observation charge capture preferred • Minimum of 2 years of previous management experience in a healthcare setting • Strong verbal and written communication skills • Ability to prioritize workload, meet deadlines, and maintain quality and accuracy • Proficient in Microsoft Office applications, including PowerPoint, Word, and Excel • Ability to navigate various EMR environments and review handwritten charts • Ability to manage multiple complex projects on an ongoing basis • Ability to work with personnel with varying skill sets in a team-centered environment • High-level problem-solving skills • Estimated travel of 25%-30% • Must live within 90 miles of a major airport • 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 • Full-time employment