Perform research and follow-up with insurance companies to resolve submitted appeals and manage appeal bundles. Document payer processes and transcribe client EMR data into electronic formats while monitoring internal request dashboards.
CorroHealth
29 Remote Job Openings at CorroHealth
The Coordinator manages the resolution of clinical and technical denials by analyzing EOBs and negotiating with payers. They are responsible for appealing denials using medical records and supporting documentation to recover funds.
The Dental Insurance Specialist manages overall AR claim follow-up, including reviewing and transmitting electronic and manual claims. They are responsible for identifying secondary insurances, correcting Medicaid claims, and streamlining the billing process.
The Accounting Manager supports the monthly close, financial reporting, and audit processes while partnering with the CAO and CFO. Key duties include reviewing account reconciliations, preparing consolidated financial statements, and improving accounting controls.
Perform retrospective medical necessity reviews to determine appeal eligibility for clinical validation DRG downgrade denials. Construct fact-based clinical cases to support appeals using appropriate medical necessity criteria and clinical facts.
Provide professional fee coding services across various specialties using CPT, HCPCS, and ICD-10-CM guidelines. Ensure high accuracy and productivity levels while adhering to ethical coding standards and privacy regulations.
Provide professional fee surgical coding for various specialties including general surgery and trauma. Ensure accurate application of diagnosis and procedure codes while maintaining high productivity and quality standards.
The Manager will drive adoption and outcomes for clients to ensure they achieve Risk Adjustment and Quality Improvement objectives. This includes executing strategic account plans, leading business reviews, and managing renewals and expansion opportunities.
Physician, Concurrent Inpatient Review (FT/30/Weekends/Remote) (Hospital Advocacy)
CorroHealth
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Full Time
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5 days ago
CorroHealth
Perform concurrent clinical case reviews to establish appropriate admission status and provide recommendations for hospital clients. Interact with attending physicians to improve compliance and ensure appropriate payment for care delivered.
Assist the Director of HIM in preparing claim audits and recommending coding and billing changes for hospital outpatient and Profee claims. Develop standardized reports, provide client education, and support the revenue cycle consulting team using proprietary software.
The role focuses on clinical documentation and DRG management to help clients exceed financial health goals. It involves utilizing automation and clinical expertise to optimize the reimbursement cycle.
Sr Manager, Coding Auditing & Education (IP & OP Facility)
CorroHealth
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Full Time
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8 days ago
CorroHealth
Lead a team of Audit and Education Specialists to perform hospital and provider auditing for external clients. Responsible for presenting audit findings, managing project budgets, and resolving coding and documentation issues to enhance reimbursement and compliance.
Responsible for reviewing the accuracy of HCC and RxHCC coded records to ensure compliance with Medicare and ICD-10-CM guidelines. The role involves supporting findings for coder education and maintaining high quality and productivity scores.
Perform accurate analysis of medical records to assign appropriate ICD-10, CPT, and HCPCS codes across multiple specialties. Maintain high quality and productivity standards while ensuring compliance with ethical coding standards and privacy regulations.
Responsible for completing patient registration and scheduling for hospital or physician services while verifying health plan coverage. Ensures accurate documentation of patient demographics and maintains compliance with federal and state regulations.
Lead and scale a clinical team responsible for writing persuasive and compliant appeal letters to payers. Oversee quality assurance programs and align clinical operations with financial goals and revenue cycle KPIs.
Lead the end-to-end integration strategy and execution for acquired companies, systems, and teams within a global Revenue Cycle Management organization. Coordinate across technology, operations, and finance to ensure value realization and operational continuity.
Perform professional fee inpatient cardiology coding, including E/M levels, observations, and bedside procedures. Ensure accurate application of ICD-10 and CPT codes while maintaining high productivity and quality standards.
Oversee operational implementations for new clients and products, managing timelines and coordinating activities across clinical business lines. Lead internal and external efforts to ensure successful project completion while providing executive-level status updates and training support.
The HCC Coding Specialist reviews and analyzes patient medical records to accurately assign ICD-10 codes based on risk adjustment guidelines. They must maintain high quality and productivity standards while ensuring compliance with privacy and security regulations.
The Coding Specialist will provide professional fee coding services across multiple specialties including Family Medicine, Pediatrics, and Internal Medicine. Responsibilities include calculating E/M levels, managing claim edits and denials, and ensuring compliance with coding guidelines and ethical standards.
The CDI Specialist reviews outpatient encounters to ensure accurate, complete, and compliant documentation for chronic condition capture and risk adjustment. They also provide feedback to providers, support problem list management, and collaborate with coding and quality teams to improve documentation outcomes.
The subcontractor will support Virtix Health in driving clinical, financial, and operational results for health plans. Responsibilities include conducting virtual wellness visits, performing in-home health risk assessments, and managing retrospective chart reviews.
The Coding Specialist will perform professional fee coding across multiple specialties including primary care, podiatry, sports medicine, and pediatrics. They are responsible for accurately applying ICD-10-CM, CPT, and HCPCS codes while maintaining high quality and productivity standards.
The role involves conducting research and development activities as an independent contractor. The individual will support Virtix Health in driving clinical, financial, and operational results through various health-related services.
Remote Physician (MD/DO), (IC to FTE) PMR, Orthopedics or Neurology, Outpatient Prior Authorizations (REMOTE/FT)
CorroHealth
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Full Time
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3 months ago
CorroHealth
The Medical Director will assess the quality of clinical services provided to Medicare beneficiaries, ensuring compliance with clinical guidelines and regulations after mentored training. Daily work involves reviewing clinical records to ensure practices meet the highest standards of care and adhere to CMS policies.
The CDI Reconciliation Auditor conducts detailed quality reviews and reconciliations of clinical documentation and coding outcomes, focusing on DRG validation and Physician Audit reviews. This role ensures compliance with regulatory and payer requirements while providing feedback and education to teams.
CDI Specialist, RN/BSN, CCDS (FT/REMOTE) (CDI experience req'd)
CorroHealth
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Full Time
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4 months ago
CorroHealth
CDI Specialists will collaborate with healthcare professionals to improve the quality and accuracy of clinical documentation. They will conduct chart reviews and issue queries to ensure compliance with documentation standards.
The Sr Executive - Clinical Documentation Review will be responsible for reviewing clinical documentation and ensuring compliance with Humana PI-RN DRG eligibility criteria. The role involves working closely with teams to support client program operations and enhance the revenue cycle process.
