Lead and scale a clinical team responsible for writing persuasive and compliant appeal letters to payers. Oversee quality assurance, operational efficiency, and alignment with financial goals while engaging with clients and hospital executives.
CorroHealth
25 Remote Job Openings at CorroHealth
Insurance Specialist 2 - (Remote within Honolulu, HI)
CorroHealth
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Full Time
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19 hours ago
CorroHealth
Responsible for reviewing and resolving outstanding insurance balances on hospital or physician patient accounts to meet cash recovery goals. This includes performing account research, preparing payment appeals, and ensuring compliance with federal and client guidelines.
Oversee Clinical Documentation team workflow operations and manage daily production coverage and financial expectations. Produce performance reports for leadership and implement strategies to achieve operational excellence and client success.
Perform DRG validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal laws. Validate sequencing, severity of illness, and risk of mortality while providing training and data analysis for clients.
Manage the end-to-end authorization process, including submission, follow-up, and determination for healthcare providers. Act as a liaison between hospital staff and health payers to ensure timely process completion and accurate documentation in EMR systems.
Insurance Specialist 3 - Long Term Care Biller (REMOTE - HI)
CorroHealth
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Full Time
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8 days ago
CorroHealth
Resolve complex unpaid or denied claims for long-term care and skilled nursing facilities while ensuring compliance with federal and state regulations. Coordinate with clinical and finance teams to optimize reimbursement through accurate coding and timely claim submission.
Claim Review Specialist - Coding Certification Required
CorroHealth
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Full Time
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10 days ago
CorroHealth
Assist the Director of HIM in performing claim audits and recommending coding and billing changes for hospital outpatient and professional claims. Develop standardized reports, provide client education, and support the revenue cycle consulting team using proprietary software.
The Revenue Analyst investigates incorrectly paid medical insurance claims and pursues underpayments through correspondence with insurance companies. They analyze payer contracts, identify revenue risks, and mentor new team members while managing internal projects.
Provide accurate coding services for interventional cardiology and radiology, utilizing ICD-10 and CPT guidelines to capture revenue. Ensure compliance with AHIMA ethical standards and maintain high productivity and accuracy rates.
Product Owner, Hospital/Provider Revenue Cycle (Remote) (USC or GC req'd)
CorroHealth
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Full Time
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19 days ago
CorroHealth
The Product Owner guides the development of the technology product suite and supports enterprise transformation initiatives. They translate product vision into actionable tasks, manage the product backlog, and coordinate between engineering and business stakeholders.
Inpatient (Profee & Facility) Coding Specialist Remote
CorroHealth
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Full Time
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19 days ago
CorroHealth
Perform accurate analysis of medical records to assign ICD-10, CPT, and HCPCS codes for inpatient professional and facility services. Maintain high quality and productivity standards while ensuring compliance with ethical coding standards and privacy regulations.
The role focuses on auditing medical documentation for coding accuracy and performing root-cause analysis on insurance denials to maximize reimbursement. It involves collaborating with physicians to improve documentation specificity and ensuring compliance with medical coding guidelines.
Provide professional fee and facility coding services using CPT, HCPCS, and ICD-10-CM guidelines. Ensure high accuracy and productivity levels while maintaining compliance with ethical coding standards and privacy regulations.
Maintains the operational integrity of internal business applications and manages the Charge Description Master (CDM) to ensure accurate billing. Validates CPT/HCPCS and revenue codes to maximize reimbursement and maintain regulatory compliance.
Performs complex retrospective analysis of medical records to identify coding and billing errors while ensuring compliance with legal and procedural policies. Provides technical support, training, and quality assurance monitoring for internal coding staff to optimize reimbursement.
Provide accurate CPT, HCPCS, and ICD-10-CM coding for Outpatient Facility Same Day Surgeries and Observation cases. Ensure high productivity and accuracy rates while adhering to AHIMA ethical standards and company compliance policies.
Provide professional fee and facility coding services using CPT, HCPCS, and ICD-10 standards across various medical specialties. Ensure high accuracy and productivity levels while adhering to AHIMA ethical standards and privacy regulations.
Collaborate with healthcare providers to improve the accuracy, specificity, and completeness of clinical documentation for outpatient encounters. Review medical records to ensure valid DRG assignment, risk adjustment, and compliance with regulatory guidelines.
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.
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.
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 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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4 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.
CDI Specialist, RN/BSN, CCDS (FT/REMOTE) (CDI experience req'd)
CorroHealth
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Full Time
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6 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.
