CorroHealth

Medical Billing and Coding

• Provide CPT, HCPCS, and ICD-10-CM coding across 1–4 specialties
• Perform professional fee, facility, or HCC coding
• Provide coding services supporting clients
• Calculate ProFee and/or Facility E/M levels using the company algorithm
• Recognize critical care cases based on patient acuity
• Code ER surgical procedures to capture additional revenue when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available specificity
• Apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes
• Interpret coding guidelines for accurate code assignment
• Assess documentation importance and reimbursement impact
• Follow AHIMA ethical coding standards and the company ethics and compliance program
• Comply with internal policies and procedures
• Participate in company-provided training and education
• Protect confidential company information and Personal Health Information
• Perform other duties assigned by leadership

Inpatient Coding Specialist

Project Manager

• Organize client projects and coordinate completion on time and within scope
• Establish deadlines, assign responsibilities, monitor progress, and summarize project status
• Assist in preparing reports for clients and upper management
• Interact with diverse clients and internal contacts at all organizational levels
• Plan, prioritize, and organize a diverse workload independently
• Recommend improvements to departmental practices and procedures
• Ensure resource availability and allocation
• Manage changes to project scope, schedule, and costs using appropriate verification techniques
• Measure project performance using appropriate tools and techniques
• Report and escalate issues to management as needed
• Perform risk management to minimize project risks
• Create and maintain comprehensive project documentation
• Meet with clients to obtain details and clarify project requirements
• Track project performance and analyze successful completion of short- and long-term goals
• Maintain Salesforce/PULSE updates on projects and/or coding and auditing
• Develop and analyze options, recommend solutions, and solve complex problems
• Maintain organized files
• Work independently and as part of a team on special, nonrecurring, and ongoing projects

Project Manager, Coding Solutions

• Provide CPT, HCPCS, and ICD-10-CM coding across 1–4 specialties
• Perform professional fee or facility coding
• Calculate ProFee and/or Facility E/M levels using the company-created algorithm
• Recognize critical care cases based on patient acuity
• Code surgical procedures typical of an emergency room setting when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available specificity
• Apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes accurately
• Interpret coding guidelines for accurate code assignment
• Assess documentation importance and reimbursement impact
• Follow AHIMA’s Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct
• Comply with internal policies, privacy and security rules, and confidentiality requirements
• Participate in company-provided training and education
• Maintain at least one AAPC or AHIMA credential
• Perform other duties assigned by leadership

Multispecialty Profee Coding Specialist

• Provide CPT, HCPCS, and ICD-10-CM coding for four or more specialties for one or more clients or facilities
• Perform accurate medical record analysis for ICD-10, CPT, and HCPCS code sequencing and assignment
• Recognize critical care cases by patient acuity
• Code surgical procedures typical of an ER setting when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available specificity
• Apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes
• Interpret coding guidelines for accurate code assignment
• Assess documentation importance and reimbursement impact
• Maintain quality and productivity standards
• Communicate professionally with clients to support business relationships
• Assist Leadership or Lead Coding Specialist with reports as needed
• Potentially assist with auditing
• Follow AHIMA Standards of Ethical Coding, the Company’s Code of Ethics and Business Conduct, and the Ethics and Compliance Program
• Comply with internal policies and procedures
• Participate in company-provided training and education
• Protect confidential information and Personal Health Information
• Perform other duties assigned by Leadership

Communications

• Perform customer service activities to service and collect patient medical accounts receivable
• Locate and communicate with patients by telephone, email, chat, and text to obtain repayment or establish payment arrangements
• Resolve non-routine issues, answer patient questions, and research account changes
• Perform contract observance functions to ensure compliance with company, client, federal, and state regulations
• Communicate with patients regarding repayment of medical debt
• Achieve assigned resolution, call quality, and productivity goals
• Provide customer service and resolve medical account balances
• Profile patients and obtain and update demographic and financial information
• Negotiate payment arrangements
• Place outbound calls and accept inbound calls using the company telephone system
• Research accounts and route them through appropriate client workflows
• Use job aids and crosswalks to answer patient questions and resolve accounts efficiently
• Document account research findings and all contact attempts accurately
• Ensure accounts are handled within client standards and federal regulations
• Comply with FDCPA, state regulations, department/division requirements, and compliance policies
• Maintain knowledge of rules governing calls, patient contacts, and collections, including HIPAA, FDCPA, Privacy Act, and FCRA
• Attend training and integrate training and policy changes into daily work

Patient Communications Representative

General

• Transcribe information from clients’ EMRs into required electronic format and check completed work for accuracy
• Monitor shared inboxes and internal request dashboards
• Receive and document incoming emails, calls, tickets, or voicemails
• Follow up with clients or internal staff via email or phone for additional information
• Export and upload documents within CorroHealth’s proprietary system
• Cross-train in various departmental functions to support other teams as needed
• Perform other responsibilities as requested by management
• Support healthcare operations and Revenue Cycle services for healthcare providers

Case Entry Specialist

• Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors
• Call payers on cases past the Peer to Peer scheduled time frame
• Document information from payer calls in CorroHealth’s proprietary system
• Enter account status into multiple databases
• Support case entry, Peer to Peer, and appeals functions within the department
• Work independently while collaborating within a team setting
• Perform other duties as assigned
• Spend approximately 90% of the day on the phone

P2P Appeals Coordinator

• Provide CPT, HCPCS, and ICD-10-CM coding for four or more specialties for one or more clients, facilities, or multiple facilities or clients
• Perform Professional Fee, Facility, or HCC coding, including inpatient coding or coding across multiple specialties
• Provide coding services to support clients
• Calculate ProFee and/or Facility E/M levels using the company algorithm
• Recognize critical care cases based on patient acuity
• Code surgical procedures typical of an emergency room setting to capture additional revenue when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available specificity
• Apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes accurately
• Interpret coding guidelines for accurate code assignment
• Identify the impact of documentation on code assignment and reimbursement
• Maintain required quality and productivity standards
• Communicate professionally with clients to foster excellent working relationships
• Assist Leadership or Lead Coding Specialist with reports as needed
• Potentially assist with auditing
• Participate in company-provided training and education
• Protect confidential information, including Personal Health Information
• Comply with AHIMA ethical coding standards, the Company’s Code of Ethics and Business Conduct, and the Ethics and Compliance Program

Emergency Department Profee Coding Specialist

• Provide CPT, HCPCS, and ICD-10-CM coding for four or more specialties for one or more clients or facilities
• Code Professional Fee, Facility, or HCC cases, including inpatient coding or multiple specialties
• Provide coding services to support clients
• Calculate Professional Fee and/or Facility E/M levels using the company algorithm
• Recognize critical care cases by patient acuity
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available level of specificity
• Apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes accurately
• Interpret coding guidelines for accurate code assignment
• Identify documentation significance and reimbursement impact
• Maintain quality and productivity standards
• Communicate professionally with clients to foster strong working relationships
• Assist Leadership or the Lead Coding Specialist with reports as needed
• Potentially begin assisting with auditing
• Follow AHIMA Standards of Ethical Coding, the Company Code of Ethics and Business Conduct, and the Ethics and Compliance Program
• Comply with internal policies and procedures
• Protect confidential information and Personal Health Information
• Participate in company-provided training and education
• Perform other duties assigned by Leadership

Outpatient Facility Coding Specialist

• Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors
• Call payers regarding cases past the Peer to Peer scheduled time frame
• Document payer call information in CorroHealth’s proprietary system
• Enter account status into multiple databases
• Support case entry, Peer to Peer, and appeals functions within the department
• Work independently while collaborating within a team setting
• Spend approximately 90% of the day on the phone
• Perform other duties as assigned

Manager

• Manage the overall quantity and quality of coding production for assigned clients
• Manage a team of PB and HB Coding Auditing Specialists
• Lead coding quality specialists providing internal hospital and physician auditing
• Accurately audit and code facility inpatient, emergency room, outpatient surgery, observation, ancillary, recurring therapy, clinic, professional, and billing/coding edit resolution services
• Work with facility-specific, state billing and coding guidelines and Medicare Administrative Contractors nationwide
• Collaborate with the MRC Coding Department on coding audits and training
• Function as a subject matter expert for a designated specialty
• Participate in client discovery and kickoff calls
• Manage quality assurance, report creation, and educational delivery for client projects
• Coordinate team and client deliverable scheduling
• Assist with hiring and exiting auditors
• Manage, coach, counsel, and discipline team members
• Audit when other auditors are unavailable or additional client support is needed
• Assign auditors to new clients and distribute weekly assignments
• Monitor weekly billable-hour expectations and daily productivity
• Ensure auditors have client information and coding guideline updates
• Conduct productivity and compliance review calls with team members
• Train new and existing auditors
• Participate in or lead special coding and auditing projects
• Provide backup leadership for client interactions
• Ensure procedures are followed and suggest process improvements
• Initiate and complete audit-the-auditor programs
• Promote compliance with ethical coding standards, company policies, privacy and security rules, and confidential information protections
• Evaluate risk and participate in risk mitigation and deficiency correction
• Complete monthly coding audit trackers for onshore and offshore coders
• Communicate audit findings to Coding Leadership
• Prepare monthly coder audits for quality review
• Monitor coding quality staff performance
• Uphold corrective action processes for compliance, performance, conduct, and attendance
• Perform other duties as assigned

Manager, Staff Augmentation Auditing

• 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

Lead, Coding Quality

• Provide CPT, HCPCS, and ICD-10-CM coding for four or more specialties for one or more clients or facilities
• Code Professional Fee, Facility, or HCC cases, including possible inpatient coding
• Calculate ProFee and/or Facility E/M levels using the company algorithm
• Recognize critical care cases based on patient acuity
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available specificity
• Apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes accurately
• Interpret coding guidelines for accurate code assignment
• Assess documentation importance and its reimbursement impact
• Maintain quality and productivity standards
• Communicate professionally with clients to foster strong working relationships
• Assist Leadership or Lead Coding Specialist with reports as needed
• Potentially assist with auditing
• Follow AHIMA ethical coding standards, the Company’s Code of Ethics, and Ethics and Compliance Program
• Comply with internal policies and procedures
• Protect confidential information and Personal Health Information
• Participate in company-provided training and education
• Perform other duties assigned by Leadership

• Provide CPT, HCPCS, and ICD-10-CM coding for four or more specialties for one or more clients or facilities
• Code Professional Fee, Facility, or HCC cases, including potential inpatient coding
• Calculate ProFee and/or Facility E/M levels using the company algorithm
• Recognize critical care cases based on patient acuity
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available specificity
• Accurately assign ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS codes
• Interpret coding guidelines for accurate code assignment
• Identify the documentation impact on code assignment and reimbursement
• Maintain quality and productivity standards
• Communicate professionally with clients to support business relationships
• Assist Leadership or Lead Coding Specialist with reports as needed
• Potentially assist with auditing
• Follow AHIMA Standards of Ethical Coding, the Company’s Code of Ethics and Business Conduct, and the Ethics and Compliance Program
• Comply with internal policies and procedures
• Participate in company-provided training and education
• Protect confidential information and Personal Health Information
• Perform other duties assigned by Leadership

General Surgery, Profee Coding Specialist

• Provide CPT, HCPCS, and ICD-10-CM coding across 1–4 specialties
• Code professional fee and facility services
• Provide coding services supporting clients
• Calculate professional fee and/or facility E/M levels using the company algorithm
• Recognize critical care cases based on patient acuity
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate
• Apply ICD-10-CM diagnosis codes to the highest available specificity
• Accurately assign ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS codes
• Interpret coding guidelines for accurate code assignment
• Identify the documentation impact on code assignment and reimbursement
• Follow AHIMA ethical coding standards and the company Code of Ethics and Business Conduct
• Comply with internal policies, privacy, security, and confidentiality requirements
• Participate in company-provided training and education
• Perform other duties assigned by leadership