[Hiring] Coding Edits & Denials Specialist @CorroHealth

Role Description

Join one of CorroHealth's most established and successful teams, supporting long-term client partnerships through coding excellence. We're seeking a certified ProFee coder who thrives in a remote, autonomous environment and who also has expertise in hospital outpatient/facility denials, coding compliance, and reimbursement optimization. This role combines hands-on denial resolution, payer policy research, coding review, and revenue integrity support, making it ideal for an experienced coder who enjoys solving complex reimbursement challenges while maintaining exceptional quality and productivity standards.

This is a remote position.

Essential Duties and Responsibilities

• Work from home and be independent in coding skills.
• Provide various components of coding services to support clients.
• Strong experience in ProFee and Hospital Outpatient (Facility) denials.
• Understanding of Remit & CARC codes.
• Review and resolve denials in EPIC.
• Research payer policies.
• Identify trending denial issues that can be escalated to management.
• Resolve Medical Necessity and CCI edits.
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.
• Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
• Accurately apply diagnosis codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.
• Interpret coding guidelines for accurate code assignment.
• Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
• Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct.
• Comply with all internal policies and procedures.
• Actively participate in Company provided training and education.
• Maintain at least one credential through either AAPC or AHIMA.
• Ensure compliance with all privacy and security rules and regulations.

Qualifications

• All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
• Must have at least a minimum of 6 months of on-the-job experience.
• Regular, predictable, and punctual attendance is required.
• Must have working knowledge and experience with systems such as EMR, Billing, etc.
• Must have a phone, reliable internet connection, and current coding materials such as CPT and ICD-10-CM coding references.
• Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher.
• Must be proficient in Microsoft programs like Excel and Outlook.
• Ability to communicate effectively and professionally both verbally and in writing.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
• May be required to perform other duties as assigned by Leadership Team Member.

Benefits

• Quality of life with a remote predictable, full-time schedule.
• Competitive hourly rate commensurate to experience.
• Medical, Dental, Vision coverage and more.
• Long-term disability insurance, and life insurance.
• Ample parental leave.
• 401K with company match.
• Certification and Tuition Reimbursement.
• Holidays, paid time off.

Physical Demands

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Members must be able to lift and move material weighing up to 20 lbs. Team Members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.