[Hiring] Facility Coding Auditor & Claim Review Specialist @CorroHealth

Role Description

Support the Director of Health Information Management (HIM) by conducting comprehensive claim audits and reviewing hospital outpatient and professional fee (ProFee) claims for coding accuracy, revenue integrity, and billing compliance. Utilizing proprietary software, this role evaluates coding opportunities, identifies revenue cycle improvement recommendations, and assists clients in optimizing claim quality and reimbursement outcomes.

The ideal candidate is an experienced outpatient facility coding professional with strong analytical skills, extensive knowledge of revenue cycle operations, and the ability to communicate complex coding concepts clearly to both clients and internal team members. This is a remote position.

Essential Duties and Responsibilities

• Perform detailed audits of hospital outpatient and ProFee claims to identify coding, billing, charging, and revenue cycle improvement opportunities.
• Review and recommend coding, charge capture, revenue integrity, and claim optimization strategies.
• Utilize proprietary software to analyze audit findings and develop standardized client reports.
• Present audit results and recommendations to clients in a clear, professional manner.
• Respond to coding and compliance-related inquiries with concise, grammatically correct written and verbal communication.
• Collaborate with revenue cycle consultants, coding professionals, and client stakeholders to support project goals.
• Develop educational materials, FAQs, and client-facing guidance on coding and billing best practices.
• Assist with special projects and other duties as assigned.

Qualifications

• AHIMA or AAPC coding certification required (CPC-A not accepted).
• Minimum 5 years of hospital outpatient facility coding audit experience.
• Advanced knowledge of:
  • Emergency Department (ED)
  • Same Day Surgery (SDS)
  • Observation (OBS)
  • Injection & Infusion (I&I)
  • Facility Evaluation & Management (E/M)
  • Ancillary outpatient services
• Experience presenting findings to healthcare clients and leadership teams.
• Strong understanding of revenue cycle processes, billing principles, and coding compliance.
• Excellent written and verbal communication skills.
• Proficiency interpreting audit findings and presenting recommendations to clients.

Requirements

• Inpatient facility coding experience (preferred).
• Critical Access Hospital (CAH) coding experience (preferred).
• Revenue integrity, compliance experience (preferred).

Benefits

• Quality of life with a remote predictable, full-time schedule.
• Competitive Salary 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, Flexible Time Off.