Remote Inpatient & Facility Coding Auditor

CorroHealth, Inc.; United States; On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Remote, full-time schedule

Competitive Salary

Medical, Dental, Vision coverage

Long-term disability insurance

Life insurance

401K with company match

Certification and Tuition Reimb.

Holidays, Flexible Time Off

Job summary

CorroHealth seeks a Claim Review Specialist to partner with the HIM leadership in performing complex concurrent and retrospective audits of hospital inpatient, facility, and outpatient claims. You will validate ICD-10, CPT, and HCPCS codes per CMS and AHIMA guidelines using proprietary software and communicate audit findings to clients.

You will also develop standardized reports, provide coding education, and support the revenue cycle consulting team to drive compliance and reimbursement

Qualifications

• Active AHIMA or AAPC credential (CCS/CPC/RHIT) required.
• Minimum of five (5) years coding and/or auditing experience in an acute care hospital or healthcare consulting environment.
• Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, reimbursement methodologies, regulatory compliance, and audit best practices.

Responsibilities

• Analyze findings and identify potential root causes of produced errors.
• Prepare summary reports of findings to clients, providing references supporting findings.
• Provide second-level review to ensure compliant code assignments and processes.
• Research, analyze, and respond to inquiries regarding compliance, coding, and denials while protecting patient privacy.
• Maintain knowledge of coding standards and prepare guidance for clients.

Skills

Analytical skills

Communication skills

Project management

Independent work

Education

AHIMA or AAPC credential (CCS/CPC/RHIT)

Tools

Epic

Cerner/PowerChart

Meditech

Microsoft Office

Job description

CorroHealth seeks a Claim Review Specialist to partner with the HIM leadership in performing complex concurrent and retrospective audits of hospital inpatient, facility, and outpatient claims. You will validate ICD-10, CPT, and HCPCS codes per CMS and AHIMA guidelines using proprietary software and communicate audit findings to clients.

You will also develop standardized reports, provide coding education, and support the revenue cycle consulting team to drive compliance and reimbursement