Remote ProFee & Hospital Denials Coder

CorroHealth, Inc.; United States; Remote; USD 34,000 - 55,000; Full time

Benefits offered by this job

Remote work

Full-time schedule

Medical, Dental, Vision coverage

401K with company match

Certification and Tuition Reimb

Holidays, paid time off

Job summary

CorroHealth, Inc. is seeking a certified ProFee coder to join its remote team.

You will handle denial resolution, payer policy research, coding review, and revenue integrity support for hospital outpatient/facility claims, emphasizing accuracy and efficiency in a fast-paced environment. The role requires CPC/COC or CCS/CCS-P certification, at least six months experience, proficiency in EPIC, CPT, ICD-10-CM/PCS, Excel and Outlook, and a commitment to privacy and ethics while supporting long-term

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‑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.
• Examples include: You should be able to open and add to an Excel spreadsheet abd perform basic formulas like adding or multiplying.
• You should be able to manage Outlook emails and schedule and attend meetings.
• Ability to communicate effectively and professionally both verbally and written.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
• May be required to perform other duties as assigned by Leadership Team Member.

Responsibilities

• Provide various components of coding services to support our clients.
• Strong experience in ProFee and Hospital Outpatient (Facility) denials.
• 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 and support the Company’s Ethics and Compliance Program.
• Comply with all internal policies and procedures.
• Actively participate in Company provided training and education.
• All Coders must maintain at least one credential through either AAPC or AHIMA.
• Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information

Skills

ProFee coding

Hospital outpatient denials

CPT/HCPCS coding

Excel

Outlook

Effective communication

Education

AAPC CPC/COC or AHIMA CCS/CCS-P

Tools

EPIC

EMR

Job description

CorroHealth, Inc. is seeking a certified ProFee coder to join its remote team.

You will handle denial resolution, payer policy research, coding review, and revenue integrity support for hospital outpatient/facility claims, emphasizing accuracy and efficiency in a fast-paced environment. The role requires CPC/COC or CCS/CCS-P certification, at least six months experience, proficiency in EPIC, CPT, ICD-10-CM/PCS, Excel and Outlook, and a commitment to privacy and ethics while supporting long-term