Auditing & Education Consultant - Profee

CorroHealth helps healthcare organizations improve the completeness, accuracy, and compliance of the revenue cycle at each point in the journey. Through chargemaster, utilization, documentation, coding, claims, and denials management, we support both fee-for-service and value-based care models.

This role serves in a consulting capacity, evaluating ICD-10, CPT, and/or HCPCS code assignments to hospital inpatient, outpatient, and/or physician practice encounters. The position involves performing concurrent or retrospective reviews to inventory code assignments and report data to clients, as well as developing and delivering educational content related to audit findings.

Key responsibilities include:

• Performing complex concurrent and retrospective analysis of medical record documentation to validate coding data.
• Evaluating documentation for accuracy, completeness, and compliance with coding guidelines, payer policies, and regulatory requirements.
• Identifying trends, root causes, education needs, and compliance risks.
• Preparing summary reports with referenced findings.
• Conducting second-level reviews to ensure compliance and appropriate coding.
• Researching and responding to inquiries related to compliance, coding, and denials.
• Maintaining patient confidentiality and adhering to ethical coding standards.
• Providing coding education to clients and supporting teams.
• Meeting productivity standards and audit accuracy expectations.

Requirements:

• One or more active credentials from AHIMA and/or AAPC (e.g., CCS, CCS-P, CPC, COC, CRC, CPMA, RHIA, RHIT).
• CPC or CPMA credential required for Professional Fee audits.
• Minimum 5 years of outpatient and professional fee coding and/or auditing experience in acute care or clinic settings.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and NCCI edits.
• Proficiency with electronic health records such as EPIC, Powerchart, Meditech.
• Excellent analytical skills and attention to detail.
• Strong written and verbal communication abilities.
• Ability to manage multiple client engagements independently.
• Collaborative and consulting-oriented mindset.
• Proficient with Microsoft Office.

Physical demands include prolonged computer use and the ability to lift/move materials up to 20 lbs occasionally. Reasonable accommodations will be made as needed.