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Claim Review Specialist

CorroHealth

Assist the Director of HIM in preparing claim audits and reviewing coding, revenue cycle, and charge/billing changes on client hospital outpatient and Profee claims using proprietary software.

Use software to develop standardized reports, meet with clients, respond to coding questions, and support other members of the revenue cycle consulting team.

Responsibilities include client education, preparation of written FAQ answers, and other assigned duties.

This is a remote position based in the USA.

Requirements & Qualifications

Required Qualifications

  • Coding certification through AHIMA or AAPC required; CPC-A is not accepted
  • 5+ years of current directly related experience
  • Extensive outpatient facility coding experience, including ED, SDS, I&I, OBS, and E/M facility coding
  • Expert knowledge of revenue cycle and outpatient coding
  • Strong understanding of official coding guidelines, OP coding and billing, rev codes, HCPCS, MUE, CCI edits, units of service, and ICD-10-CM
  • Strong understanding of revenue cycle, CMS manual/guidelines, and Medicaid guidelines
  • Medical terminology and anatomy knowledge
  • Strong Microsoft Excel, PowerPoint, Word, and OneNote skills
  • Strong analytical, independent decision-making, and communication skills
  • Strong computer and technology skills
  • Highly professional demeanor and client satisfaction skills

Preferred Qualifications

  • Inpatient facility coding experience
  • Clinical documentation experience
  • Critical Access setting experience

Location

N/A

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

Yes

Posted

1 month ago

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