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Profee Billing & Denials Specialist

CorroHealth

Join one of CorroHealth's most established and successful teams, supporting long-term client partnerships through coding excellence.

We are seeking a certified ProFee coder who thrives in a remote, autonomous environment and has expertise in hospital outpatient/facility denials, coding compliance, and reimbursement optimization. This role combines denial resolution, payer policy research, coding review, and revenue integrity support, making it ideal for an experienced coder who enjoys solving complex reimbursement challenges while maintaining exceptional quality and productivity standards.

This is a remote position. Permanent work status (USC/Green Card) is required, and employees must reside and work within the continental U.S. Candidates will be required to complete a proctored ProFee coding assessment as part of the application process.

Key responsibilities include reviewing and resolving denials in Epic, researching payer policies, identifying trending denial issues, resolving medical necessity and CCI edits, applying ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes, and supporting documentation and reimbursement accuracy.

Requirements & Qualifications

Qualifications

  • Certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P) is required
  • Minimum of 6 months of on-the-job experience
  • Strong experience in ProFee and hospital outpatient/facility denials
  • Understanding of Remit and CARC codes
  • Experience working in EMR and billing systems
  • Ability to use Epic to review and resolve denials
  • Proficiency with Microsoft Excel and Outlook
  • Ability to communicate effectively and professionally, both verbally and in writing
  • Ability to analyze issues, make decisions, coordinate work, and meet deadlines
  • Must maintain at least one active credential through AAPC or AHIMA
  • Must maintain productivity and accuracy of 95% or higher
  • Must have a phone, reliable internet connection, and current coding materials such as CPT and ICD-10-CM references
  • Regular, predictable, and punctual attendance required
Benefits & Perks

Benefits

  • Remote, predictable full-time schedule
  • Competitive hourly rate commensurate with experience
  • Medical, dental, and vision coverage
  • Long-term disability insurance and life insurance
  • Parental leave
  • 401(k) with company match
  • Certification and tuition reimbursement
  • Holidays and paid time off

Location

N/A

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

1 week ago

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