field_job_employment_type

job_industry

field_job_occupational_field_parents_all

job_organization_name

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The purpose of a Contract Analyst is to analyze and enter managed care contract terms into the PARA Data Editor (PDE) for Pricing, Reimbursement Analysis, and Patient out of pocket quotes for services.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Essential Functions:<ul><li>Entering terms of payer contracts into proprietary web tool</li><li>Interpreting contract reimbursement terms for hospital and professional medical services</li><li>Email and telephone contact with clients to resolve questions and issues regarding contracts</li><li>Comply with privacy laws and our client’s needs</li><li>Attend client meetings</li><li>Overcome obstacles by using effective information gathering and problem-solving methods</li></ul>Knowledge, Skills &amp; Abilities:<ul><li>Must be able to read and understand a managed care contract</li><li>Familiarity with DRG, HCPCS, CPT, ICD-10 and Revenue Codes</li><li>Knowledge of how to operate basic computer functions, including Microsoft Office&nbsp;</li><li>Proficiency in reading, writing, and arithmetic in order to analyze contract terms and understand how to apply contract rates</li><li>Must demonstrate good verbal and written communication skills</li><li>Must possess good customer service skills</li><li>Ability to handle multiple tasks at once</li><li>Ability to work efficiently, in an organized fashion, to meet project deadlines</li><li>Must be able to work independently as well as part of a team</li><li>Must be able to perform other tasks as assigned</li></ul>Qualifications and Requirements:Education &amp; Work Experience:<ul><li>Minimum of 1 year of experience with healthcare providers or the healthcare segment, preferably in Patient Financial Services</li><li>Minimum of 3 years of verifiable work history</li><li>Must have achieved a High School Diploma or GED</li></ul>Competencies:&nbsp;<ul><li>Detail-oriented and organized.</li><li>Strong written and verbal communication.</li><li>Ability to work independently to solve problems or escalate when necessary.</li></ul>Physical Requirements and Demands: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.Regular eye-hand coordination and manual dexterity are required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, incumbents are subject to sitting for prolonged periods. Infrequently, the incumbent must be able to lift and move material weighing up to 20 lbs. Incumbents may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.A job description is only intended as a guideline and is only part of the employee’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Contract Analyst

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Outpatient Coding Specialist are an important part of the Team at CorroHealth. We are currently seeking an outpatient coder with Profee or Facility experience and E/M, Observation, I&amp;I.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.JOB SUMMARY: The Coding Specialist II is responsible for accurately coding (ICD-10-CM, CPT, if applicable, Level I &amp; II modifiers, if applicable) evaluation and management, surgery, emergency room, observation, injections and infusions, or coding edit and denials resolution.&nbsp; May also code:&nbsp; outpatient facility ancillary or clinic services. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide.&nbsp;ESSENTIAL JOB FUNCTIONS:Project Work<ul><li>Outpatient Facility Coding (ER, OPS, OBS, Ancillary,&nbsp; Clinic, etc.)</li><li>Professional Clinic or Specialty Coding (E&amp;M)</li><li>Coding edits and denials resolution</li></ul>Record Keeping<ul><li>Completion of Masterlog of accounts coded daily</li><li>Completion of Time Allocation reports daily</li></ul>Analysis/Reporting<ul><li>Identifies trends and reports to Coding manager</li><li>Identifies daily work queues</li><li>Identifies potential issues or errors</li></ul>Customer Service<ul><li>Client liaison to communicate account inquiries</li></ul>EDUCATION: High School or equivalentEXPERIENCE <ul><li>Minimum of one year of experience in evaluation and management, surgery, emergency room, observation, injections and infusions, or denials. This should include hospital and/or physician practice.</li><li>Coding Certifications: The following are recognized professional certifications:&nbsp; Certified Professional Coder (CPC); Certified Outpatient Coder (COC); Certified Inpatient Coder (CIC); Certified Coding Specialist (CCS); or Certified Coding Specialist – Physician (CCS-P). Coding Specialist II coders are required to possess at least one of the above professional services coding certifications.&nbsp; Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.</li><li>RHIA, RHIT certification accepted equivalent for all coding positions.</li><li>Pass a pre-employment coding test that is provided, developed and administered by candidate management instructions.</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE<ul><li>An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.</li><li>Revenue Cycle Certifications:&nbsp; The following are recognized professional certifications:&nbsp; Certified Professional Account Representative (CPAR), Certified Revenue Cycle Representative (CRCR) or Certified Professional Biller (CPB).</li><li>Electronic health record (EHR) expertise, including knowledge of a variety of vendors.</li><li>Specialty Coding Certifications:&nbsp; The following are recognized professional certifications:&nbsp; Ambulatory Surgical Center (CASCC), Anesthesia and Pain Management (CANPC), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Chiropractic (CCPC), Dermatology (CPCD), Emergency Department (CEDC), Evaluation and Management (CEMC), Family Practice (CFPC), Gastroenterology (CGIC), General Surgery (CGSC), Hematology and Oncology (CHONC), Internal Medicine (CIMC), Interventional Radiology and Cardiovascular (CIRRC), Obstetrics Gynecology (COBGC), Orthopedic Surgery (COSC), Otolaryngology (CENTC), Pediatrics (CPEDC), Plastics and Reconstructive Surgery (CPRC), Rheumatology (CRHC), Surgical Foot &amp; Ankle (CSFAC), and Urology (CUC).</li></ul>KNOWLEDGE, SKILLS and ABILITIES <ul><li>Ability to function independently and as a team player in a fast-paced environment required.&nbsp; Responding to emails timely is a requirement. Knowledge of computing observation hours, when applicable.</li><li>Knowledge of coding infusions and injections, when applicable&nbsp;</li><li>Knowledge of surgical coding.</li><li>Must be able to maintain the company accuracy rating of 95%.&nbsp;</li><li>Must meet set weekly quota for productivity.&nbsp; This is a production coding environment and very fast paced.&nbsp;</li><li>Knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT) including E&amp;M.</li><li>Resolution of coding related edits and denials (NCCI, NCD, LCD, MUE) with appropriate modifier application.</li><li>Knowledge of reimbursement systems, including Prospective Payment System (PPS); Ambulatory Payment Classifications (APCs).&nbsp;</li><li>Must possess a working knowledge of&nbsp;Medicare and Local Medical Review Policy Guidelines, when applicable. Practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.</li><li>Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology).</li><li>Make well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.</li><li>Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis, procedure codes and modifiers.</li><li>Clearly express information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information. Speaking and writing (specifically email) in an organized manner is required.</li><li>Display courtesy, empathy, and tact, developing and maintaining effective relationships with others; effectively work with individuals who are difficult, hostile, or distressed to resolve differences; and be able to relate well to people from varied backgrounds and in different situations.</li><li>Work with internal and external customers to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations.</li><li>Contribute to maintaining the integrity of the organization; display high standards of ethical conduct and understand the impact of violating these standards on an organization, self, and others.</li><li>Be open to and embrace change and new information; adapt behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with uncertainty.&nbsp; Cooperate by willingly accepting new assignments and forming relationships with customers/co-workers/supervisors.</li><li>A high level of effort and commitment towards performing the work, using efficient learning techniques to acquire and apply new knowledge and skills; uses training, feedback, or other opportunities for self-learning and development.</li><li>Understand and interpret written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations. Working Excel knowledge.&nbsp;</li><li>Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines, and potential areas of risk for fraud.</li><li>Work planning is necessary in being able to understand assignments and establish priorities.&nbsp; It is required that each coder be able to look at his/her workload and determine priorities for the day.&nbsp;</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Outpatient Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:IP Coding Specialist are an important part of the Team at CorroHealth. We are currently seeking an inpatient coder with level 2 trauma experience. Epic experience is required for consideration.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Team Member must be able to work from home and be independent in their coding skills.<ul><li>Provide various components of coding services to support our clients.</li><li>Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPCS codes.</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.</li><li>Interpret coding guidelines for accurate code assignment.</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Must maintain quality and productivity standards.</li><li>Communicate with clients in a professional manner that fosters an excellent working relationship to support the company and its business interests</li><li>May assist Leadership, or Lead Coding Specialist, with reports as needed</li><li>Potential opportunity to begin helping with auditing.</li><li>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.</li><li>Comply with all internal policies and procedures.</li><li>All Coders must maintain at least one credential either through AAPC or AHIMA.</li><li>Actively participate in Company provided training and education.</li><li>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.</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST have an active CCS Certification with AHIMA</li><li>Must have a minimum of 2 years of RECENT facility coding experience with inpatient facility coding with a specialty in Level 2 Trauma.</li><li>Must have advanced working knowledge and experience with systems such as EMR, Billing, etc - EPIC EXPERIENCE REQUIRED</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Must have current coding materials such as CPT and ICD-10-CM coding references.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher.</li><li>Will be required to maintain an ongoing quality score of 95% or higher.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines.</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Inpatient Coding Specialist (Level 2 Trauma)

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:CorroHealth is seeking a Lead Inpatient Quality Specialist.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant.</li><li>Analyzes audit findings to identify potential root causes of coding errors and prevent their reoccurrence</li><li>Provides second –level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.</li><li>Research, analyze and respond to inquiries regarding compliance, inappropriate coding, denials and billable services</li><li>Provides technical support and feedback training to internal coding staff regarding coding compliance, documentation, regulatory provisions, third part payer requirements, medical necessity requirements</li><li>Protects the privacy and confidentiality of patient health and client information. Follows the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines and compliance practices.</li><li>Suggests physician query opportunities query Physicians based upon documentation and clinical needs.</li><li>Prepare deliverables for the coders as required</li><li>Report work time and work productions in a timely and accurate manner</li><li>Communicates with coworkers in an open and respectful a manner which promotes teamwork and knowledge sharing.</li><li>Provide schedule of planned work activities, events and sites, and any changes to same to management and appropriate staff.</li><li>Maintenance of professional coding credentials and knowledge of coding, reimbursement methodologies and compliance issues through education Monitor the on-going progress and success of each coder</li><li>Maintain QA percentages within two internal quality goals; 1) overall minimum coder accuracy of 95% and 2) QA review percentages as close to 10% as possible</li><li>Identify and resolve coding quality problems or issues in a timely manner</li><li>Maintain a continual knowledge of problems or issues that could affect coding quality levels</li><li>Assist in design of systems to help improve coder productivity and assist in improving accuracy of coding</li><li>Provide monthly reports</li><li>Participate in corporate training and meetings</li><li>Provide status reports to senior manager as requested</li><li>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</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact</li><li>Comply with all internal policies and procedures</li><li>Actively participate in Company provided training and education</li><li>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</li></ul>Qualifications and Requirements:<ul><li>Regular, predictable and punctual attendance is required</li><li>Strong verbal and written communication skills are required</li><li>Ability to prioritize workload, meet deadlines and maintain a high level of quality and accuracy Recognized coding credential from AHIMA or AAPC; and RHIA or RHIT may also be considered</li><li>Experience with telecommuting and electronic medical records systems strongly preferred</li><li>Strong analytical skills</li><li>Excellent written communication skills</li><li>Strong team player</li><li>Ability to work with multiple and diverse clients and projects</li><li>Ability to work with minimal supervision</li><li>5-7 years’ experience coding and/or auditing in an acute care facility or clinic, of patient types listed in the Job Summary of this document&nbsp;</li><li>Initiative, resourcefulness and attention to detail</li><li>Customer service support -- minimum one (1) year experience</li><li>Familiarity with hospital outpatient billing processes</li><li>Understand hospital APC assignment and associated coding and documentation</li><li>Coding Certification -- preferred (CPC or CCS)</li><li>Strong communication skills, proficient in Microsoft Office applications including Word and Excel</li><li>Ability to navigate in a variety of EMR environments and review hand-written charts</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Lead Inpatient Quality Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coding Specialists are an important part of the Team at CorroHealth. We are currently seeking a profee hospitalist coder.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>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.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>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</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).</li><li>Must have at least a minimum of 2 years of on the job experience.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Profee Hospitalist Coder

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Insurance Specialist is responsible for review and resolution of outstanding insurance balances on hospital patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex hospital systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client, and federal guidelines. *Must have experience with HOSPITAL AR - UB04 claims - follow up on denied claims - 2 years+ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS:Effectively manages assigned insurance receivables to achieve business line expectations &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Meets productivity standards as outlined by business line</li><li>Achieves a minimum of 85% work quality scoring and accuracy on all accounts worked</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Meets monthly cash expectations as set out for assigned client receivables</li><li>Ensures insurance accounts are resolved within 90 days of placement &nbsp;&nbsp;&nbsp;</li><li>Demonstrates the ability to prioritize work with some oversight to meet outlined goals</li></ul>Perform account research and route accounts through appropriate client workflows&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Ability to understand, navigate and perform research of account within client host systems</li><li>Exceptional understanding of patient accounting systems allowing for ease of transition and learning of new systems as needed by business line</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li><li>Excellent working knowledge of Prism system and displays clear understanding of claim updates, request workflow, and action step entry into the system</li><li>Appropriately makes request for documentation based on account needs and compliance guidelines</li><li>Ability to navigate billing system to perform basic claim billing functions</li><li>Clearly prepares appeals for payment to insurance company when appropriate</li><li>Ensure strong communication skills to convey intricate account information</li></ul>Ensure all accounts are worked within client standards and Federal Regulations.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Maintain high quality account handling per client standards</li><li>Work within federal, state regulations, department/division &amp; all Compliance Policies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li></ul>Maintain continuing education, training in industry career development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attend training sessions as directed by management</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>EDUCATION: High School or EquivalentEXPERIENCE: 2 years of experience in hospital ARMUST HAVE:<ul><li>Excellent oral and written communication skills</li><li>Basic computer skills</li><li>Familiar with widely used patient accounting software</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE<ul><li>Organization, planning and prioritizing</li><li>Communication skills</li><li>Data management</li><li>Attention to detail and accuracy</li><li>Problem-solving</li><li>Adaptability and flexibility</li></ul>KNOWLEDGE, SKILLS and ABILITIES <ul><li>Possess excellent reading and writing skills</li><li>Strong Computer skills</li><li>Communicate successfully with patients, hospitals, insurance companies and CorroHealth Employees</li><li>Work individually and as part of a team</li><li>Possess ability to concentrate for long periods of time</li><li>Proficient in numeracy skills</li><li>Pays close attention to detail</li><li>Must possess excellent grammar and spelling skills</li><li>Proficient in knowledge and use of email and internet</li><li>Possess above average knowledge of administrative procedures</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

AR Hospital Insurance Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Coding Audit and Education Specialist is responsible for accurately coding and auditing (ICD-10-CM, CPT, HCPCS, Level I &amp; II modifiers) Inpatient Facility, outpatient facility emergency room, outpatient surgery, observation, outpatient facility ancillary, recurring therapy, clinic or professional coding or coding edits and denials resolution. Primary focus will be for external customer projects. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide. Will be responsible for creating and providing coding education and training based on audit findings as requested to external customers as requested.&nbsp; Will also provide coding education and training to internal (CorroHealth) coders as requested.&nbsp; Will interact and present to physicians and other client executives.&nbsp; **MUST HAVE: IP/OP and Facility/Profee Coding experience - auditing and coding experience (coding certified) as well as be able to develop and present educational coding content to coders and providers (via PowerPoint)ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS:Project Work&nbsp;<ul><li>Facility Coding and Auditing (Inpatient, ER, OPS, OBS, Ancillary, Recurring Therapy, Clinic, etc.)</li><li>Professional Coding and Auditing</li><li>Coding Edits and Denials Resolution</li></ul>Education and Training<ul><li>Develop coding education presentations as requested</li><li>Provide coding education and training to customers as requested</li><li>Provide coding education and training to internal coders as requested.</li></ul>Record Keeping<ul><li>Completion of Masterlog of accounts audited daily</li><li>Completion of Time Allocation reports daily</li></ul>Analysis/Reporting<ul><li>Identifies trends while coding and auditing</li><li>Creation of presentations and reports</li><li>Identifies potential issues or errors</li></ul>Customer Service<ul><li>Client liaison to communicate account inquiries</li></ul>EDUCATION: Some college or equivalent experienceEXPERIENCE:<ul><li>Minimum of 10 years of experience with production coding for both inpatient and outpatient types of service.&nbsp; This should include hospital and physician practice.</li><li>Training and mentoring experience.</li></ul><ul><li>Coding Certifications: The following are recognized professional certifications:&nbsp; Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS).&nbsp; Sr. Coding Specialist III coders are required to possess at least one of the above professional services coding certifications.&nbsp; Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.</li><li>RHIA, RHIT certification accepted equivalent for all coding positions.</li><li>Pass a pre-employment coding test that is provided, developed and administered by candidate management instructions.</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE-<ul><li>An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.</li><li>Revenue Cycle Certifications:&nbsp; The following are recognized professional certifications:&nbsp; Certified Professional Account Representative (CPAR), Certified Revenue Cycle Representative (CRCR) or Certified Professional Biller (CPB).</li><li>Electronic health record (EHR) expertise, including knowledge of a variety of vendors.</li><li>Specialty Coding Certifications:&nbsp; The following are recognized professional certifications:&nbsp; Ambulatory Surgical Center (CASCC), Anesthesia and Pain Management (CANPC), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Chiropractic (CCPC), Dermatology (CPCD), Emergency Department (CEDC), Evaluation and Management (CEMC), Family Practice (CFPC), Gastroenterology (CGIC), General Surgery (CGSC), Hematology and Oncology (CHONC), Internal Medicine (CIMC), Interventional Radiology and Cardiovascular (CIRRC), Obstetrics Gynecology (COBGC), Orthopaedic Surgery (COSC), Otolaryngology (CENTC), Pediatrics (CPEDC), Plastics and Reconstructive Surgery (CPRC), Rheumatology (CRHC), Surgical Foot &amp; Ankle (CSFAC), and Urology (CUC).</li></ul>KNOWLEDGE, SKILLS and ABILITIES -<ul><li>Ability to create power point presentations in a clear and concise manner.</li><li>Ability to articulate clearly coding educational topics.</li><li>Experience with training and mentoring others.</li><li>Ability to function independently and as a team player in a fast-paced environment required. Responding to emails timely is a requirement.</li><li>Must be able to maintain the company accuracy rating of 95%.&nbsp;</li><li>Must meet set weekly quota for productivity.&nbsp; This is a production coding environment and very fast paced.&nbsp;</li><li>Knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT) including E&amp;M.</li><li>Must possess a working knowledge of&nbsp;Medicare and Local Medical Review Policy Guidelines.</li><li>Resolution of coding related edits and denials (NCCI, NCD, LCD, MUE) with appropriate modifier application.</li><li>Knowledge of reimbursement systems, including Prospective Payment System (PPS); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).</li><li>Practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.</li><li>Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology).</li><li>Make well-informed, effective, and timely decisions, even when data are limited, or solutions produce unpleasant consequences; perceives the impact and implications of decisions.</li><li>Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis, procedure codes and modifiers.</li><li>Clearly express information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information.&nbsp; Speaking and writing (specifically email) in an organized manner is required.</li><li>Display courtesy, empathy, and tact, developing and maintaining effective relationships with others; effectively work with individuals who are difficult, hostile, or distressed to resolve differences; and be able to relate well to people from varied backgrounds and in different situations.</li><li>Work with internal and external customers to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations.</li><li>Contribute to maintaining the integrity of the organization; display high standards of ethical conduct and understand the impact of violating these standards on an organization, self, and others.</li><li>Be open to and embrace change and new information; adapt behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with uncertainty. Cooperate by willingly accepting new assignments and forming relationships with customers/co-workers/supervisors.</li><li>A high level of effort and commitment towards performing the work, using efficient learning techniques to acquire and apply new knowledge and skills; uses training, feedback, or other opportunities for self-learning and development.</li><li>Understand and interpret written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations. Working Excel knowledge.&nbsp;</li><li>Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines, and potential areas of risk for fraud.</li><li>Work planning is necessary in being able to understand assignments and establish priorities.&nbsp; It is required that each coder be able to look at his/her workload and determine priorities for the day.&nbsp;</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Coding Audit and Education Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Location: Remote (Within US Only)Required Scheduled: Sunday - Thursday, 11:00 AM EST - 8:00 PM ESTHourly Pay: $18.00Job Description &amp; Responsibility<ul><li>Transcribe information from clients’ EMRs into required electronic format; check completed work for accuracy</li><li>Monitor shared inboxes and internal request dashboards</li><li>Receive and document incoming emails, calls, tickets, or voicemails</li><li>Follow up with the client or internal staff via email or phone for additional information as requested</li><li>Export and upload documents within Versalus Health proprietary system</li><li>Cross-trained in various functions within the department to support other teams as needed</li><li>Other responsibilities as requested by management</li><li>Equipment provided to do the job from your home office with a secure internet connection</li></ul>Skills Required&nbsp;<ul><li>Detailed oriented</li><li>Proactive and self-directed</li><li>Shows initiative and responsibility in taking the necessary steps towards problem resolution</li><li>Meets or exceeds both quality expectations</li><li>Works independently but also a team player</li><li>Extremely organized and action-oriented</li><li>Excellent critical thinking skills</li><li>Demonstrates strict adherence to HIPAA/HITECH compliance</li></ul>Education/Experience&nbsp;<ul><li>High School Diploma or equivalent required</li><li>Bachelor’s degree preferred</li><li>Prior knowledge of accessing hospital EMR’s preferred</li><li>Experience working with Salesforce, a plus</li><li>Proficient in relevant computer applications such as Outlook, MS Teams, Internet Search Engines, and accurate keyboard skills</li><li>Ability to maneuver between multiple screens</li></ul>Physical Requirements:May be expected to sit at a desk for long hours. Must have a private and secure space to work, including a secure Internet connection. Repetitive movement of hands and fingers – typing and/or writing. Occasional standing, walking, stooping, kneeling, or crouching. Ability to reach with hands and arms, talk, and hear. Exert up to 20 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Case Entry Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Coding Specialist II is responsible for accurately coding (ICD-10-CM, CPT, if applicable, Level I &amp; II modifiers, if applicable) evaluation and management, surgery, emergency room, observation, injections and infusions, or coding edit and denials resolution.&nbsp; May also code:&nbsp; outpatient facility ancillary or clinic services. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide.&nbsp; *This position requires experience with Outpatient Facility Coding (Infusion &amp; Injection)ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS:Project Work<ul><li>Outpatient Facility Coding (ER, OPS, OBS, Ancillary,&nbsp; Clinic, etc.)</li><li>Professional Clinic or Specialty Coding (E&amp;M)</li><li>Coding edits and denials resolution</li></ul>Record Keeping<ul><li>Completion of Masterlog of accounts coded daily</li><li>Completion of Time Allocation reports daily</li></ul>Analysis/Reporting<ul><li>Identifies trends and reports to Coding manager</li><li>Identifies daily work queues</li><li>Identifies potential issues or errors</li></ul>Customer Service<ul><li>Client liaison to communicate account inquiries</li></ul>EDUCATION: High School or equivalentEXPERIENCE <ul><li>Minimum of one year of experience in evaluation and management, surgery, emergency room, observation, injections and infusions, or denials. This should include hospital and/or physician practice.</li><li>Coding Certifications: The following are recognized professional certifications:&nbsp; Certified Professional Coder (CPC); Certified Outpatient Coder (COC); Certified Inpatient Coder (CIC); Certified Coding Specialist (CCS); or Certified Coding Specialist – Physician (CCS-P). Coding Specialist II coders are required to possess at least one of the above professional services coding certifications.&nbsp; Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.</li><li>RHIA, RHIT certification accepted equivalent for all coding positions.</li><li>Pass a pre-employment coding test that is provided, developed and administered by candidate management instructions.</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE-<ul><li>An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.</li><li>Revenue Cycle Certifications:&nbsp; The following are recognized professional certifications:&nbsp; Certified Professional Account Representative (CPAR), Certified Revenue Cycle Representative (CRCR) or Certified Professional Biller (CPB).</li><li>Electronic health record (EHR) expertise, including knowledge of a variety of vendors.</li><li>Specialty Coding Certifications:&nbsp; The following are recognized professional certifications:&nbsp; Ambulatory Surgical Center (CASCC), Anesthesia and Pain Management (CANPC), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Chiropractic (CCPC), Dermatology (CPCD), Emergency Department (CEDC), Evaluation and Management (CEMC), Family Practice (CFPC), Gastroenterology (CGIC), General Surgery (CGSC), Hematology and Oncology (CHONC), Internal Medicine (CIMC), Interventional Radiology and Cardiovascular (CIRRC), Obstetrics Gynecology (COBGC), Orthopaedic Surgery (COSC), Otolaryngology (CENTC), Pediatrics (CPEDC), Plastics and Reconstructive Surgery (CPRC), Rheumatology (CRHC), Surgical Foot &amp; Ankle (CSFAC), and Urology (CUC).</li></ul>F.&nbsp;&nbsp; KNOWLEDGE, SKILLS and ABILITIES -<ul><li>Ability to function independently and as a team player in a fast-paced environment required.&nbsp; Responding to emails timely is a requirement. Knowledge of computing observation hours, when applicable.</li><li>Knowledge of coding infusions and injections, when applicable&nbsp;</li><li>Knowledge of surgical coding.</li><li>Must be able to maintain the company accuracy rating of 95%.&nbsp;</li><li>Must meet set weekly quota for productivity.&nbsp; This is a production coding environment and very fast paced.&nbsp;</li><li>Knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT) including E&amp;M.</li><li>Resolution of coding related edits and denials (NCCI, NCD, LCD, MUE) with appropriate modifier application.</li><li>Knowledge of reimbursement systems, including Prospective Payment System (PPS); Ambulatory Payment Classifications (APCs).&nbsp;</li><li>Must possess a working knowledge of&nbsp;Medicare and Local Medical Review Policy Guidelines, when applicable. Practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.</li><li>Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology).</li><li>Make well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.</li><li>Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis, procedure codes and modifiers.</li><li>Clearly express information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information. Speaking and writing (specifically email) in an organized manner is required.</li><li>Display courtesy, empathy, and tact, developing and maintaining effective relationships with others; effectively work with individuals who are difficult, hostile, or distressed to resolve differences; and be able to relate well to people from varied backgrounds and in different situations.</li><li>Work with internal and external customers to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations.</li><li>Contribute to maintaining the integrity of the organization; display high standards of ethical conduct and understand the impact of violating these standards on an organization, self, and others.</li><li>Be open to and embrace change and new information; adapt behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with uncertainty.&nbsp; Cooperate by willingly accepting new assignments and forming relationships with customers/co-workers/supervisors.</li><li>A high level of effort and commitment towards performing the work, using efficient learning techniques to acquire and apply new knowledge and skills; uses training, feedback, or other opportunities for self-learning and development.</li><li>Understand and interpret written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations. Working Excel knowledge.&nbsp;</li><li>Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines, and potential areas of risk for fraud.</li><li>Work planning is necessary in being able to understand assignments and establish priorities.&nbsp; It is required that each coder be able to look at his/her workload and determine priorities for the day.&nbsp;</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Outpatient Facility Coder (Infusion & Injection)

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.JOB SUMMARY: The Patient Business Services Rep II-Access Registration is responsible for tasks relating to the completion of patient registration for hospital and/or physician services. The Patient Business Services Rep-Access Registration will be required to have flexibility to learning and comprehending complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Patient Business Services Rep-Access Registration will be responsible that their patient, payer and provider interactions are carried out according to company, client and federal guidelines.The Patient Business Services Rep-Access Registration will be required to work schedules that accommodate a 24/7 work schedule and be able to independently make compliant decisions on how to apply HIPAA and FCC regulations.*this position is 100% ONSITE - Big Island, HI*ESSENTIAL JOB FUNCTIONS:Access Registration Tasks&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Exceed productivity standards as outlined by business line</li><li>Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage</li><li>Accurately document patient demographics and health plan information</li><li>Support access registration, insurance verification and authorization functions</li><li>Contact physician offices and/or payers for follow-up on eligibility and authorizations and</li><li>Maintain quality scoring and accuracy on all accounts worked</li><li>Ability to work independently and make responsible decisions</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals</li><li>Acts as a knowledge resource for team members</li><li>High level understanding of client host system functions</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li></ul>Ensure all accounts are worked within client standards and Federal Regulations.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Work within federal, state regulations, department/division &amp; all Compliance Policies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications&nbsp;&nbsp;</li></ul>Maintain continuing education, training in industry career development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attend training sessions as directed by management and disseminate to colleagues</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>EDUCATION: High SchoolEXPERIENCE: <ul><li>Minimum of 1 year of Access Registration or front office physician healthcare experience</li><li>Minimum of 3 year in hospital or physician operation</li><li>Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE-State other desired, but not required, education or experience.<ul><li>Epic hospital system experience</li><li>Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements</li><li>Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred</li><li>Remote working experience</li></ul>KNOWLEDGE, SKILLS and ABILITIES - Describe specific minimum knowledge, skills, and abilities required for this position.&nbsp; Also, list any special courses, certifications, or physical requirements that are necessary.&nbsp; This is especially critical for screening candidates.<ul><li>Exceptional customer service skills.</li><li>Excellent verbal and written communication skills.</li><li>Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.</li><li>Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.</li><li>Ability to follow regulations outlined by state, federal, and third-party coverage procedures.&nbsp;</li><li>Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.</li><li>Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.</li><li>Ability to prioritize and effectively anticipate and respond to issues as they arise.</li><li>Ability to post transactions in multiple systems.</li><li>Good analytical and problem-solving skills.</li><li>Ability to work independently.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

47 CorroHealth Jobs