Outpatient Facility Coding Specialist
CorroHealth
Outpatient Facility Coding Specialist
CorroHealth
End-to-end revenue cycle management for healthcare
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.
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.
JOB SUMMARY:
Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more clients, facility, or multiple facilities or clients. The Coding Specialist 2 will code Professional Fee, Facility or HCC. The Coding Specialist 2 could be an Inpatient coder or could include a minimum of four specialists. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include IR, Infection Disease, OBS, Oncology, Neurology, SDS, OT, PT, Urgent Care, ED, or a variety of other specialties.ESSENTIAL DUTIES AND RESPONSIBILITIES:
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.
ESSENTIALDUTIES AND RESPONSIBILITIES:
Note:The essential duties andresponsibilitiesbelow are intended to describe the generaldutiesand requirements of this position and are not intended to be an exhaustive statement of duties.A Coding Specialist 1may perform all or most of the primarydutieslisted below. Specific tasks,responsibilitiesor competencies may be documented in theTeam Member’sperformanceobjectivesas outlined by theTeam Member’s immediate supervisor or manager.
Team Member must be able to work from home and be independent in their coding skills.
Provide various components of coding services tosupportourclients.
CalculateProFeeand/orFacility E/M levelsby using an algorithm created by our company (training is provided).
Recognize critical care casesbypatient acuity.
Code surgical procedures typical of an ER setting to captureadditionalrevenue whenappropriate.
Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
Accurately apply diagnosis and procedure codesutilizingICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.
Interpret coding guidelines foraccuratecodeassignment.
Identifythe importance of documentation on code assignment and thesubsequentreimbursement impact.
Mustmaintainquality and productivity standards.
Communicatewith clients in a professional mannerthatfosters an excellentworkingrelationshipto support the company and its business interests
MayassistLeadership, or Lead Coding Specialist, withreports as needed
Potential opportunityto begin helping with auditing.
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 withall internal policies and procedures.
All Coders mustmaintainat least one credential either through AAPC or AHIMA.
ActivelyparticipateinCompanyprovided training and education.
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.
MINIMUM QUALIFICATIONS & REQUIREMENTS:
All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P)
Must havea minimum of 2yearsofexperience.
Must haveadvancedworking knowledge and experience with systems such as EMR, Billing,etc
Must be proficient in Microsoft programs like Excel and Outlook.Examples include:
Excelyou should be able toopen and add to a spreadsheet,perform basic formulaslike adding or multiplying, and create a basic pivot table.
Outlooksyou should be able to manage emails and scheduleand attendmeetings.
Must havecurrentcoding materials such as CPTand ICD-10-CM coding references.
Regular, predictable, and punctual attendance isrequired.
Will berequiredtomaintainan ongoing productivity level and accuracy rate of 95%or higher.
Will berequiredtomaintainan ongoing qualityscore of95% or higher.
Abilityto communicate effectively and professionally both verbally and written.
Ability to coordinate, analyze,observe, make decisions, and meet deadlines.
May berequiredto perform other duties as assigned byLeadership Team Member.
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.
End-to-end revenue cycle management for healthcare
CorroHealth is a provider of end-to-end revenue cycle management (RCM) for hospitals, health systems, and health plans. It combines clinically-led analytics with technology-driven solutions to improve financial performance, streamline workflows, and reduce costs. The company uses AI and automation through its VISION platform for clinical validation and PULSE, an AI-driven medical coding automation tool, to support services such as patient experience optimization, chargemaster updates, utilization management, clinical documentation integrity (CDI), coding, and claims management. CorroHealth differentiates itself by expanding through acquisitions to offer a broad, integrated suite of RCM services and analytics, backed by private equity investors and a strategy focused on scale and deep payer-provider insights. Its goal is to help healthcare providers and payers navigate complex financial processes, improve accuracy, and maximize revenue, ultimately supporting value-based care.
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