Use your coding expertise to deep-dive hospital and profee claims, spot missed revenue, and help clients clean up their entire outpatient billing picture. This fully remote role is perfect if you love audits, live in the revenue cycle weeds, and can explain complex coding issues in clear, plain English.
About CorroHealth
CorroHealth supports hospitals and health systems across the full reimbursement cycle, combining technology, analytics, and clinical expertise to improve financial performance. Their teams focus on accurate documentation, coding, and billing so providers get properly reimbursed while staying compliant. As a Coding Claim Review Specialist, you’ll sit at the center of that mission.
Schedule
- Full-time, remote role within the United States
- Standard Monday–Friday schedule (business hours aligned to client needs)
- Computer-based work at a desk for most of the day
- Requires a secure home office setup and reliable high-speed internet
What You’ll Do
- Assist the Director of HIM with claim audits for hospital outpatient and professional (profee) claims using proprietary software
- Select and review claims based on trends and data analysis, pulling in the correct medical documentation
- Audit all aspects of claims, including coding accuracy, omitted/incorrect charges, units of service, and compliance with CMS, Medicare, Medicaid, and other payer rules
- Review and apply OPPS and CAH guidelines, NCCI and MUE edits, and payer-specific rules
- Validate and recommend corrections for ICD-10-CM, ICD-10-PCS (if applicable), CPT and HCPCS codes across ER, SDS, OBS, ancillary, IR, E/M (facility and profee), and injections/infusions
- Identify documentation gaps and opportunities for clinical documentation improvement
- Prepare written Q&A, FAQs, and educational materials under direction of the Director of HIM
- Use software tools to build standardized reports and participate in web-based presentations to clients
- Stay current on coding guidelines, payer changes, and revenue cycle updates, sharing relevant information with the team
What You Need
- 5+ years of directly related coding experience, with expert knowledge in outpatient and profee coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I)
- Current AHIMA CCS or COC, or AAPC CPC certification (required)
- Strong understanding of revenue cycle, OPPS, CMS manual/guidelines, Medicaid rules, rev codes, HCPCS, MUEs, CCI edits, and units of service
- Medical terminology and anatomy knowledge required; clinical documentation and inpatient coding experience preferred (or willingness to learn inpatient)
- Strong analytical skills and independent decision-making ability
- Excellent written and verbal communication skills, including clear, concise, grammatically correct English for client-facing documents and emails
- Proficiency with Microsoft Excel, PowerPoint, Word, and OneNote
- Tech-comfortable, quick to learn proprietary platforms and tools
- Ability to work remotely, stay organized, manage deadlines, and maintain professionalism with clients
Benefits
- Competitive compensation based on experience
- Comprehensive medical, dental, and vision benefits
- 401(k) with company match
- Paid time off and paid holidays
- Company-provided tools/training and access to ongoing education
- Professional growth opportunities within the revenue cycle and consulting space
If you’re a seasoned coder who loves audits, patterns, and helping clients fix their revenue leaks, this is one to move on quickly.
Happy Hunting,
~Two Chicks…