Teams at CorroHealth

Coordinates peer-to-peer appeals by calling payers, scheduling medical director calls, following up on overdue cases, documenting call outcomes, updating account statuses across databases, and supporting case entry and appeals functions. The role requires extensive phone communication, accurate data entry, multitasking across systems, confidentiality, HIPAA/HITECH compliance, and independent as well as collaborative work.

Investigate and resolve unpaid or denied medical claims by reviewing UB04s, EOBs and medical records; use proprietary software, EMR portals, phone and written correspondence to obtain claim resolution while meeting production and quality targets and complying with HIPAA.

Provides remote facility observation coding using CPT, HCPCS, ICD-10-CM, and ICD-10-PCS, with specialized experience in infusions and injections. Applies coding guidelines, assigns diagnoses and procedures accurately, evaluates documentation, protects patient health information, and maintains required productivity, quality, and accuracy standards. Requires AAPC or AHIMA certification, facility coding experience, EMR and billing-system familiarity, and proficiency with Microsoft Office.