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The Coordinator, Appeals will handle denial research and follow-up with insurance companies to resolve appeals. The role involves compiling documents, managing communication via email or phone, and transcribing information from EMRs. The position requires proficiency in Excel and Outlook, attention to detail, and the ability to work independently in a fast-paced environment.
The Contract Analyst is responsible for analyzing and entering managed care contract terms, interpreting reimbursement terms for medical services, and communicating with clients to resolve contract-related issues. This role requires attention to detail, compliance with privacy laws, and the ability to handle multiple tasks efficiently.
As a Case Entry Specialist, your role involves transcribing client information from electronic medical records into the required format, monitoring email and internal request dashboards, and providing follow-up communications. You will handle document uploads and ensure compliance with HIPAA regulations while maintaining a high level of detail and organization.
The Coordinator, Appeals Management role involves performing denial research, compiling appeal documents, documenting timelines, and maintaining communication with insurance companies and clients. The position requires strong communication skills, computer proficiency in Outlook and Excel, and a focus on detail and organization in a fast-paced environment.
The Payer Performance Manager is responsible for analyzing healthcare data to ensure compliance with payer contracts, addressing denial issues, and producing financial reports. They will manage payer meetings and utilize analytics tools to interpret large data sets, communicating trends to leadership and payer representatives.
Coding Specialists at CorroHealth will perform CPT, HCPCS, and ICD-10-CM coding across multiple specialties. Responsibilities include calculating E/M levels, coding surgical procedures, applying diagnosis codes, interpreting coding guidelines, and ensuring compliance with ethical standards. Must maintain a credential through AAPC or AHIMA and uphold privacy standards.
This position involves performing denial research with insurance companies to resolve appeals, compiling documents for appeal submissions, managing tasks within shared inboxes, and monitoring client communications. The coordinator will also ensure compliance with HIPAA regulations and support various functions within the department as needed.
The CDI Specialist collaborates with healthcare professionals to enhance the quality and accuracy of clinical documentation, ensuring compliance with coding standards and guidelines. Responsibilities include conducting documentation reviews, issuing queries, and analyzing clinical records for completeness and accuracy. Maintaining a focus on productivity and quality while adhering to organizational policies is key to fulfilling the role.
The Auditor 2 is responsible for developing contract models, identifying insurance reimbursement issues, conducting data reviews for quality control, and making recommendations for process improvements. The role requires working with large healthcare data sets, reviewing payments, and collaborating with teams to analyze reimbursement trends.
The Auditing & Education Consultant evaluates coding assignments made by clients' coders, conducts audits, analyzes medical records for compliance, prepares reports, and delivers educational content based on audit findings. This role also requires maintaining confidentiality, adhering to ethical coding standards, and interacting professionally with clients.
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