Profee 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. 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.

About the Role

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 a minimum of 1-4 specialties, including Professional Fee, Facility, or HCC coding. Professional Fee specialties may include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility chart types may include OT, PT, Urgent Care, ED, or a variety of other specialties.

Responsibilities

• Work from home independently in coding tasks.
• Provide various components of coding services to support clients.
• Calculate ProFee E/M levels using a company-created algorithm.
• Recognize critical care cases by patient acuity.
• Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
• Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.
• Interpret coding guidelines for accurate code assignment.
• Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
• Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct.
• Comply with all internal policies and procedures.
• Actively participate in company-provided training and education.
• Maintain at least one credential through either AAPC or AHIMA.
• Ensure individual compliance with all privacy and security rules and regulations.
• Maintain an ongoing productivity level and accuracy rate of 95% or higher.
• Maintain a quality score of 95% or higher.
• Communicate effectively and professionally both verbally and in writing.
• Coordinate, analyze, observe, make decisions, and meet deadlines.

Experience with the following specialties is a plus: Primary Care, Cardiology, Vascular Surgery, Ortho, General Surgery, Neurology, Oncology.

Requirements

• Certification through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
• Minimum of 2 years of on-the-job coding experience.
• Regular, predictable, and punctual attendance.
• Working knowledge and experience with systems such as EMR and Billing.
• Access to a phone, reliable internet connection, and current coding materials such as CPT and ICD-10-CM coding references.
• Proficiency in Microsoft programs like Excel and Outlook:
  • Excel: Ability to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
  • Outlook: Ability to manage emails and schedule and attend meetings.

Physical Demands

• Regular eye-hand coordination and manual dexterity to operate office equipment.
• Ability to perform work at a computer terminal for 6-8 hours a day.
• Function in an environment with constant interruptions.
• Occasional sitting for prolonged periods.
• Infrequent lifting and moving of material weighing up to 20 lbs.
• Elevated levels of stress during periods of increased activity and multiple deadlines.