Teams at CorroHealth

Review and audit outpatient and professional fee hospital claims using proprietary PARA Data Editor. Identify coding, billing, and charge issues; apply CMS/payer rules, ICD-10-CM, CPT/HCPCS, NCCI/MUE edits; prepare reports, client education materials, and present findings. Support revenue cycle consulting team and maintain coding certifications and current knowledge.

Configure and manage Epic charge capture and billing modules, document and improve charge-capture workflows, build Epic order sets and preference cards, train staff, collaborate with coding and revenue integrity teams, ensure CDM and compliance, advise on Medicare/Medicaid reimbursement, lead client meetings, produce written guidance, and travel quarterly to client sites.

Remote role resolving outstanding insurance balances for hospital and physician accounts. Perform account research in client systems (including Prism), prepare appeals, follow client and federal guidelines, meet cash and quality targets, document actions, and maintain compliance with HIPAA, FDCPA, and related regulations.