PB & HB Coding Edits & Denials Specialist; AAPC or AHIMA Cert. Req.d

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.

Join one of Corro Health's most established and successful teams, supporting long-term client partnerships through coding excellence. We're seeking a certified Pro Fee coder who thrives in a remote, autonomous environment and who also has expertise in hospital outpatient/facility denials, coding compliance, and reimbursement optimization. This role combines hands‑on denial resolution, payer policy research, coding review, and revenue integrity support, making it ideal for an experienced coder who enjoys solving complex reimbursement challenges while maintaining exceptional quality and productivity standards.

This is a remote position.

Note:

The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

This is a remote position. Permanent work status (USC/Greencard) is required. Employees must reside within and work within the continental U.S. Candidates will be required to complete a proctored Profee Coding assessment as part of the application process.

• Team Member must be able to work from home and be independent in their coding skills.
• Provide various components of coding services to support our clients.
• Strong experience in Pro Fee and Hospital Outpatient (Facility) denials.
• Understanding of Remit & CARC codes.
• Review and resolve denials in EPIC.
• Research payer policies.
• Identify trending denial issues that can be escalated to management.
• Resolve Medical Necessity and CCI edits.
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.
• Apply ICD‑10‑CM diagnosis codes to the highest level of specificity available.
• Accurately apply diagnosis 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 and support the Company’s Ethics and Compliance Program.
• Comply with all internal policies and procedures.
• Actively participate in Company provided training and education.
• All Coders must maintain at least one credential through either AAPC or AHIMA.
• Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.

• All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS‑P).
• Must have at least a minimum of 6 months of on‑the‑job experience.
• Regular, predictable, and punctual attendance is required.
• Must have working knowledge and experience with systems such as EMR, Billing, etc.
• Must have a phone, reliable internet connection and current coding materials such as CPT and…