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. JOB SUMMARY: Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. ESSENTIAL DUTIES AND RESPONSIBILITIES: 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. - 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. - Code outpatient same day surgical CPT procedures for multiple specialties ranging in the 10000-69999 range of codes and occasionally in 9XXXX range. - 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 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 MINIMUM QUALIFICATIONS & REQUIREMENTS: - 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 ICD-10-CM coding references. - Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher - Will be required to maintain a quality score of 95% or higher - Must be proficient in Microsoft programs like Excel and Outlook. Examples include: - Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying. - Outlooks you should be able to manage emails and schedule and attend meetings. - Ability to communicate effectively and professionally both verbally and written. - Ability to coordinate, analyze, observe, make decisions, and meet deadlines - May be required to perform other duties as assigned by Leadership Team Member. PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

OSITION SUMMARY: The Billing Coordinator is responsible for performing all billing functions for the agency, ensuring claims are submitted accurately and on time to all payers. This role is crucial for revenue cycle success and requires deep knowledge of complex home health and hospice billing rules. ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: - Prepare, review, and accurately submit institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and all commercial insurance carriers via electronic submission. - Post all insurance and patient payments, adjustments, and denials to the correct patient accounts in the EMR system, ensuring timely and accurate reconciliation. - Ensure the correct use of ICD-10 diagnosis codes and revenue codes on all claims to comply with payer requirements and minimize claim rejections. - Work closely with the Collections team (or perform initial follow-up) on accounts where payment has been delayed, short-paid, or denied, providing necessary documentation to facilitate recovery. - Conduct thorough pre-billing audits to verify patient eligibility, authorization validity, and documentation completeness before claim submission. - Communicate effectively with the accounting department regarding cash receipts, month-end closing procedures, and reporting on key billing metrics. - Stay current on all federal and state regulations, including the Patient-Driven Groupings Model (PDGM) for Home Health and the Hospice payment rates, ensuring claims reflect the latest changes. - Other appropriate services and special projects as assigned. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. QUALIFICATIONS & REQUIREMENTS FOR THE POSITION: - At least two (2) years of dedicated experience in medical billing and claims submission, with a strong preference for experience in home health or hospice billing. - Proven ability to submit and manage claims to Medicare, Medicaid, and commercial insurance. - Proficiency in navigating an Electronic Medical Record (EMR) and billing system and utilizing clearinghouses for electronic claim submission. Solid working knowledge of ICD-10, CPT, and revenue codes as they relate to home health and hospice services The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Role Description We are seeking a detail-oriented and experienced Medical Biller to support a fast-paced urgent care. This role is primarily focused on managing the full billing cycle, ensuring accurate claim processing, and optimizing revenue through efficient follow-up and resolution of billing issues. - Manage the full medical billing cycle, including charge entry, claims submission, payment posting, and denial management. - Review, identify, and resolve denied or rejected claims in a timely manner. - Perform insurance verification, eligibility checks, and prior authorizations. - Ensure accurate coding using CPT, ICD-10, and HCPCS standards specific to urgent care settings. - Review documentation for accuracy and completeness prior to claim submission. - Collaborate with internal teams to resolve billing discrepancies. Qualifications - Minimum of 2 years of medical billing experience in urgent care or high-volume outpatient settings. - Strong knowledge of CPT, ICD-10, and HCPCS coding. - Proven experience managing the full billing cycle. - Hands-on experience with Athena EHR. - Strong understanding of payer guidelines (Medicare, Medicaid, and commercial plans). - Excellent attention to detail and accuracy in coding and documentation. - Strong English communication skills. - Ability to handle high claim volumes in a fast-paced environment. Requirements - This is a full-time contractor position (40 hours per week). - Offering a pay rate of $7–$8 per hour, based on experience and qualifications. - The work schedule is 9 AM to 6 PM PST, Monday through Friday.

Triage and validate appeal criteria for clinical denials, compose technical denial arguments, and conduct outreach to payors to resolve outstanding claims while maintaining effective documentation standards throughout the process.