CERiS

CERiS Fort Worth, TX, USA
CERIS Certified Coder I CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential Functions & Responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge & Skills: Ability to learn rapidly to develop knowledge and understanding of...

CERiS Fort Worth, TX, USA
A healthcare company is hiring a Clinical Review Auditor to perform DRG validation and coding reviews on medical records. This remote role requires a strong understanding of ICD-10 coding, communication skills, and clinical knowledge. Ideal candidates will possess a CCS or CIC certification along with auditing experience. The compensation range is $68,566 to $104,841, along with a comprehensive benefits package. #J-18808-Ljbffr