CERiS

CERIS is seeking a Certified Coder to work remotely, responsible for reverse coding of medical bills for accuracy and making claim-related recommendations. Key qualifications include AAPC certification, experience in orthopedic coding, and proficiency in Microsoft Office. This role requires strong communication skills and the ability to work independently as well as in a team. A comprehensive benefits package accompanies a pay range of $48,143 - $71,852. The company promotes diversity as an equal opportunity employer. #J-18808-Ljbffr

Job Description The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. Job is remote. 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 and communicates claim status to 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 necessaryMaintains HIPAA compliance Additional duties as assigned Knowledge & Skills Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed performance...