CorVel
Fort Worth, TX
TX - Fort Worth 5128 Apache Plume Rd Suite 400 Fort Worth, TX 76109, USA
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.
This is a remote position.
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
Read and comprehend all medical reports
Adhere to client and carrier guidelines and participate in claims review as needed
Assists other claims professionals with more complex or problematic claims as necessary
Maintain HIPAA compliance
Additional duties as assigned
Knowledge & Skills
Ability to learn rapidly to develop knowledge and understanding of claims...