CorVel
Fort Worth, TX
CERIS Certified CoderThe 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 regulationsDetermines validity and compensability of the claim using CorVel proprietary programsMakes recommendations and communicates claim status to referring officeRead and comprehend all medical reportsAdhere to client and carrier guidelines and participate in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryMaintain HIPAA complianceAdditional duties as assignedKnowledge & Skills:Ability to learn rapidly to develop knowledge and understanding of claims practicesStrong organizational skillsAbility to meet or exceed performance...