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CERIS Certified Coder I

CERIS Certified Coder I

CorVelFort Worth, TX, US
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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 and 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 and skills :

  • Ability to learn rapidly to develop knowledge and understanding of claims practice
  • Strong organizational skills
  • Ability to meet or exceed performance competencies
  • Effective and professional communication skills
  • Ability to handle stressful situations, and use critical and strategic thinking
  • Demonstrated outstanding leadership, problem solving, and analytical skills
  • Ability to think and work independently, while working in an overall team environment
  • Proficient in Microsoft Office Suite, especially Excel and Outlook

    • Education and experience :

  • High school diploma, or equivalent
  • Current AAPC certification (which must be maintained throughout employment as current and active status)
  • Certification as CPC with the AAPC for more than 2 years (w / surgical or office experience)
  • Current or recent orthopedic billing / coding experience
  • E / M coding / down-coding experience
  • EncoderPro software experience
  • Texas workers compensation experience is preferred
  • Pain Management / Anesthesia / General Surgery coding experience is preferred

    • Pay range : $42,899 $64,162

    CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors : federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

    For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

    A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w / Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

    CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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    Certified Coder • Fort Worth, TX, US