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CERIS Certified Coder III jobs in United States
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CorVel Corporation · 1 day ago

CERIS Certified Coder III

CorVel Corporation is a certified Great Place to Work® Company that is seeking a Certified Coder for their CERIS division. The role involves reversing coded medical bills to determine coding accuracy and processing claims based on state rules and regulations.
SoftwareProperty & Casualty InsuranceInsurance

Responsibilities

Receives claim and processes based on state rules and regulations
Determine validity and compensability of the claim using CorVel proprietary programs
Make recommendations to referring office
Communicate claim status with 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
Additional duties/responsibilities as assigned
Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance

Qualification

AAPC certificationCPC certificationOrthopedic billing/codingE/M codingEncoderPro softwareTexas workers compensationMicrosoft Office SuiteOrganizational skillsCommunication skillsProblem solving skillsLeadership skills

Required

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

Preferred

Texas workers compensation experience
Pain Management/Anesthesia/General Surgery coding experience

Benefits

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
Paid time off

Company

CorVel Corporation

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CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.

Funding

Current Stage
Public Company
Total Funding
unknown
1991-07-05IPO

Leadership Team

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Jeff Gurtcheff
Chief Claims Officer
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Maxim Shishin
CIO
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Company data provided by crunchbase