[Hiring] Certified Coder II @CERIS

Role 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. 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

Qualifications

• 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 (with surgical or office experience)
• Current or recent orthopedic billing/coding experience
• EncoderPro software experience
• E/M coding/down-coding experience
• Texas workers' compensation experience is preferred
• Pain Management/Anesthesia/General Surgery coding experience is preferred

Requirements

• Ability to learn rapidly to develop knowledge and understanding of claims practices
• Strong organizational skills
• Ability to meet or exceed performance competencies
• Effective and professional verbal and written communication skills
• Ability to handle demanding situations while using critical and strategic thinking skills
• 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, especially Excel and Outlook

Benefits

• Comprehensive benefits package for full-time regular employees
• Medical (HDHP) with 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 and ROTH 401K
• Paid time off

Pay Range

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.

Pay Range: $48,143 – $71,852

Company Description

CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).