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 the 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 - 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 - Maintains 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 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 - 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. 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 the 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. 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!). CorVel is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations as applicable.

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: Role Summary: The Medical Coding and Billing Specialist is responsible for writing and maintaining coding and billing rules in the practice management system. The position is also responsible for reviewing and importing daily charges in Radiology Authorization Specialist and daily claim filing. Excellent verbal and written communication skills required. The coding and billing works under the direct supervision of their respective team manager.   Responsibilities: - Review and verify patient insurance coverage and eligibility for proton therapy treatments.  - Verify all applicable charges for proton therapy, radiation therapy, and radiology services are entered timely and accurately into the practice management system for reimbursement.  - Generate and submit accurate and timely claims for proton therapy, radiation therapy, and radiology services to insurance payers.  - Monitor and track claims through the billing process to ensure timely payment and identification of payer roadblocks.  - Assist with investigation and resolution of any claim rejections, denials, or appeals related to proton therapy treatments.  - Review and interpret insurance policies and regulations related to proton therapy treatments to ensure compliance with billing requirements.  - Work collaboratively with the proton therapy center's medical and pre-authorization teams to ensure accurate and complete billing for proton therapy and radiation therapy treatments  - Maintain accurate and up-to-date records of billing activities in patient files and computer systems  - Ability to review and interpret radiation oncology medical records for accuracy as it relates to coding and billing.  Educate clinical team on appropriate documentation requirements.  - Assist team members with responses to patient and insurance company inquiries about billing for proton therapy treatments in a timely and professional manner  - Stay current with industry trends, changes to insurance policies, and other developments that may impact the billing process for proton therapy and radiation therapy treatments.  - Review and verify patient insurance coverage and eligibility for proton therapy treatments as needed.  - Reviews charges in “Approve Failed” status daily for accuracy and corrective action.  - Contacts the appropriate department to follow up on pending issues for insurance and referrals.  - Works Research ACE tasks in Unity daily.  - Reviews charges on “Hold” status daily for accuracy and corrective action.   - Creates new Ace rules/edits as needed to reduce claim denials and/or manual review.  - Maintains Ace rules to ensure data is current.  - Runs Ace edits daily and files paper and electronic claims to the appropriate payors.  - Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of medical oncology and effectively applies this knowledge.  - Communicates effectively with practice leadership regarding coding issues to help ensure coding compliance and minimize denials.  - Demonstrates outstanding work ethic and works cooperatively with all team members and management.   - Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.  Required Qualifications: EDUCATION & EXPERIENCE: - Bachelors degree preferred  - Minimum two years’ experience in charge entry/billing required.   - 1+ year(s) of Prior Authorization experience. - Extensive knowledge of CPT, HCPCS, and ICD-9 coding in addition to insurance billing guidelines required.   - Proficiency in Microsoft EXCEL spreadsheets and strong computer background.    - Medical insurance background required. - Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid PHYSICAL REQUIREMENTS: - Must be willing and able to lift up to 25 pounds. - Must be willing and able to travel to satellite clinics when necessary. Essential Competencies: - Attendance is an essential job function. - Ability to work effectively with all levels of management and other colleagues - Ability to demonstrate initiative and mature judgment. - Ability to demonstrate high degree of professionalism and adaptability. - Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems. - Ability to demonstrate strong customer service delivery skills. - Ability to utilize websites, portal and electronic options when available to increase efficiency - Ability to follow oral and written instructions. - Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data. - Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations. - Skilled at Multi-tasking, organizational skills and superb attention to detail. - Working knowledge of Hospice and other payer requirements. - Knowledge of clinic office procedures, medical practice and medical terminology. #LI-REMOTE

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: Role Summary: The Medical Coding and Billing Specialist is responsible for writing and maintaining coding and billing rules in the practice management system. The position is also responsible for reviewing and importing daily charges in Radiology Authorization Specialist and daily claim filing. Excellent verbal and written communication skills required. The coding and billing works under the direct supervision of their respective team manager.   Responsibilities: - Review and verify patient insurance coverage and eligibility for proton therapy treatments.  - Verify all applicable charges for proton therapy, radiation therapy, and radiology services are entered timely and accurately into the practice management system for reimbursement.  - Generate and submit accurate and timely claims for proton therapy, radiation therapy, and radiology services to insurance payers.  - Monitor and track claims through the billing process to ensure timely payment and identification of payer roadblocks.  - Assist with investigation and resolution of any claim rejections, denials, or appeals related to proton therapy treatments.  - Review and interpret insurance policies and regulations related to proton therapy treatments to ensure compliance with billing requirements.  - Work collaboratively with the proton therapy center's medical and pre-authorization teams to ensure accurate and complete billing for proton therapy and radiation therapy treatments  - Maintain accurate and up-to-date records of billing activities in patient files and computer systems  - Ability to review and interpret radiation oncology medical records for accuracy as it relates to coding and billing.  Educate clinical team on appropriate documentation requirements.  - Assist team members with responses to patient and insurance company inquiries about billing for proton therapy treatments in a timely and professional manner  - Stay current with industry trends, changes to insurance policies, and other developments that may impact the billing process for proton therapy and radiation therapy treatments.  - Review and verify patient insurance coverage and eligibility for proton therapy treatments as needed.  - Reviews charges in “Approve Failed” status daily for accuracy and corrective action.  - Contacts the appropriate department to follow up on pending issues for insurance and referrals.  - Works Research ACE tasks in Unity daily.  - Reviews charges on “Hold” status daily for accuracy and corrective action.   - Creates new Ace rules/edits as needed to reduce claim denials and/or manual review.  - Maintains Ace rules to ensure data is current.  - Runs Ace edits daily and files paper and electronic claims to the appropriate payors.  - Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of medical oncology and effectively applies this knowledge.  - Communicates effectively with practice leadership regarding coding issues to help ensure coding compliance and minimize denials.  - Demonstrates outstanding work ethic and works cooperatively with all team members and management.   - Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.  Required Qualifications: EDUCATION & EXPERIENCE: - Bachelors degree preferred  - Minimum two years’ experience in charge entry/billing required.   - 1+ year(s) of Prior Authorization experience. - Extensive knowledge of CPT, HCPCS, and ICD-9 coding in addition to insurance billing guidelines required.   - Proficiency in Microsoft EXCEL spreadsheets and strong computer background.    - Medical insurance background required. - Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid PHYSICAL REQUIREMENTS: - Must be willing and able to lift up to 25 pounds. - Must be willing and able to travel to satellite clinics when necessary. Essential Competencies: - Attendance is an essential job function. - Ability to work effectively with all levels of management and other colleagues - Ability to demonstrate initiative and mature judgment. - Ability to demonstrate high degree of professionalism and adaptability. - Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems. - Ability to demonstrate strong customer service delivery skills. - Ability to utilize websites, portal and electronic options when available to increase efficiency - Ability to follow oral and written instructions. - Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data. - Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations. - Skilled at Multi-tasking, organizational skills and superb attention to detail. - Working knowledge of Hospice and other payer requirements. - Knowledge of clinic office procedures, medical practice and medical terminology. #LI-REMOTE

Responsibilities Alan B. Miller Medical Center opening in Spring 2026! A neighborhood hospital with medical center excellence! The new state-of-the-art hospital will join UHS’ growing regional network of healthcare operations which includes Wellington Regional Medical Center, the ER at Westlake (an extension of Wellington Regional Medical Center), Wellington Physicians Urgent Care and other healthcare services and access points. The Alan B. Miller Medical Center will feature 150 private patient rooms, a medical office building and a helistop. Upon completion of the initial phase of the project, the hospital campus will include 365,000 square feet of hospital and medical office space. The new Medical Center will offer comprehensive medical services including Emergency Care, Orthopedics and Surgical Services, Oncology, Cardiovascular and Neurosurgical services. In addition, the campus will be home to medical office buildings that will provide outpatient services. Remote Coding Supervisor, Full Time Assumes responsibility and accountability for planning, organizing, and facilitates all technical coding and education functions of the health information management departments (WRMC, ABM) in accordance with established hospital policies and procedures, JCAHO standards, and all applicable state and federal regulations. Evaluates coding skills, trains, develops, and educates coders in ICD-10-CM, CPT-4, APC’s, emergency department evaluation and management coding, level ii coding guidelines, proper diagnosis and procedure code selection. Assistant in documentation guidelines and abstracting for reimbursement, insurance purposes, and statistical reports. The coding supervisor is responsible for the communication and enforcement of all compliance guidelines set forth by NCCI, while maintaining coding accuracy of at least 98%. In addition, the coding supervisor will review records to identify documentation deficiencies and create processes to facilitate the improvement of the hospital’s medical staff clinical documentation. Supervision of coding staff including distribution of workload and weekly monitoring of all staff’s productivity levels. Education of staff according to WRMC/ABM abstracting needs, including data capture of physician consultations, correct discharge dispositions, and present on admission indicators. Continual improvement and supervision of the medical staff query process. Tracking, evaluating, and analyzing significant changes in the case mix index (cmi) and reporting fluctuations to hospital administration. Serve as a liaison for communication and education between the hospital’s medical staff, case management, quality management, and the business office. Make business decisions in relation to departmental workflow in the absence of management as needed. Perform other duties related to him as assigned. To learn more visit Welcome - Alan B. Miller Medical Center | Palm Beach Gardens, FL Benefit Highlights - Challenging and rewarding work environment. - Competitive Compensation & Generous Paid Time Off. - Excellent Medical, Dental, Vision and Prescription Drug Plans. - 401(K) with company match and discounted stock plan. - SoFi Student Loan Refinancing Program. - Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website: benefits.uhsguest.com. Qualifications Remote Coding Supervisor Job Requirements: Education Requirements: High School Graduate/Equivalent with professional certification required. Technical School/2 Years College/Associate’s degree with professional Certification, RHIA, RHIT, CCS, CCA preferred. Experience: One year of Inpatient/Outpatient coding experience in an acute care facility is required utilizing an EMR system. Skills: Coding Management skills and experience. Medical Knowledge: Strong understanding of medical terminology, anatomy, and physiology. Attention to Detail: High level of accuracy to prevent improper billing. Software Proficiency: Experience with electronic health records (EHR) and coding software. Ability to maintain a high level of integrity and confidentiality of medical information. Proficiency in computer skills including typing and accuracy License / Certification: Active certification from AAPC (CPC) or AHIMA (RHIA, RHIT, CCS, CCS-P). Travel Requirements: yes, Palm Beach Market hospitals Role and Responsibilities Assumes responsibility and accountability for planning, organizing, and facilitates all technical coding and education functions of the health information management departments (WRMC, ABM) in accordance with established hospital policies and procedures, JCAHO standards, and all applicable state and federal regulations. Evaluates coding skills, trains, develops, and educates coders in ICD-10-CM, CPT-4, APC’s, emergency department evaluation and management coding, level ii coding guidelines, proper diagnosis and procedure code selection. Assistant in documentation guidelines and abstracting for reimbursement, insurance purposes, and statistical reports. The coding supervisor is responsible for the communication and enforcement of all compliance guidelines set forth by NCCI, while maintaining coding accuracy of at least 98%. In addition, the coding supervisor will review records to identify documentation deficiencies and create processes to facilitate the improvement of the hospital’s medical staff clinical documentation. Supervision of coding staff including distribution of workload and weekly monitoring of all staff’s productivity levels. Education of staff according to WRMC/ABM abstracting needs, including data capture of physician consultations, correct discharge dispositions, and present on admission indicators. Continual improvement and supervision of the medical staff query process. Tracking, evaluating, and analyzing significant changes in the case mix index (cmi) and reporting fluctuations to hospital administration. Serve as a liaison for communication and education between the hospital’s medical staff, case management, quality management, and the business office. Make business decisions in relation to departmental workflow in the absence of management as needed. Perform other duties related to him as assigned. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.