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CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Certified Coder II
Location
United States
Posted
65 days ago
Salary
$48.1K - $71.9K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Certified Coder II
CorVel Career Site
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.
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Medical Coding and Billing Specialist
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Medical Coding and Billing Specialist
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Overview Care Hospice is looking for a self-motivated Medical Billing Specialist to join our Team. We offer the opportunity to take on new challenges and a culture of teamwork that sets us apart. The Medical Billing Specialist is an organized professional who is responsible for a variety of tasks including initiating payment processes, transferring patient and insurance information and appealing denied claims. The ideal candidate will be well-versed in billing software, medical insurance regulations, and proficient at responding to insurance inquiries. Hospice experience is preferred. This is a remote position working Mon-Fri 8a-5p Eastern Standard Time Zone. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. ** Who we are: At Care Hospice, we're not just a company; we're a team united by a common goal – providing exceptional hospice and palliative care to those in need. We take immense pride in being a mission-driven, patient-centered leader in end-of-life care. Guided by our vision to be the most trusted partner in hospice care, we surround our patients and their loved ones with unwavering support, comfort, and compassion. At Care Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch. We offer a supportive, growth-oriented environment along with a comprehensive benefits package that includes: - Comprehensive Health, Dental, & Vision Insurance - Company matching 401(k) to secure your future - A generous time-off package with 15 days of PTO & 10 Holidays to rest and recharge - Tuition Reimbursement & Certification Assistance to support your professional growth - Wellness & Discount Programs to help you lead a healthy and balanced life - Cell Phone, Mileage, & Gym Membership Reimbursement for your convenience Responsibilities - Execution of high-volume monthly client billing for Hospice provider (Medicare, Medicaid, and Commercial). - Responsible for working with multiple branch offices to ensure timeliness and accuracy of content is received and available for billing. - Prepare, Bill, and Correct Per Diem billing for multi-state agency to include all payers. - Recreate submission files for rejected claims. - Create Adjustment Claims when appropriate. - Monitor status of aging invoices and provide monthly explanation. - Assist with monthly reporting. Qualifications - A minimum of 2 years billing experience. Multi-state and/or location experience preferred. - Hospice billing experience with Medicare, Medicaid, and Commercial insurance a plus. - Knowledge of MatrixCare a plus! - Experience working with Waystar and Availity. - Proficient with Microsoft Office Suite. Intermediate to advanced Excel skills required. $21.00 - $26.00 per hour (Average Pay Range). The pay range listed represents a general guideline for the role and is not a guarantee of the final offer. Compensation will be determined based on the selected candidate’s relevant experience and the specific responsibilities of the position. Final compensation rate will be discussed and confirmed at the conclusion of the interview process. FLORIDA ONLY: This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse. Visit https://info.flclearinghouse.com for more information.
