Title: Bill Repricer - Level I (Remote) Location: Remote, Remote, US Salary Range:$15.00 To $19.00 Hourly Job Description: Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. Position: Bill Repricer Level II Location: Remote FMLA: Non-Exempt, Full-Time Schedule: M-F 8am-4:30pm Job duties: - - Process and reprice auto medical claims through different system queues in “first in first out” order and making sure to keep up with client and regulatory SLAs - Maintain communication when needed, between yourself and your supervisor - Reach a daily average quota with the amount of claims/jobs you process - Manually key medical bills from a HCFA, UB, NF-3 or Non-standard billing form - Correct, verify and insert new provider information from bills that are in the processing phase - Associate and claim match medical bills and additional documents from providers to their correct claim files located in MyMedlogix. These documents may come in large packets/files from providers that could contain multiple patients and documents and will need to be split up manually - Other job duties as assigned Qualification: - Excellent written and verbal communication skills - Must be process and task oriented - Computer savvy and previous experience using Microsoft Office Products Preferred: 1+ years medical coding experience - CPT, ICD EEOC STATEMENT: Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.

Schedule: Monday–Friday, 9:00 AM–5:00 PM Quallent Responsibilities - Backup to Supervisor when out - Must be flexible on scheduled shift and able to work OT when necessary - Manage all Quallent functions after 2:00 PM and during periods when the Supervisor is not available. - Ensure adherence to FEFO requirements - Investigate and resolve overages, shortages, and discrepancies - Oversee inbound and outbound shipments - Verify inventory statuses for accuracy and compliance Inventory Responsibilities - Provide overall inventory oversight and support daily operational continuity. - Develop and maintain monthly inventory calendars - Ensure all inventory zones are counted each month in accordance with established processes. - Manage Clean Harbors materials as required - Reconcile/research variances found during cycles and/or customer inquiries - Cell stock Replenishments - Controlled Substance Delivery notifications - Receiving Double Checks - Manage daily workflow and team members - Leads department when leader is away - Assist with audits when requested. Mainly research and pulling supporting documentation - Back up for all adjustments - Establish Cycle Count rotation each month - Performs related duties as required - Assist leader with employee 1 on 1 metrics Qualifications: High School diploma, GED or equivalent work experience. 2 – 3 years of experience; Inventory related job functions. Intermediate computer skills including Microsoft office: word, outlook, excel. Knowledge of AS400/TPS preferred. Must be detail oriented and pay close attention to accuracy. Ability to understand mathematical conversions. Ability to effectively establish rapport, present information and respond to questions related to inventory. Excellent verbal and written communication skills. Ability to quickly resolve problems and develop favorable solutions. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 20 - 30 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Title: Coding Auditor Hospital Inpatient Location: Home United States Scheduled Weekly Hours : 40 Shift : Day Schedule : Regular Full time Work From Home : Yes Job Description: Work From Home Work From Home Work From Home, Indiana 46544 The Inpatient Hospital Coding Auditor conducts coding audits specific to ICD10CM and PCS; As well as validating the accuracy of the MS DRG or APR DRG assignment to ensure compliance with reimbursement methodologies, quality standards, and official coding guidelines. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT - Review, research, and respond to coding inquiries from other Franciscan departments. - Integrate current industry changes into a clinical audit practice setting. - Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines. - Assist Coding Supervisor with reviewing and responding to external coding audits. - Perform quality reviews to ensure compliance with payer reimbursement methodologies and official coding guidelines. - Provide audit results and trends to the Coding Education Specialists for education development and training. - Summarize quality review results for Coding Managers, Supervisors, Coding Education Specialists, and coding staff. QUALIFICATIONS - Associate's Degree, Health Information Management or related field - Required - High School Diploma/GED With 5 years of Franciscan coding experience in lieu of degree - Required - 5 years Coding Experience relevant to auditing specialty with RHIT/RHIA - Required - 5 years Franciscan coding experience relevant to the auditing specialty with CCS - Required - 2 years Coding Support role with RHIT/RHIA - Preferred - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Preferred - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Preferred - Ability to work collaboratively within a team environment and provide support coverage or assistance when needed - Required TRAVEL IS REQUIRED: Never or Rarely JOB RANGE: Coding Auditor - Hospital Inpatient $51001.60-$75868.00

Role Description The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the type of review. This involves completing medical record reviews, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. This role will utilize their experience with ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures. The ideal DRG Clinical Auditor candidate has strong written and verbal communication skills, clinical knowledge of disease processes, and knowledge of medical necessity rules. - The Clinical Auditor will review medical records to determine accuracy of billing through verification of coding and review of supporting clinical documentation. - Conduct audits to ensure accurate reimbursement and identifying potential savings. - Demonstrated knowledge of ICD-10-CM codes, PCS and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid. - Understand and comply with all internal and external policies. - Working knowledge of HIPAA Privacy and Security Rules. - Assist Quality Control team and medical director with appeals, rebuttals, etc. - Notify leadership of any issues or concerns in a timely manner. - Additional duties as assigned. Qualifications - Proficient understanding of Medicare, CMS guidelines and ICD-10 coding guidelines. - Effective and professional communication skills, both verbal and written. - Ability to work independently and in a team environment. - High attention to detail. - Must possess critical thinking skills. - Ability to multi-task and assist with team coverage and provide support when needed. - Ability to build relationships both internally and externally. - Ability to work in a fast-paced environment. - Demonstrated proficiency in basic computer skills and typing. - Proficiency with Microsoft Office. Requirements - LVN or RN license in the state of employment preferred. - CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10 PCS. - Experience in the OR, ICU, or ER as an RN highly preferred. 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 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: $70,143 – $107,253 Benefits 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 - Paid time off 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.