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Position Summary: The Reimbursement Specialist (Skilled Reimbursement/Hospice) will be responsible for billing and revenue cycle management thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions. Schedule: Monday-Friday 8am to 5pm Central Standard Time (Remote) We offer our team the best << • Medical, Dental and Vision Benefits, • Continued Education, • PTO Plan, • Retirement Planning, • Life Insurance, • Accurately interprets patient insurance, prescription and other health-related documentation, • Conducts medical insurance verifications and investigations for commercial and government payors, • Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution, • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment., • Reviews all claims for compliance and completeness for claims submissions., • Researches available alternative funding options to reduce patient’s financial burden, • Handles high call volumes, • Communicates with internal and external departments to facilitate coordination of care, • Maintains a high degree of confidentiality at all times due to access to sensitive information, • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department, • Follows all Medicare, Medicaid, and HIPAA regulations and requirements, • Abides by all regulations, policies, procedures and standards, • High school diploma or equivalent is required; Undergraduate degree is preferred, • 5 years of healthcare collections/billing experience preferred, • Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial, • Ability to read and interpret EOBs, remittances, and denial codes, • Effective payer follow-up and escalation strategies, • Ability to resolve claim holds, rejections, and denial, • Ability to identify trends in denials or delay, • Root-cause analysis to prevent recurring issues, • High attention to detail to ensure clean claims, • Ability to work AR reports and aging summaries accurately, • Clear, professional communication with internal teams and payer reps, • Ability to explain payer issues in plain, understandable language, • Possess quick and accurate Alpha/numeric data entry skills, • Computer proficiency – MS Office and Web-enabled applications strongly preferred, • Customer service skills required., • Maintains positive internal and external customer service relationships, • Plans and organizes work effectively and ensures its completion, • Meets all productivity requirements, • Demonstrates team behavior and promotes a team-oriented environment, • Actively participates in Continuous Quality Improvement, • Represents the organization professionally at all times, • Self-starter with exceptional organizational and follow-through skills #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: .

This role requires high accuracy, productivity, and the ability to work independently in a remote environment. Location: Remote (CST) – Must reside in Texas. Collaborate with billing, compliance, and revenue cycle teams to resolve coding-related denials and discrepancies.

Job Description Job Title: Inpatient Coding Integrity Specialist III (CIS III) Location: Remote / Work From Home (U.S. – Richmond, VA Area Preferred) Schedule: Full-Time Compensation & Performance Metrics • Hourly Rate: $24.61 – $34.00 (Based on experience), • Productivity Standard: 1.8 charts per hour This is a fully remote, high-impact position suited for experienced coding professionals who excel at analyzing complex inpatient medical records and applying advanced coding methodologies. Key Responsibilities • Advanced Coding: Review complex inpatient medical records to accurately assign and sequence ICD-10-CM and ICD-10-PCS codes, • DRG Validation: Validate coding and DRG assignments in accordance with official guidelines and POA (Present on Admission) criteria, • Data Abstraction: Capture critical data elements such as physician details, discharge disposition, and query tracking, • Audit & Compliance: Resolve coding edits, investigate discrepancies, and support audit activities as needed, • Remote Productivity: Maintain high levels of accuracy and efficiency in a fully remote work environmentRequired Qualifications, • Experience: 3–5 years of recent acute care inpatient (DRG) coding experience required, • Note: Experience limited to LTAC, physician billing, or insurance coding will not be considered, • Certifications: RHIA, RHIT, or CCS (required), • Education: Associate’s or Bachelor’s degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred, • Technical Expertise:, • ICD-10-CM & ICD-10-PCS, • DRG assignment and validation, • POA (Present on Admission) guidelines For more details contact at or Call / Text at 516-862-1169. About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Job Description CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote role. ESSENTIAL FUNCTIONS & 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 KNOWLEDGE & SKILLS: • Ability to learn rapidly to develop knowledge and understanding of claims practice, • Strong organizational skills, • Ability to meet or exceed performance competencies, • Effective and professional communication skills, • Ability to handle stressful situations, and use critical and strategic thinking, • 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 Suite, especially Excel and Outlook EDUCTION & EXPERIENCE: • 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, • Texas workers compensation experience is preferred, • Pain Management/Anesthesia/General Surgery coding experience is 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: $42,899 – $64,162 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Itemization Review Team Lead provides support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Maintains Q&A support for the IBR Team, • Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs, • Collects supporting data and analyzes information to make decisions regarding accuracy of billing, • Appropriately documents work and final conclusions in designated computer program, • Meets department's expectations and standards, • Additional duties as assigned KNOWLEDGE & SKILLS: • Understanding of Itemization Review for designated clients, • Understanding of CERIS systems and Data Base informatics, • Understanding of HIPAA regulations, • Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly, • Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment, • Strategic problem solving, analytical, and critical thinking skills, • Effective written and verbal communication skills, • Ability to work independently and within a team environment, • Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams EDUCATION & EXPERIENCE: • Must maintain current licensure as a Registered Nurse in the state of employment, • Must have a minimum of 5 years’ experience in Itemization Review, • Associate Degree in Nursing or higher, • Experience in medical bill auditing preferred but not mandatory 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: $65,436 – $98,982 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description CERIS is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding and clinically supported as defined by review methodologies specific to the type of review. This involves completing medical records review, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. Experience using ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures. The ideal DRG Clinical Auditor candidate will have strong oral and written communication skills, clinical knowledge of disease process, and knowledge of medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • The Clinical Auditor will review medical records to determine accuracy of billing through verification of coding and supporting clinical documentation., • Conducting 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., • The ability to work independently with minimal supervision and demonstrate initiative., • Able to communicate clearly and accurately., • Clearly understands and complies with all internal and external policies., • Working knowledge of HIPAA Privacy and Security Rules., • Ability to multi-task and assist with team coverage and provide support when needed., • Ability to build relationships both internally and externally., • Assists Quality Control team and medical director with Appeals, Rebuttals, etc., • Demonstrated proficiency in basic computer skills and typing, i.e., Microsoft Windows, Outlook, Word, PowerPoint, Internet Explorer, etc., • Notify manager/leadership of any issues or concerns in a timely manner., • Additional duties as assigned by leadership. KNOWLEDGE & SKILLS: • Extreme attention to detail., • Must possess critical thinking skills., • Effective and professional communication skills, both verbal and written., • Ability to think and work independently, while working in an overall team environment., • Ability to work in a fast-paced environment., • Proficient in Microsoft Office Suite. EDUCATION & EXPERIENCE: • Associate degree in nursing or higher required., • Must maintain current licensure as a registered nurse in the state of employment., • CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10 PCS., • Proficient in Medicare, CMS guidelines and ICD-10 coding guidelines., • 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: $68,566 – $104,841 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The hospital bill audit nurse supervisor will maintain a positive team building approach with emphasis on overseeing the day to day functions of hospital bill audit nurses, reporting, leadership and professional communication with all CERiS departments. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver timely and accurate hospital bill audits, • Ensure accuracy of audits through acquired knowledge of client policies, provider contract information, and other standard guidelines, • Assist in the development and support of auditors to meet and exceed productivity requirements based on CERiS productivity standards, • Act as a point of contact to answer and resolve auditor issues with the goal of providing excellent customer service and relationship management, • Perform audits as necessary, • Keep manager informed of any issues that arise with audits or staff and escalate issues that cannot be resolved, • Research and respond to staff questions and concerns in a timely, professional manner, • Prepare and distribute reporting materials and team training presentations as directed by the manager, • Responsible for team training protocols as directed by the manager, • Knowledge of and understanding of all departmental policies and procedures as they relate to hospital bill audit, • Maintain teams with minimum assistance from manager, • Excellent interpersonal skills to maintain positive team culture and communicate with all CERiS clients both internal and external, • May be required to travel overnight and attend meetings or training of various for Hospital Bill Audit review. Must be willing to travel to provider facilities for onsite audits as needed, • Additional duties/responsibilities as assigned by manager and as needed to meet business needs KNOWLEDGE & SKILLS: • Knowledge and understanding of acute hospital billing requirements including UB-04’s, itemized bills, revenue codes, CPT/HCPCS codes, ICD10 diagnosis and procedure codes, • Knowledge and understanding of CMS, payor, and other industry guidelines required, • Ability to write and speak clearly, easily communicating complex ideas across multiple platforms, • Ability to think critically and work independently to meet deadlines and complete priorities, • Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc., • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets, • Exceptional organizational skills EDUCATION & EXPERIENCE: • Associate Degree in Nursing or higher required. BSN preferred, • Must maintain current licensure as a Registered Nurse in the state of employment, • Experience in hospital bill audit required, • Minimum of 5 years’ 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: $76,207 – $117,662 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERiS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description Job Title: Inpatient Coding Integrity Specialist III (CIS III) Location: Remote / Work From Home (U.S. – Richmond, VA Area Preferred) Schedule: Full-Time Compensation & Performance Metrics • Hourly Rate: $24.61 – $34.00 (Based on experience), • Productivity Standard: 1.8 charts per hour This is a fully remote, high-impact position suited for experienced coding professionals who excel at analyzing complex inpatient medical records and applying advanced coding methodologies. Key Responsibilities • Advanced Coding: Review complex inpatient medical records to accurately assign and sequence ICD-10-CM and ICD-10-PCS codes, • DRG Validation: Validate coding and DRG assignments in accordance with official guidelines and POA (Present on Admission) criteria, • Data Abstraction: Capture critical data elements such as physician details, discharge disposition, and query tracking, • Audit & Compliance: Resolve coding edits, investigate discrepancies, and support audit activities as needed, • Remote Productivity: Maintain high levels of accuracy and efficiency in a fully remote work environmentRequired Qualifications, • Experience: 3–5 years of recent acute care inpatient (DRG) coding experience required, • Note: Experience limited to LTAC, physician billing, or insurance coding will not be considered, • Certifications: RHIA, RHIT, or CCS (required), • Education: Associate’s or Bachelor’s degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred, • Technical Expertise:, • ICD-10-CM & ICD-10-PCS, • DRG assignment and validation, • POA (Present on Admission) guidelines For more details contact at or Call / Text at 516-862-1169. About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Job Description At Palm Primary Care (PPC) our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With more than 24,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve. Every day, we deliver on our promise to bring value based, quality healthcare to our patients. Overview PPC is looking for a CDI/Certified Professional Coder who will demonstrate deep knowledge in Medical Risk Adjustment, HEDIS, CNS Coding guidelines, billing standards and regulations. A teamwork person who will deliver a high standard of quality of work to drive improved business performance. Duties and Responsibilities • Conduct workflows in Coding and Quality processes, medical record completion and department projects for accuracy in medical record documentation as needed., • Ensures proper code selection for compliance with ICD-10-CM Official Guidelines for Coding and Reporting., • Educates physicians on proper documentation and compliance standards., • Reviews medical record to include consultations (inpatient and outpatient) and hospital discharge summaries to ensure continuity of care and continued coding for accurate risk adjustment., • Performs pre-post audits to ensure medical record completeness, consistency, and compliance., • Works collaboratively with medical and supporting staff to follow-up on documentation needs to support the diagnosis and quality measures based on patient age and chronic conditions., • Uses only pre-approved source documents as validation for recommendations on documentation that meets the technical specifications in support of a measure., • Develops and maintains professional skills and knowledge through training programs including education sessions for ICD-10-CM and CPT codes., • Demonstrates a thorough understanding of Coding Guidelines., • Demonstrates understanding of company policies which impact Coding functions and takes ownership for compliance for own area of responsibility., • Collaborates with Supervisor as necessary to clarify and verify information. Reports opportunities identified in concurrent and retrospective clinical documentation to support quality, regulatory compliance, and effective coding., • Participates in department meetings. Consistently demonstrates awareness and willingness to fulfill Service Excellence Commitments., • Works collaboratively with team members, other departments, and clinical staff consistent with the Mission and Vision of the company., • Willingly performs similar or related tasks as assigned., • Assists in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary., • Reports any issues to Quality, Compliance and Operations as necessary., • Accurately enters all identified and validated procedures codes in claims into the practice’s EMR., • Assists in all RAPS submission projects as they occur if needed., • Certified Professional Coder (CPC) through AAPC or AHIMA., • 2 years of experience as Certified Professional Coder at minimum., • Proficient in assigning ICD-10-CM codes according to provider documentation level to comply with federal regulations and insurance requirements., • Computer skills, Word, Excel, HER., • Ability to travel to medical centers if needed and/or work remotely., • Excellent verbal and written communication skills., • Excellent customer service skills., • Excellent organizational skills and attention to detail., • Ability to effectively present information in one-on-one situations to providers, office staff, insurance companies, and other employees., • To perform this job successfully, an individual must have knowledge of Microsoft Word, Excel, Internet software, Email software, and insurance web sites., • Strong sense of business ethics., • Prolonged periods of sitting at a desk and working on a computer., • While performing the duties of this job the employee is regularly required to sit, use hands and arms, talk and hear., • Health insurance, • Dental Insurance, • Vision insurance, • Life insurance, • 401(k), • 8 hour shift, • Day shift Palm Primary Care is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Primary Care makes hiring decisions based solely on qualifications, merit, and business needs at the time. Powered by JazzHR Vm1Iqy531h

Job Description The Revenue Cycle Specialist is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure the accuracy and appropriateness of reimbursement made to healthcare providers. Responsibilities include identifying payment variances and working internally and externally to resolve such issues. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Analyze and adjust/reprice claims to ensure accurate reimbursement rates in accordance with contractual agreements and payer guidelines, • Establishing and maintaining accurate pricing structures and rules to ensure competitive and profitable pricing strategies across various claims, • with precision Identifies errors in reconciliation files across multiple work streams and business units for multiple sites and with external partners., • Performs contract and reimbursement variance analysis., • Analyzes claims data to identify contractual overpayments and billing errors., • Assists department and leadership in obtaining complex information from various financial, clinical and operational systems and data sources., • Learns or remains current on billing protocols and regulations, federal and state regulations, and internal procedures that affect processing., • Provides subject matter expertise on billing and coding guidelines and regulations as required by the department., • Uses internal and external billing protocols and regulations for repricing bills at a cost savings to the customer., • Identifies trending opportunities related to policies and procedures to ensure efficiency and accuracy in bill processing., • Establishes and maintains detailed knowledge and documentation of all analysis/data sources within the department., • Analyzes all forms of Revenue Cycle transactions., • Possesses the ability to run standard Revenue Cycle and operations reports to answer questions from department/practice managers, vendors, physicians, and other Revenue Cycle stakeholders., • Produces daily, monthly and annual evaluative and statistical reports, analyzing drivers of variances from period to period to ensure the integrity and accuracy of revenue cycle data., • Evaluates integrity of client data including actively participating with and supporting the Product and Account Management teams with trend analysis of payment and data variances., • Ensure strict confidentiality of all medical records, PHI, and PII., • Additional duties as assigned. KNOWLEDGE & SKILLS: • Ability to work independently and use critical thinking., • Detailed knowledge of pay reimbursement methodology for, • Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable), • Strong understanding of healthcare revenue cycle and claims reimbursement, • MS Office includes Word, PowerPoint, Excel and Outlook, Windows operating system and Internet., • Strong analytical and problem-solving skills., • Strong attention to detail and ability to deliver results in a fast paced and dynamic environment. EDUCATION/EXPERIENCE: • Claims repricing, pricing configuration, or provider maintenance experience required, • 3+ years of relevant experience or equivalent combination of educations and work experience, • High School Diploma or equivalent required, • Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable 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: $19.21 - $28.73 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description Location: Position requires travel so the candidate can be located anywhere within the US. Why CCI? CCI Systems, Inc. is an Employee-Owned solution provider specializing in telecommunications, comprehensive network assessments, industry-leading engineering, drafting and design services, and 24/7 support services. Come join our team of engineers and experts that guide our customers toward the right choices to future-proof their network for years to come. Our outstanding team-based work culture and environment has allowed us to grow, develop, and retain long-term employees. We value our employees’ hard work and determination and REWARD results all while having fun! Our mission is to make life better by connecting people through innovative communication systems. We are seeking a Field Engineer to provide technical expertise pertaining to customer network upgrades, services, field management and project administration with a full understanding of HFC distribution systems. Responsibilities • Assess Outside Plant (OSP) and Inside Plant (ISP) hardware and infrastructure including but not limited to plant documentation, Hybrid Fiber Coax, (HFC) active and passives, reading and understanding OSP diagrams/drawings, taking and maintaining accurate field notes, operation of a bucket truck, accessing network enclosures and nodes and operation of testing gear., • Correct customer network failures and improve overall network performance using sweep gear and CATV test equipment., • Diagnose and repair plant related issues to reduce upstream noise and forward path impairments within the cable system with the use of standard OSP tools to include OTDR's, TDR’s, light meters, and signal strength meters., • Conduct targeted system sweeps, document findings, and deliver system information to create system reports., • Perform head end and meter set up., • Perform DOCSIS 3.1 testing and assessments., • Calculate system signal losses and make necessary adjustments to resolve issues., • Reduce and diagnose upstream noise within the cable system., • Install/align/optimize HFC equipment including fiber optic nodes and related equipment., • Install in-line devices on system backbone (node, amplifiers, line extenders, taps, splitters, and power supplies) as necessary for sweep and system upgrade projects., • Work with customers, subcontractors, and other team members in the field to define, collect, and determine information from customers and customer facilities for project requirements., • Implement and oversee a team of technically sound, customer-minded, and quality focused technicians and subcontractors tasked with delivery of best-in-the-world services to CCI Systems, Inc. customers., • Assign daily workload to in-house technical staffing and subcontract labor to enable TFS to fulfill contract obligations with customers., • Work with project managers to ensure daily field operations, staffing, quality control and deliverables are driving necessary profitability goals per project., • Approve weekly project documentation; this includes subcontractor production reporting, in-house employee production reporting, technical documentation, and other necessary documentation., • Meet with customers at local level to discuss any project related issues., • Understanding the project SOW and escalation process for deviations., • Report accurate daily project updates for productivity tracking and project billing., • Define, develop, and share technical knowledge and stay current on technical advancements., • Ensure the proper development and training of new employees to assigned project., • 5-7 years’ experience as a Coax Splicer., • 5-7 years’ experience in a HFC Sweep/Technician role within the Service Provider space., • Consulting background and experience working with multiple customers preferred., • Sweep certification preferred., • DOT Certification & Bucket Truck and Safety Certifications preferred., • Test equipment will include but not limited to the following: VIAVI SCU 1800 Sweep Generator, VIAVI OneExpert ONX-630, VIAVI DSP TDR, OTDR, VOM, and Light Meter., • Full understanding of Viavi/JDSU gear regarding sweep; includes head end and meter set up., • DOCSIS testing experience., • Full understanding of an HFC head end; combining, optics (forward and return), and basic understanding of CMTS, FTTX, and ISP., • In-Depth understanding of OSP (outside plant) and proficient in troubleshooting., • Test result evaluation and reporting., • Able to work independently on projects and take direction from teammates and develop skills to advance professionally., • Strong verbal and written communication skills., • Ability to take direction and work within timelines., • Demonstrates leadership skills to positively influence others, mentor, and collaborate with teammates, communicate on the level of others, listen, and understand people in circumstances common in the workplace. Additional information • Approximately 75% nationwide travel is required, typically 14 days on-site, travel days, and 5 days off at home., • Must have a valid driver’s license and a good driving record., • Must be able to pass a DOT Medical Examination to obtain and maintain a DOT Commercial Motor Vehicle Certification., • This is a remote position when not traveling. #LI-DNI

Job 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. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • 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 KNOWLEDGE & SKILLS: • 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 EDUCATION & EXPERIENCE: • 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: $63,739 – $95,264 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job 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 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 KNOWLEDGE & SKILLS: • 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 EDUCTION & EXPERIENCE: • 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, • EncoderPro software experience, • E/M coding/down-coding experience, • Texas workers' compensation experience is preferred, • Pain Management/Anesthesia/General Surgery coding experience is 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: $51,738 – $77,363 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is utilized to address the provision of medical care and to identify inappropriate billing practices and errors inclusive of, but not limited to; duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager, • Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans, • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) and other requirements as outlined in the Employee Handbook, • Must be able to communicate concisely and effectively in writing and verbally, • Must have the ability to interface with the claims adjusters, attorneys, physicians and their representatives, and advisors/clients, and co-workers, • Must have the ability to effectively promote all Professional Review products with attorneys, claims examiners, customers and management, • Must also have a strong ability to negotiate provider fees effectively, • Must be computer literate, • Knowledge of worker's compensation claims preferred EDUCATION & EXPERIENCE: • Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical experience, • A minimum of an Associate Degree in Nursing as well as have a thorough knowledge of both C.P.T. and I.C.D.10 codes is preferred, • Medical bill auditing experience preferred, • Experience in the clinical areas of O.R., I.C.U., C.C.U., E.R., and orthopedics preferred, • Prospective, concurrent and retrospective utilization review experience 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: $47,061 – $70,236 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Assist with resolution of OCE, medical necessity, discharge status, missing procedure charges, and other billing issues in coordination with the Central Business Office (CBO), medical staff, and other hospital departments. The role also involves resolving billing issues and expediting the billing pr

Job Description CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. 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. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Review medical records to determine accuracy of billing through verification of coding and review of supporting clinical documentation, • Check for physician's notes supporting the DRGs assigned, • Conduct audits to ensure accurate reimbursement and identifying potential savings, • Review previously conducted audits to ensure accurate coding and identifying potential savings, • Review all opportunities sent to the customers for complete and correct information, • 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 KNOWLEDGE & SKILLS: • Expert knowledge of application of current Official Coding Guidelines and Coding Clinic citations, • Solid knowledge and understanding of clinical criteria documentation requirements used to successfully substantiate code assignments, • 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, • Proficient in both MS and APR DRG methodology preferred EDUCATION & EXPERIENCE: • LVN or RN license in the state of employment preferred, • Experience in the OR, ICU, or ER as an RN highly preferred, • Required minimum of 2 year of recent DRG Quality Auditing experience in a hospital setting, or health plan. National Coding Certification required through either AHIMA (preferred) or AAPC, • Extensive hands-on ICD-10 CM / PCS experience required 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: $68,566 – $104,841 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify that services were provided and charges are appropriate based on medical documentation and industry guidelines. The types of audits performed could include, but are not limited to inpatient, outpatient, NICU, and hospice. Charge audits identify overcharges, undercharges, and unbundled items per payor contract and industry standards. This role is responsible for independent scheduling requiring flexibility and travel to provider location. This is a remote position with travel required. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Acknowledge assigned work, maintain timely communication with Audit Coordinator, schedule and complete audits in an efficient and timely manner, • Travel onsite as needed to perform audits, • Review medical records to verify services were provided and charges are accurate – identify overcharges/undercharges, unbundled items, errors, duplicates, routine services, and equipment/supplies, • Identify discrepancies if they exist and document the findings using standard documentation guidelines applicable to the position, • Understand audit and data information to make decisions with accurate results, • Document all unsupported charges identified during an audit, • Report any problems in the auditing process to the manager and/or supervisor for resolution, • Comply with all HIPAA and other regulations regarding the confidentiality of patient information, • Comply with all provider and internal policies and guidelines, • Must represent CorVel/CERIS in a professional and knowledgeable manner, • Additional duties as assigned KNOWLEDGE & SKILLS: • Knowledge and understanding of hospital billing/charging including UB-04’s, itemized bills, revenue codes, CPT/HCPCS codes, ICD10 diagnosis and procedure codes, • Strong working knowledge of CMS, payor, and other industry guidelines preferred, • Excellent written and verbal communication skills necessary to interact positively with both external and internal customers, • Computer skills necessary to manage correspondence, information entry and retrieval from system, and the ability to create and participate in virtual meetings, • Reasonable proficiency in Microsoft Office applications including Excel, • Exceptional attention to detail, • Must have advanced organizational, strategic, and critical thinking skills, • Ability to handle stressful situations and adapt accordingly, • Ability to work in a fast-paced environment, • Ability to work independently EDUCATION & EXPERIENCE: • Associate Degree in Nursing or higher required, • Must maintain current licensure as a Registered Nurse in the state of employment, • Previous external or internal medical bill audit experience highly preferred, • Minimum of 5 years’ experience in the OR, ICU, or ER as an RN highly preferred, • Hospice experience a plus 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: $62,306 – $93,123 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS 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!). 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, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

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We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies. Most research studies are conducted remotely at home, though some may be in-person. Comfort participating in remote, part-time studies

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Administrative Assistant Location Fort Worth, TX 76107 | Onsite COMPENSATION & SCHEDULE • $17.Temp-to-Hire | W2 ROLE IMPACT This role supports Multi-Family project operations by coordinating schedules, tracking project progress, and maintaining accurate documentation from contract setup through in

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