Remote medical coding jobs in Fort Worth, TexasCreate job alerts

OVERVIEW: Our client, a Global Fortune 50 organization and one of world’s largest distributors of Healthcare systems, Medical supplies & Pharmaceutical products, seeks an accomplished Clinical Coding Specialist. Position: Clinical Coding Specialist Location: Houston, TX (REMOTE) Duration: 6 months+ Contract with high possibility of extension!!! Pay Rate: 30/hr Note: • REMOTE role (We need to hire someone local to Houston, Tx for this position), • Work schedule (days & time): 8:00am - 4:30pm CT Mon- Fri JOB DESCRIPTION: • Abstracts clinical information from a variety of medical records and assigns appropriate ICD 9 CM and/or CPT codes to patient records according to established procedures., • Analyzes, enters and manipulates database, confirms appropriate DRG assignments. Knowledge in ICD-9 and CPT-4 coding required., • Experienced, fully competent in own area covering a wide range of tasks. Completes own role independently or with minimal supervision. KNOWLEDGE: Complete understanding of the general and technical aspects of the job., • PROBLEM COMPLEXITY: Provides resolutions to a wide range of problems. Job requires judgement within defined policies and practices., • MINIMUM EDUCATION & TYPICAL EXPERIENCE OR EQUIV. COMBINATION: Works with limited autonomy and under moderate direction. Routine work requires no direction. Work is evaluated upon completion to ensure objectives have been met Recruiter Contact Info Gurjant Singh Phone: 925-297-5994 Email: I'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you. Company Overview: Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally: as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with a service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward. Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Applicants with criminal histories are considered in a manner that is consistent with local, state and federal laws.

Medical, dental, and vision coverage. Candidates who thrive in structured, productivity-driven environments and take pride in coding accuracy, compliance, and attention to detail will be successful in this role. Professionals who are comfortable working independently in a remote setting, proactively

be part of a team that values safety, inclusion, and excellence we are one of the largest U.S. railroads transporting the nation's freight across 28 western states and 3 Canadian provinces. as a member of our team, you will play a role in supporting the movement of essential products and materials that help feed, clothe, supply, and power communities throughout America and the world. bnsf | tech: innovating and transforming the future of freight rail bnsf | tech is the technology division making BNSF the preeminent freight and mobility company in north america. are you ready to drive change? if you are passionate about making a difference and eager to advance your career in a dynamic and supportive environment, we want you on our team! join us in reshaping the future of freight rail and discover a fulfilling career where your contributions matter. we are committed to a culture where all employees are included, belong, and have equal opportunity to achieve their full potential.Come make a difference with us! learn more about ___ and our ___ Job Location: Remote US Anticipated Start Date: 01/01/2026 The US base salary range for this full-time position is provided below: Salary Range: $165,000 - $300,000 L5: $165,000 - $220,00 L6: $225,000 - $300,000 The range represents the amount bnsf | tech reasonably expects to pay for the position based on the level, scope, and responsibilities of the role. Individual compensation and level of position offered is determined by the hiring location and additional factors including but not limited to job-related skills, experience, and relevant education or training.In addition to base pay and bonus eligibility, BNSF offers a comprehensive ___ package. This is a full-time remote position. Employees may work from anywhere within the contiguous 48 states of the United States Travel is up to 20%. Employees will be required to occasionally travel to our corporate headquarters in Fort Worth, TX for in person meetings. Travel expenses for business needs will be covered by BNSF This position is open to candidates who are currently authorized to work in the United States. We are also open to sponsoring H-1B transfers, TN nonimmigrant status, and STEM OPT candidates with at least 2 years of remaining eligibility. Apply early as this job may be removed or filled prior to the closing date, which is approximately seven (7) days after the posting date. infrastructure:build rail's first hybrid cloud to enable millions of freight transactions a day with an open-source stack that delivers the lowest unit cost of technology. Key responsibilities may include: This is a full stack infrastructure engineering role, involving backend services, APIs, and developer-facing services for our physical/digital infrastructure and platforms. A modern platform that brings together virtual machines, containers, storage, data services, networking, observability, and developer experience, all managed as software. Develop and operate cloud-native systems and services using GitOps workflows Build and operate IaaS (compute, storage, and networking), PaaS (DBs, messages, API, and serverless), identity/access, observability/alerting/remediation, and developer services Collaborate with internal application teams to improve platform usability and feedback Help design and run systems that scale across our data centers, edge devices, and public cloud environments powering always on services The duties and responsibilities in this posting are representative categories to be used in deciding whether to apply for this position. This is not an exhaustive list of the position's duties. At BNSF Railway, we encourage individuals from all backgrounds to apply, showcasing their skills, experiences and development. We provide resources and tools to help you reach your full potential, fostering a supportive and inclusive environment. Basic Qualifications • Authorized to work in the US, • 6+ years of proficiency with modern programming languages used in infrastructure (e.g. Go, Python, and Java), • 5+ years of experience with IaaS, PaaS, Service Mesh, block/object storage, and Linux, • 3+ years experience with streaming data services and SQL/NoSQL/Graph DBs, • Experience with CI/CD pipelines, Git workflows, and DevOps practices, • Interest in open-source infrastructure and developer platforms, • Experience with observability stacks (e.g., Prometheus, Grafana, OpenTelemetry), • Experience with secure coding practices and infrastructure security principles, • Experience with secrets management and identity and access control, • Proven ability to independently deliver features that improve developer workflows or platform capabilities, • Experience collaborating across teams and mentoring junior engineers., • Familiarity with designing scalable systems and contributing to architectural decisions., • Experience participating in design reviews, incident retrospectives, or RFC processes, • Demonstrated ability to learn new technical concepts and to adapt to new technologies quickly, • Strong communication and collaboration skills Preferred Qualifications • Bachelor's degree or higher in computer science or a related field, • Engineering experience with a public IaaS company (AWS, Digital Ocean, GCP, CoreWeave,etc.), • Experience running infrastructure platforms in production such as OpenStack, Ceph, Kubernetes, DBaaS, service mesh, and API gateways, • Github commits to open-source infrastructure and developer platforms projects, • Experience with edge systems and hybrid environments, • Experience with developer tooling as a builder and/or user, • Proficiency with container-based development, • Interest in sustainable infrastructure and cost/resource awareness, • Familiarity with frameworks like React, Angular, Node.js, Spring Boot, • Able to work now and in the future without BNSF's assistance (whether monetary, through sponsorship, or otherwise) in obtaining, maintaining, or extending employment authorization (including H-1B, STEM OPT/CPT, or TN nonimmigrant status). At BNSF, you will have access to a comprehensive and competitive benefits package including: • An industry-leading 401(k) and renowned Railroad Retirement program., • A range of robust health care options for you and your dependents (including domestic partners), including medical, dental, vision, telemedicine, mental health, cancer support, and high-quality care network options., • Health care spending accounts (HSA) with employer contributions, as well as life and disability insurance, provided at no cost., • Family benefits including parental, pediatric and family building support, adoption and surrogacy reimbursement, and dependent care spending account (with employer match)., • Access to discounts on travel, gym memberships, counseling services and wellness support., • Annual bonus (Incentive Compensation Program), • Generous leave / time off policies. All positions require pre-employment background verification. BNSF Railway is an Equal Opportunity Employer, all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. SF:MO|[[mfield5|bnsf tech|REMOTE,US|76131

Job Description The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication, • Use clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits, • Utilize applicable tools and resources to complete internal audits and/or appeals, • Timely completion of internal audits and/or appeals, • Attends clinical team meetings, company meetings, educational opportunities/trainings, and other meetings, • Additional duties as assigned KNOWLEDGE & SKILLS: • Ability to use clinical judgment and analytical skills for claim audit review, • Knowledge of CMS/commercial payer policies, claims processing and reimbursements, IDC-10 Coding, and DRG Validation, • Familiarity with healthcare revenue cycle and coordination of benefits, • Proficiency in Microsoft Office, especially using pivot tables in Excel as well as and database tools, • Excellent written and verbal communication skills, • Strong interpersonal skills across all levels; comfortable interfacing with clients and the C-Suite, • Ability to work on several concurrent tasks and prioritize workload to meet designated deadlines, • Advanced problem-solving and data analysis capabilities, • Proven track record of delivering actionable results, • Strong attention to detail EDUCATION & EXPERIENCE: • Must maintain a current LPN, LVN and/or RN licensure, • Previous experience in one or more of the following areas required:, • Medical bill auditing, • Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and Orthopedics, • Knowledge of worker's compensation claims process, • Prospective, concurrent and retrospective utilization review, • 1+ years healthcare revenue cycle, • 1+ years of relevant experience or equivalent combination of education and work experience, • 1+ years hospital bill audit, • Bachelor’s degree in healthcare or related field preferred, • Preferred experience with health insurance denials and/or appeals, payer audits, or vendor audits 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: $66,941 – $101,258 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.

be part of a team that values safety, inclusion, and excellence we are one of the largest U.S. railroads transporting the nation's freight across 28 western states and 3 Canadian provinces. as a member of our team, you will play a role in supporting the movement of essential products and materials that help feed, clothe, supply, and power communities throughout America and the world. bnsf | tech: innovating and transforming the future of freight rail bnsf | tech is the technology division making BNSF the preeminent freight and mobility company in north america. are you ready to drive change? if you are passionate about making a difference and eager to advance your career in a dynamic and supportive environment, we want you on our team! join us in reshaping the future of freight rail and discover a fulfilling career where your contributions matter. we are committed to a culture where all employees are included, belong, and have equal opportunity to achieve their full potential.Come make a difference with us! learn more about ___ and our ___ Job Location: Remote US Anticipated Start Date: 03/30/2026] The US base salary range for this full-time position is provided below: Salary Range:$123,750 - $175,000 The range represents the amount bnsf | tech reasonably expects to pay for the position based on the level, scope, and responsibilities of the role. Individual compensation and level of position offered is determined by the hiring location and additional factors including but not limited to job-related skills, experience, and relevant education or training.In addition to base pay and bonus eligibility, BNSF offers a comprehensive ___ package. This is a full-time remote position. Employees may work from anywhere within the contiguous 48 states of the United States Travel is up to 20%. Employees will be required to occasionally travel to our corporate headquarters in Fort Worth, TX for in person meetings. Travel expenses for business needs will be covered by BNSF This position is open to candidates who are currently authorized to work in the United States. We are also open to sponsoring H-1B transfers, TN nonimmigrant status, and STEM OPT candidates with at least 2 years of remaining eligibility. Apply early as this job may be removed or filled prior to the closing date, which is approximately seven (7) days after the posting date. infrastructure:build rail's first hybrid cloud to enable millions of freight transactions a day with an open-source stack that delivers the lowest unit cost of technology. Key responsibilities may include: This is a full stack infrastructure engineering role, involving backend services, APIs, and developer-facing tooling for our infrastructure and platform services Develop and operate Kubernetes-native systems using GitOps workflows Build and operate infrastructure as code, automation, and observability tools and services Collaborate with internal application teams to improve platform usability and feedback Help design and run systems that scale across data centers, edge devices, and cloud environments The duties and responsibilities in this posting are representative categories to be used in deciding whether to apply for this position. This is not an exhaustive list of the position's duties. At BNSF Railway, we encourage individuals from all backgrounds to apply, showcasing their skills, experiences and development. We provide resources and tools to help you reach your full potential, fostering a supportive and inclusive environment. Basic Qualifications • Authorized to work in the US, • Minimum 3 years of relevant experience, • Experience with IaaS, PaaS, Open NOS, Service Mesh, block/object storage, Containers, Linux,SQL, or NoSQL DBs, • Proficiency in modern programming languages used in infrastructure (e.g. Go, Python, and Java), • Experience with CI/CD pipelines, Git workflows, and DevOps practices, • Interest in open-source infrastructure and developer platforms, • Familiarity with observability stacks (e.g., Prometheus, Grafana, OpenTelemetry), • Experience with secure coding practices and infrastructure security principles, • Familiarity with secrets management and identity and access control, • Ability to work in cross-functional teams and communicate with stakeholders, • Experience participating in design reviews, incident retrospectives, or RFC processes, • Demonstrated ability to learn new technical concepts and to adapt to new technologies quickly, • Strong communication and collaboration skills Preferred Qualifications • Bachelor's degree or higher in computer science or a related field, • Engineering experience with a public IaaS company (AWS, Digital Ocean, GCP, CoreWeave,etc.), • Experience running infrastructure platforms in production such as OpenStack, Ceph, Kubernetes, DBaaS, service mesh, and API gateways, • Experience with edge systems and hybrid environments, • Familiarity with developer tooling as a builder and/or user, • Interest in sustainable infrastructure and cost/resource awareness, • Familiarity with frameworks like React, Angular, Node.js, Spring Boot, • Familiarity with container-based development, • Able to work now and in the future without BNSF's assistance (whether monetary, through sponsorship, or otherwise) in obtaining, maintaining, or extending employment authorization (including H-1B, STEM OPT/CPT, or TN nonimmigrant status) At BNSF, you will have access to a comprehensive and competitive benefits package including: • An industry-leading 401(k) and renowned Railroad Retirement program., • A range of robust health care options for you and your dependents (including domestic partners), including medical, dental, vision, telemedicine, mental health, cancer support, and high-quality care network options., • Health care spending accounts (HSA) with employer contributions, as well as life and disability insurance, provided at no cost., • Family benefits including parental, pediatric and family building support, adoption and surrogacy reimbursement, and dependent care spending account (with employer match)., • Access to discounts on travel, gym memberships, counseling services and wellness support., • Annual bonus (Incentive Compensation Program), • Generous leave / time off policies. All positions require pre-employment background verification. BNSF Railway is an Equal Opportunity Employer, all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. SF:MO|[[mfield5|bnsf tech|REMOTE,US|76131

be part of a team that values safety, inclusion, and excellence we are one of the largest U.S. railroads transporting the nation's freight across 28 western states and 3 Canadian provinces. as a member of our team, you will play a role in supporting the movement of essential products and materials that help feed, clothe, supply, and power communities throughout America and the world. bnsf | tech:innovating and transforming the future of freight rail bnsf | techis the technology division making BNSF the preeminent freight and mobility company in north america. are you ready to drive change? if you are passionate about making a difference and eager to advance your career in a dynamic and supportive environment, we want you on our team! join us in reshaping the future of freight rail and discover a fulfilling career where your contributions matter. we are committed to a culture where all employees are included, belong, and have equal opportunity to achieve their full potential.Come make a difference with us! learn more about___and our___ Job Location: Remote US Anticipated Start Date: 01/01/2026 The US base salary range for this full-time position is provided below: Salary Range: $165,000 - $300,000 L5: $165,000 - $220,00 L6: $225,000 - $300,000 The range represents the amount bnsf | tech reasonably expects to pay for the position based on the level, scope, and responsibilities of the role. Individual compensation and level of position offered is determined by the hiring location and additional factors including but not limited to job-related skills, experience, and relevant education or training.In addition to base pay and bonus eligibility, BNSF offers a comprehensive___package. This is a full-time remote position. Employees may work from anywhere within the contiguous 48 states of the United States Travel is up to 20%. Employees will be required to occasionally travel to our corporate headquarters in Fort Worth, TX for in person meetings. Travel expenses for business needs will be covered by BNSF This position is open to candidates who are currently authorized to work in the United States. We are also open to sponsoring H-1B transfers, TN nonimmigrant status, and STEM OPT candidates with at least 2 years of remaining eligibility. Apply early as this job may be removed or filled prior to the closing date, which is approximately seven (7) days after the posting date. product engineering:bridge the gap between vision and reality by transforming complex rail logistics and workflows into high-performing products that meet user needs, enhance efficiency and accelerate our business. platform engineering:develop software platforms that enable our product and business teams to be able to develop applications that serve our customers through use of reusable and scalable software services operating with high efficiency . Our platform engineers build software and deliver innovative services that can scale and make other engineering organizations to leverage platforms to enable speed to market. enterprise engineering:empower the workforce with cutting-edge collaboration tools and services. Our enterprise engineers boost productivity, enhance mobility and ensure reliable systems for finance, human resources legal operations and more. Key responsibilities may include: As an engineer in our teams, you will have the opportunity to own and deliver highly visible, innovative projects that directly impact our railroad logistics to effectively serve our customers to move freight on time. You will be involved in driving the technical and architectural vision for a core team that develops software for our core freight movement operations, as well as all the aspects of the software development cycle including scoping, design, implementation, testing & delivery of our product. This is a full-stack engineering role, focused on building and operating platform services such as messaging systems, micro-services, data platforms, serverless runtimes, customer experiences and applying AI/ML to develop scalable and highly reliable solutions. Develop APIs, automation, and tools to improve platform integration. Build and maintain monitoring and alerting systems for services. Collaborate with application teams to enhance reliability and performance. Design and operate scalable systems across data centers, edge devices, and the cloud. Work with BNSF teams to create products that improve rail network operations. Innovate in distributed computing and drive industry transformation. Build solutions for high-speed, large-scale predictions on distributed systems. Solve broad challenges by designing and coding effective solutions in an agile environment. Own architecture for large-scale, complex systems. Make critical technical decisions balancing business needs and engineering trade-offs. Drive cross-team alignment on technical solutions. Establish and maintain coding and design best practices Serve as a subject matter expert in one or more technical domains. Mentor and grow other engineers, including other senior engineers. Anticipate technical risks and design systems to mitigate them. The duties and responsibilities in this posting are representative categories to be used in deciding whether to apply for this position. This is not an exhaustive list of the position's duties. At BNSF Railway, we encourage individuals from all backgrounds to apply, showcasing their skills, experiences and development. We provide resources and tools to help you reach your full potential, fostering a supportive and inclusive environment. Basic Qualifications • Authorized to work in the US, • Minimum 6 years of software development or related experience, • 6+ years of programming experience with at least one software programming language, • Experience with distributed systems and use of technologies such as messaging frameworks (i.e. Kafka and RabbitMQ), API gateways, SQL/NoSQL/Graph databases, caching systems, and serverless platforms, • Experience with CI/CD pipelines, Git workflows, and DevOps practices, • Interest in open-source platform and infrastructure technologies, • Familiarity with observability stacks (e.g., Prometheus, Grafana, OpenTelemetry), • Experience with secure coding practices and platform security principles, • Ability to work in cross-functional teams and communicate with stakeholders, • Experience participating in design reviews, incident retrospectives, or RFC processes, • Demonstrated ability to learn new technical concepts and to adapt to new technologies quickly, • Strong communication and collaboration skills, • Experience as a mentor, or a tech lead in an engineering team Preferred Qualifications • Bachelor's degree or higher in computer science, or related field, • Engineering experience with a public PaaS or cloud provider (AWS, Azure or GCP), • Experience developing and operating large scale distributed systems in Production, • Experience with serverless runtimes and event-driven architectures, • Familiarity with developer tooling as a builder and/or user, • Interest in sustainable infrastructure and cost/resource awareness, • Experience with single-pane-of-glass management platforms or control planes for distributed systems, • Familiarity with frameworks like React, Angular, Node.js, Spring Boot, • 5+ years of full software development life cycle, including coding standards, code reviews, source control management, build processes, testing, and operations experience, • Able to work now and in the future without BNSF's assistance (whether monetary, through sponsorship, or otherwise) in obtaining, maintaining, or extending employment authorization (including H-1B, STEM OPT/CPT, or TN nonimmigrant status). At BNSF, you will have access to a comprehensive and competitive benefits package including: • An industry-leading 401(k) and renowned Railroad Retirement program., • A range of robust health care options for you and your dependents (including domestic partners), including medical, dental, vision, telemedicine, mental health, cancer support, and high-quality care network options., • Health care spending accounts (HSA) with employer contributions, as well as life and disability insurance, provided at no cost., • Family benefits includingparental, pediatric and family building support, adoption and surrogacy reimbursement, and dependent care spending account (with employer match)., • Access to discounts on travel, gym memberships, counseling services and wellness support., • Annual bonus (Incentive Compensation Program), • Generous leave / time off policies., • For more information, visit___. Please be aware of potential fraud that can occur when searching for new career opportunities. Please review our___for more information and awareness. All positions require pre-employment background verification. BNSF Railway is an Equal Opportunity Employer, all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

be part of a team that values safety, inclusion, and excellence we are one of the largest U.S. railroads transporting the nation's freight across 28 western states and 3 Canadian provinces. as a member of our team, you will play a role in supporting the movement of essential products and materials that help feed, clothe, supply, and power communities throughout America and the world. bnsf | tech:innovating and transforming the future of freight rail bnsf | techis the technology division making BNSF the preeminent freight and mobility company in north america. are you ready to drive change? if you are passionate about making a difference and eager to advance your career in a dynamic and supportive environment, we want you on our team! join us in reshaping the future of freight rail and discover a fulfilling career where your contributions matter. we are committed to a culture where all employees are included, belong, and have equal opportunity to achieve their full potential.Come make a difference with us! learn more about___and our___ Job Location: Remote US Anticipated Start Date: 03/30/2026 The US base salary range for this full-time position is provided below: Salary Range: $123,750 - $175,000 The range represents the amountbnsf | techreasonably expects to pay for the position based on the level, scope, and responsibilities of the role. Individual compensation and level of position offered is determined by the hiring location and additional factors including but not limited to job-related skills, experience, and relevant education or training.In addition to base pay and bonus eligibility, BNSF offers a comprehensive___package. This is a full-time remote position. Employees may work from anywhere within the contiguous 48 states of the United States Travel is up to 20%. Employees will be required to occasionally travel to our corporate headquarters in Fort Worth, TX for in person meetings. Travel expenses for business needs will be covered by BNSF This position is open to candidates who are currently authorized to work in the United States. We are also open to sponsoring H-1B transfers, TN nonimmigrant status, and STEM OPT candidates with at least 2 years of remaining eligibility. Apply early as this job may be removed or filled prior to the closing date, which is approximately seven (7) days after the posting date. product engineering:bridge the gap between vision and reality by transforming complex rail logistics and workflows into high-performing products that meet user needs, enhance efficiency and accelerate our business. platform engineering:develop software platforms that enable our product and business teams to be able to develop applications that serve our customers through use of reusable and scalable software services operating with high efficiency . Our platform engineers build software and deliver innovative services that can scale and make other engineering organizations to leverage platforms to enable speed to market. enterprise engineering:empower the workforce with cutting-edge collaboration tools and services. Our enterprise engineers boost productivity, enhance mobility and ensure reliable systems for finance, human resources legal operations and more. Key responsibilities may include: As a junior engineer in our teams, you will have the opportunity to learn, develop and deliver high quality software that is highly visible, delivery innovative projects that directly impact our railroad logistics to effectively serve our customers to move freight on time. You will be involved in developing and deploying software for our core freight movement operations that spans across platform, product and enterprise engineering. This is a full-stack engineering role, focused on building and operating large scale distributed systems such as messaging systems, micro-services, data platforms, serverless runtimes, customer experiences and applying AI/ML to develop scalable and highly reliable solutions. Write production-quality code for well-defined tasks. Follow team coding standards and processes. Participate in design reviews to learn best practices. Write and maintain unit/integration tests. Debug and fix straightforward issues. Seek feedback proactively and apply it to improve. Develop APIs, automation, and tools to improve platform integration. Build and maintain monitoring and alerting systems for services. Collaborate with application teams to enhance reliability and performance. Design and operate scalable systems across data centers, edge devices, and the cloud. Work with BNSF teams to create products that improve rail network operations. Innovate in distributed computing and drive industry transformation. Build solutions for high-speed, large-scale predictions on distributed systems. Solve broad challenges by coding effective solutions in an agile environment. The duties and responsibilities in this posting are representative categories to be used in deciding whether to apply for this position. This is not an exhaustive list of the position's duties. At BNSF Railway, we encourage individuals from all backgrounds to apply, showcasing their skills, experiences and development. We provide resources and tools to help you reach your full potential, fostering a supportive and inclusive environment. Basic Qualifications • Authorized to work in the US, • Minimum 3 years of software development or related experience, • Experience programming with at least one modern language such as Java, C++, or C# including object-oriented design, • Experience with developing, testing and deploying high quality software in production systems, • Familiarity with observability stacks (e.g., Prometheus, Grafana, OpenTelemetry), • Experience with secure coding practices, • Ability to work in cross-functional teams and communicate with stakeholders, • Experience participating in design reviews, incident retrospectives, or RFC processes, • Demonstrated ability to learn new technical concepts and to adapt to new technologies quickly, • Strong communication and collaboration skills Preferred Qualifications • Bachelor's degree or higher in computer science, or related field, • Able to work now and in the future without BNSF's assistance (whether monetary, through sponsorship, or otherwise) in obtaining, maintaining, or extending employment authorization (including H-1B, STEM OPT/CPT, or TN nonimmigrant status)., • Engineering experience with a public PaaS or cloud provider (AWS, Azure or GCP), • Interest in sustainable infrastructure and cost/resource awareness, • Experience with single-pane-of-glass management platforms or control planes for distributed systems, • Familiarity with frameworks like React, Angular, Node.js, Spring Boot, • Prior experience developing and delivering highly reliable distributed systems in production environment. At BNSF, you will have access to a comprehensive and competitive benefits package including: • An industry-leading 401(k) and renowned Railroad Retirement program., • A range of robust health care options for you and your dependents (including domestic partners), including medical, dental, vision, telemedicine, mental health, cancer support, and high-quality care network options., • Health care spending accounts (HSA) with employer contributions, as well as life and disability insurance, provided at no cost., • Family benefits includingparental, pediatric and family building support, adoption and surrogacy reimbursement, and dependent care spending account (with employer match)., • Access to discounts on travel, gym memberships, counseling services and wellness support., • Annual bonus (Incentive Compensation Program), • Generous leave / time off policies., • For more information, visit___. Please be aware of potential fraud that can occur when searching for new career opportunities. Please review our___for more information and awareness. All positions require pre-employment background verification. BNSF Railway is an Equal Opportunity Employer, all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

be part of a team that values safety, inclusion, and excellence we are one of the largest U.S. railroads transporting the nation's freight across 28 western states and 3 Canadian provinces. as a member of our team, you will play a role in supporting the movement of essential products and materials that help feed, clothe, supply, and power communities throughout America and the world. bnsf | tech:innovating and transforming the future of freight rail bnsf | techis the technology division making BNSF the preeminent freight and mobility company in north america. are you ready to drive change? if you are passionate about making a difference and eager to advance your career in a dynamic and supportive environment, we want you on our team! join us in reshaping the future of freight rail and discover a fulfilling career where your contributions matter. we are committed to a culture where all employees are included, belong, and have equal opportunity to achieve their full potential.Come make a difference with us! learn more about___and our___ Job Location: Remote US Anticipated Start Date: 01/01/2026 The US base salary range for this full-time position is provided below: Salary Range: $165,000 - $300,000 L5: $165,000 - $220,00 L6: $225,000 - $300,000 The range represents the amountbnsf | techreasonably expects to pay for the position based on the level, scope, and responsibilities of the role. Individual compensation and level of position offered is determined by the hiring location and additional factors including but not limited to job-related skills, experience, and relevant education or training.In addition to base pay and bonus eligibility, BNSF offers a comprehensive___package. This is a full-time remote position. Employees may work from anywhere within the contiguous 48 states of the United States Travel is up to 20%. Employees will be required to occasionally travel to our corporate headquarters in Fort Worth, TX for in person meetings. Travel expenses for business needs will be covered by BNSF This position is open to candidates who are currently authorized to work in the United States. We are also open to sponsoring H-1B transfers, TN nonimmigrant status, and STEM OPT candidates with at least 2 years of remaining eligibility. Apply early as this job may be removed or filled prior to the closing date, which is approximately seven (7) days after the posting date. product engineering:bridge the gap between vision and reality by transforming complex rail logistics and workflows into high-performing products that meet user needs, enhance efficiency and accelerate our business. platform engineering:develop software platforms that enable our product and business teams to be able to develop applications that serve our customers through use of reusable and scalable software services operating with high efficiency . Our platform engineers build software and deliver innovative services that can scale and make other engineering organizations to leverage platforms to enable speed to market. enterprise engineering:empower the workforce with cutting-edge collaboration tools and services. Our enterprise engineers boost productivity, enhance mobility and ensure reliable systems for finance, human resources legal operations and more. Key responsibilities may include: As a Sr/Staff Software engineer in our teams, you will have the opportunity to learn, develop and deliver high quality software that is highly visible, deliver innovative projects that directly impact our railroad logistics to effectively serve our customers to move freight on time. You will be involved in developing and deploying software for our core freight movement operations that spans across our customer experiences. You will lead the design and development of Software modules built by small group of software engineers and own the end to end delivery of the modules and dependencies. This is a Front End Engineer role, focusing on framework development for web, mobile devices and mobile web browsers, building experiences with mobile cross platform development frameworks like React Native, Angular, Flutter on Web and mobile. Fluency in Typescript, Javascript, knowledge of Graph QL, rendering frameworks and building Fluid UI that can evolve with AI infused experiences are highly desirable. You will partner closely with UX designers, product and other senior engineers. Your technical design choices of correct UX framework implementations will have direct outcome of customer experiences and business results. You will mentor Junior peers who share a passion for front-end work and you will ensure that teams with limited UI experience can succeed in delivering high quality customer experiences and workflows. Write production-quality code for well-defined tasks. Follow team coding standards and processes. Participate in design reviews to learn best practices. Write and maintain unit/integration tests. Debug and fix straightforward issues. Seek feedback proactively and apply it to improve. Develop APIs, automation, and tools to improve platform integration. Build and maintain monitoring and alerting systems for services. Collaborate with application teams to enhance reliability and performance. Design and operate cutting edge front end customer experiences and workflows infused with AI. Work with BNSF teams to create products that improve rail network operations. Innovate in distributed computing and drive industry transformation. Build solutions for high-speed, large-scale predictions on distributed systems. Solve broad challenges by coding effective solutions in an agile environment. Write maintainable and production ready code in web services, web and other front end technologies. The duties and responsibilities in this posting are representative categories to be used in deciding whether to apply for this position. This is not an exhaustive list of the position's duties. At BNSF Railway, we encourage individuals from all backgrounds to apply, showcasing their skills, experiences and development. We provide resources and tools to help you reach your full potential, fostering a supportive and inclusive environment. Basic Qualifications • Authorized to work in the US, • Minimum 6 years of software development or related experience, • Experience programming with at least one modern language such as Java, C++, or C# including object-oriented design, • Experience with developing, testing and deploying high quality software in production systems, • Experience (non-internship) with building web application technologies such as Javascript, CSS, AJAX, React, • Experience in web applications design and development, • Experience collaborating with product managers, developers, and other stakeholders, • Demonstrated ability to learn new technical concepts and to adapt to new technologies quickly Strong communication and collaboration skills Preferred Qualifications • Bachelor's degree or higher in computer science, or related field, • Experience building AI applications and using AI as part of Customer experiences and workflows, • Experience coding with latest AI developer tools in IDE environments., • Engineering experience with a public PaaS or cloud provider (AWS, Azure or GCP), • Familiarity with frameworks like React, Angular, Node.js, Spring Boot, • Developing and delivering highly reliable distributed systems in production environment., • Experience participating in design reviews, incident retrospectives, or RFC processes, • Experience with secure coding practices, • Experience in building and evolving UX design systems, • Able to work now and in the future without BNSF's assistance (whether monetary, through sponsorship, or otherwise) in obtaining, maintaining, or extending employment authorization (including H-1B, STEM OPT/CPT, or TN nonimmigrant status). At BNSF, you will have access to a comprehensive and competitive benefits package including: • An industry-leading 401(k) and renowned Railroad Retirement program., • A range of robust health care options for you and your dependents (including domestic partners), including medical, dental, vision, telemedicine, mental health, cancer support, and high-quality care network options., • Health care spending accounts (HSA) with employer contributions, as well as life and disability insurance, provided at no cost., • Family benefits includingparental, pediatric and family building support, adoption and surrogacy reimbursement, and dependent care spending account (with employer match)., • Access to discounts on travel, gym memberships, counseling services and wellness support., • Annual bonus (Incentive Compensation Program), • Generous leave / time off policies., • For more information, visit___. Please be aware of potential fraud that can occur when searching for new career opportunities. Please review our___for more information and awareness. All positions require pre-employment background verification. BNSF Railway is an Equal Opportunity Employer, all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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 DescriptionPosition: Inpatient Coding Specialist III (Remote) Location: Dallas, TX Position Type: Full-Time (Permanent) Schedule: Days | No Weekends Compensation & Benefits: • Salary Range: $56.74/hr – $85.11/hr (based on experience), • Oversee and ensure delivery of safe, high-quality patient care., • Supervise daily unit operations, staffing, and workflow coordination., • Recruit, hire, schedule, and evaluate nursing staff., • Serve as a clinical resource, mentor, and leader for nursing teams., • Promote collaboration across interdisciplinary healthcare teams., • Manage physician relationships and ensure effective communication., • Lead and participate in quality and performance improvement initiatives., • Ensure compliance with hospital policies, procedures, and regulatory standards., • Support budgeting, financial planning, and cost management., • Coordinate staff education, training, and professional development programs., • Maintain 24-hour accountability for unit operations and patient care., • Graduate of an accredited School of Nursing (required), • Bachelor of Science in Nursing (BSN) or related field (required), • Minimum 3–5 years of inpatient rehabilitation nursing experience, • Active Texas RN License or Compact RN License, • BLS (Basic Life Support) certification required, • ACLS (Advanced Cardiovascular Life Support) certification required, • CRRN (Certified Rehabilitation Registered Nurse) preferred (required within 3 years of hire), • FIM Certification (UDSMR) required within 60 days of hireAdditional Information:, • Day shift leadership role with no weekend requirements., • Ideal candidates will demonstrate strong leadership, communication, and organizational skills. About Navitas Healthcare, LLC: It is a 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 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 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 Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards along with CMS and state guidelines as well as client instructions. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication, • Ability to appropriately interpret provider appeals and apply analytical thinking skills, • Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill, • Utilize applicable tools and resources to complete appeals, • Timely completion of appeals, • Additional duties as assigned KNOWLEDGE & SKILLS: • Prior knowledge of inpatient and outpatient hospital revenue cycle required, • Excellent written and verbal communication skills, • Contract interpretation, medical terminology and coding knowledge, • Proficiency with Microsoft applications EDUCATION & EXPERIENCE: • High school diploma or equivalent, • 3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc), • 2+ years working with customers in a fast‐paced, deadline‐oriented environment, • 2+ years experience as an Appeals Representative, • Strong attention to detail, organizational and time management skills with the ability to, • interpret, research and identify core issues, • Strong customer focus, analytical and decision making skills, • Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home 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: $18.80 - $30.34 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 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 The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests, interdepartmental quality audits and appeals. Additionally, the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: • Supervises all daily activities of payment integrity team related to quality assurance and provider appeals, • Ability to assist team with problem-solving, payer policy and clinical questions regarding audits performed by CERIS, • Ability to review and apply clinical knowledge along with payer policy to charges submitted on UB’s, itemized bills and medical records to determine accuracy of charges billed, • Responsible for ensuring new employees are oriented to the organization, its policies, facilities, etc. Supervisors should also provide ongoing guidance to employees, often in the forms of ongoing career coaching, counseling and performance appraisal, • Ensures appeals and grievances are resolved in a timely manner, • Demonstrate ability to manage multiple projects, set priorities and manage to committed schedule, • Keeps manager informed of any issues that arise with appeals, quality assurance and/or team that cannot be resolved, • Act as a point of contact for internal departments to answer and resolve any questions related to appeals and quality assurance, • Prepare and distribute reporting materials and team training presentations as directed by the manager, • Maintain HIPAA privacy and security protocols, • Perform audits and/or appeal review as necessary, • Additional duties as assigned KNOWLEDGE & SKILLS: • Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable), • Strong understanding of healthcare claims reimbursement, • Proficient in Microsoft Office including Excel and Word, • Strong interpersonal skills and adaptive communication style, complex problem-solving skills, drive for results, innovative, • Excellent written and verbal communication skills, • Ability to think and work independently, while working in an overall team environment, • Strong attention to detail and ability to deliver results in a fast paced and dynamic environment EDUCATION/EXPERIENCE: • Associate Degree in Nursing or higher required as applicable. BSN preferred, • Must maintain current licensure as a Registered Nurse in the state of employment as applicable, • Must maintain current coding certification as applicable, • Completes required CEUs to maintain Registered Nurse license and/or coding certification as applicable, • Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable, • 5+ years experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and Orthopedics preferred for non-DRG audits, • As applicable for DRG roles, • CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10-PCS, • Proficiency in both MS and APR DRG reimbursement methods, • Demonstrated knowledge and understanding of clinical criteria documentation requirements used to successful substantiate code assignments., • 3+ years of relevant experience or equivalent combination of education and work experience, • 2+ years medical claims auditing of inpatient, outpatient and ASC claims preferred., • 2+ years of supervisory or management experience 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: $77,960 – $120,368 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 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 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 Appeals Representative I Location Fort Worth, TX | Remote – MUST LIVE IN DALLAS/FORT WORTH COMPENSATION & SCHEDULE • $17.00 per hour, • Monday–Friday, 8:00 AM–5:00 PM, • Direct Hire, W2 ROLE IMPACT: The Appeals Representative I supports healthcare reimbursement operations by reviewing and initiating provider appeals in compliance with federal and state regulations. This role ensures appeals are accurately documented, properly entered, and processed within required timelines. Success in this position means maintaining accuracy, protecting compliance standards, and helping drive timely resolution of claims. Key Responsibilities • Review and analyze provider appeal documentation received via email, fax, phone, or written correspondence, • Accurately set up and initiate appeals in alignment with CMS, state regulations, and internal policy guidelines, • Ensure compliance with HIPAA and healthcare industry standards throughout the appeals process, • Utilize internal systems and Microsoft applications to document, track, and manage appeal cases, • Communicate professionally with providers and internal departments to support efficient case resolution Minimum Qualifications • High school diploma or equivalent required - WILL BE VERIFIED, • 1+ year of experience in healthcare, insurance, claims processing, or customer service, • Working knowledge of medical terminology and CPT/ICD coding Core Tools & Systems • Microsoft Office Suite (Outlook, Word, Excel), • Appeals and claims management systems, • Multi-system data entry platforms, • Email and document management systems, • HIPAA-compliant case documentation tools Preferred Skills • Experience working with Medicare, Medicaid, or commercial insurance guidelines, • Strong attention to detail in deadline-driven, fast-paced environments, • Ability to work independently in a remote setting with strong time management skills LEGAL NOTICE By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: #FW123 Company DescriptionCornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith. CornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity!CornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith.\r\n\r\nCornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity!

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

Inpatient Facility Coding Audit Specialist Location: 4851 Regent Boulevard - Floor 4, Irving, Texas, 75063 (100% Remote) Duration: 6 months with possible extension Responsibilities: • Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis, secondary diagnosis, principal and secondary procedures, present on admission (POA) indicators, and DRG assignment., • Identifies missed query opportunities for complete and accurate revenue within the federal, state and payer specific regulations and coding policies., • Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue integrity and data quality Skills Required: 2+ years of experience as an inpatient coding auditor 3+ years of previous experience in coding inpatient hospital accounts In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics, CPT coding conventions, DRG and APC assignment, medical terminology, anatomy, and disease processes. Licensure: Certified Coding Specialist (CCS) or Registered Health Information Technician/Administrator (RHIT/RHIA) credentials

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 Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Take inbound calls and makes outbound calls as needed., • Analyzes client and provider inquiries to determine appropriate steps for resolution., • Performs review of claim history to ensure accurate information is communicated to internal and external customer., • Works directly with internal departments and management for resolution of Customer Service inquiries., • Able to accurately communicate CERIS findings to clients and providers in written and verbal format. KNOWLEDGE & SKILLS: • Excellent communication, verbal, written and organizational skills., • Prior knowledge of inpatient and outpatient hospital revenue cycle required., • Excellent written and verbal communication skills., • Contract interpretation, medical terminology and coding knowledge., • Proficiency with Microsoft applications EDUCATION & EXPERIENCE: • High school diploma or equivalent, • 2+ years working with customers in a fast-paced, deadline-oriented environment, • 2+ years experience as a Customer Service representative, • Strong customer focus, analytical and decision making skills 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: $13.63 - $21.00 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