03/15/2026
The Professional Review Analyst analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.
This is a remote role.
Candidate must be located in the greater Charlotte, North Carolina Region and able to attend in office training for a minimum of 1 week at start of employment.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager
Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans
Appropriately document work and final conclusions in designated computer program
Additional duties as assigned
KNOWLEDGE & SKILLS:
Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical...
CorVel
Charlotte, NC, USA
Full Time
