02/11/2026
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...
CorVel
Fort Worth, TX, USA
Full Time
