CERIS Certified Coder II

CERIS•Fort Worth, TX

3d•Remote

About The Position

The CERIS Certified Coder II reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating the status of the claim to involved stakeholders. This is a remote position.

Requirements

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
Proficient in Microsoft Office, especially Excel and Outlook
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

Nice To Haves

Texas workers' compensation experience is preferred
Pain Management/Anesthesia/General Surgery coding experience is preferred

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 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