Professional Review Coder

Company: CorVel
Location: Novi
Posted on: May 26, 2023

Job Description:

CorVel is hiring aProfessional Review Coder for the Novi, MI office. The Professional Review Coder is responsible for high level review, auditing and data-entry of medical bills for multiple states and lines of business.
This is a full-time, hybrid position working part time in-office and part time from home.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts.
• Position requires knowledge of the Fee Schedule and the operation of the computer terminal
• May consult reference materials in the auditing process
• Requires regular and consistent attendance.
• Comply with all safety rules and regulations during work hours in conjunction with the Injury
• and Illness Prevention Program (IIPP).
• Additional duties as assigned. KNOWLEDGE & SKILLS:
  • Knowledge of medical terminology, billing guidelines and fee schedules
  • Knowledge of CPT/ICD/HCPS coding
  • Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types required
  • Strong interpersonal skills and commitment to customer service.
  • Able to work collaboratively and independently.
  • Able to identify problems and find creative, effective solutions.
  • Able to balance multiple priorities.
  • Excellent verbal and written communication skills.
  • Highly developed organizational abilities as well as time management skills
  • Must be proficient in Microsoft applications EDUCATION/EXPERIENCE:
    • CPC Designation
    • High school diploma or equivalent.
    • 1-2 years of data entry experience
    • Experience in Medical Bill Audit and Review is preferred
      About CorVel
      CorVel, a certified Great Place to Work - Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States 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-Hybrid

Keywords: CorVel, Novi , Professional Review Coder, Other , Novi, Michigan