What are the responsibilities and job description for the MCS Certified Coder position at CorVel Brand?
CERiS is seeking a MCS Certified Coder. The MCS Certified Coder reverse code previously coded medical bills to determine coding accuracy.
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
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.
