Remote CERIS Certified Coder I - Medical Claims Validator

DaMar Staffing; United States; On-site; USD 44,000 - 66,000; Full time

Benefits offered by this job

Medical, dental, vision

401K

Parking & transit benefits

Job summary

CERIS, a division of CorVel Corporation, is seeking a remote CERIS Certified Coder to reverse code medical bills for accuracy. You will process claims per state rules, determine validity, and communicate status to stakeholders.

Strong Excel/Outlook skills and CPC/AAPC credentials are essential for success. This remote role requires attention to detail, HIPAA compliance, and collaboration with the claims team to ensure accurate coding and timely resolutions.

Qualifications

• High School diploma or equivalent.
• Current AAPC certification (must be maintained throughout employment).
• CPC certification with 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.
• Texas workers' compensation experience preferred.
• Pain Management/Anesthesia/General Surgery coding experience 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.

Skills

Rapid learning

Organizational skills

Performance mindset

Communication skills

Critical thinking

Leadership & problem solving

Independent with team

MS Office (Excel, Outlook)

Education

High School diploma or equivalent

AAPC certification (current)

CPC certification (2+ years)

Orthopedic billing/coding experience

EncoderPro software experience

E/M coding/down-coding experience

Texas workers' compensation experience preferred

Pain Management/Anesthesia/General Surgery coding experience preferred

Tools

EncoderPro

Job description

CERIS, a division of CorVel Corporation, is seeking a remote CERIS Certified Coder to reverse code medical bills for accuracy. You will process claims per state rules, determine validity, and communicate status to stakeholders.

Strong Excel/Outlook skills and CPC/AAPC credentials are essential for success. This remote role requires attention to detail, HIPAA compliance, and collaboration with the claims team to ensure accurate coding and timely resolutions.