Remote Itemization Review Lead - Nursing & Data Analytics

CorVel Corporation; Fort Worth, Northern (TX, KY); Hybrid; USD 90,000 - 120,000; Full time

Job summary

CorVel Corporation is seeking an Itemization Review Team Lead to support the Itemization Review Supervisor and collaborate with the IBR team and CERIS internal departments.

This remote role requires strong leadership, meticulous data analysis, and in-depth knowledge of itemization review processes, HIPAA regulations, and CERIS systems. Ideal candidates have RN licensure and at least five years of relevant experience.

Qualifications

• Must maintain current licensure as a Registered Nurse in the state of employment.

Responsibilities

• Maintains Q&A support for the IBR Team
• Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs
• Collects supporting data and analyzes information to make decisions regarding accuracy of billing
• Appropriately documents work and final conclusions in designated computer program
• Meets department's expectations and standards
• Additional duties as assigned

Skills

Itemization Review

Leadership

HIPAA compliance

Microsoft Office

Analytical thinking

Communication

Team collaboration

CERIS systems

Education

RN license

Associate Degree in Nursing

5+ years Itemization Review experience

Tools

CERIS systems

Excel

Outlook

Teams

Job description

CorVel Corporation is seeking an Itemization Review Team Lead to support the Itemization Review Supervisor and collaborate with the IBR team and CERIS internal departments.

This remote role requires strong leadership, meticulous data analysis, and in-depth knowledge of itemization review processes, HIPAA regulations, and CERIS systems. Ideal candidates have RN licensure and at least five years of relevant experience.