The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL FUNCTIONS
The Itemization Review Team Lead provides support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Maintains Q&A support for the IBR Team
The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Reviews, analyzes, and
The Diagnostic Related Groups (DRG) Clinical Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to
The Diagnostic Related Groups (DRG) Clinical Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to
CorVel Corporation’s Itemization Review Team Lead role supports the Itemization Review Supervisor while collaborating with the IBR team and CERIS internal departments. This is a remote position. You will review data, ensure billing accuracy, document conclusions, and
CERIS is seeking a Repricing Team Lead to analyze claims audit data, manage daily staff workloads, and ensure accurate processing of requests. The role emphasizes proactive problem solving, performance coaching, and collaboration with Product and Account Management