(Certified Professional Medical Coder) Professional Review Specialist II

CorVel
Any Location, CT
Category Finance
Job Description
The Professional Review Specialist analyzes medical services and billing to evaluate the accuracy of charges and the medical necessity of care provided.

Requirements

  • Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager
  • Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans
  • Appropriately document work and final conclusions in designated computer program

Benefits

  • 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
  • paid time off
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