Current jobs related to Payment Integrity Analyst II - Fort Worth - CorVel Corporation
-
Quality Assurance Analyst II
2 days ago
Fort Worth, United States Astrix Technology Full timeQuality Assurance Analyst II Laboratory Fort Worth, TX, US Pay Rate Low: 35.00 | Pay Rate High: 44.28 Added - 27/09/2024 Apply for Job Exciting 6 month+ Quality Assurance Analyst II development opportunity to work for a global leader dedicated to helping people see brilliantly. The largest device company in the world – with complementary businesses...
-
Business Intelligence Analyst I
3 days ago
Fort Smith, Arkansas, United States ArcBest II: Panther Full timeAbout the RoleArcBest II: Panther is seeking a highly skilled Business Intelligence Analyst - People Analytics to join our team in Fort Smith, AR. As a key member of our Business Intelligence team, you will play a critical role in driving business decisions and strategy related to our People.Key ResponsibilitiesLeverage advanced statistical techniques to...
-
IT Help Desk Analyst Tier II
4 hours ago
Fort Worth, United States Texas Bank Full timeSUMMARY: The IT Help Desk Analyst Tier II plays a critical role in delivering advanced technical support and resolving escalated IT issues within the banks IT infrastructure. This role demands a high level of expertise in managing complex IT problems and provides a key interface between the IT department and the banks employees. The IT Help Desk Analyst Tier...
-
Business Integration Analyst
2 weeks ago
Fort Worth, TX, United States VirtualVocations Full timeA company is looking for a Business iPaaS Integration Analyst specializing in Boomi integration projects. Key Responsibilities Align internal organizational requirements with external customer needs Document development processes and facilitate training and user support Participate in all stages of the SDLC, including requirements analysis and...
-
Operations Business Analyst II
2 months ago
Fort Worth, United States Kalnin Ventures LLC Full timeDescription BKV Corporation is a dynamic values-driven company with expertise in upstream unconventional oil and gas investments, and production. We believe our focus on visionary strategy, efficient execution and high-performing teams are key to creating long-term sustainable value and growth. BKV Corporation is an equal opportunity employer. We value...
-
Quality Assurance Analyst II
6 days ago
Fort Worth, United States Surnise Systems Inc Full timeJob Title: Quality Assurance Analyst II Location: Fort Worth, TX (Onsite - 8-5PM) Duration: 6 months on W2 contract Interviews: 1 (Panel interview) Job Description: Bachelor's in chemistry preferred – or a masters degree. PHD =overqualified. If no degree, candidate would need to have a minimum of 10 years of experience working in a lab. Lab...
-
Financial Analyst II
3 weeks ago
Fort Worth, Texas, United States GM Financial Full timeAbout the Accountant II RoleThe Accountant II plays a crucial role in ensuring the accuracy and integrity of our financial data at GM Financial. As part of our General Ledger team, you will be responsible for managing and maintaining the core accounting records that support our business.Key Responsibilities:Prepare journal entries, difficult and involved...
-
Configuration Management Specialist II
4 weeks ago
Fort Meade, United States Integrity Management Consulting Full timeWe are seeking a Configuration Management Specialist II to support the Defense Information Systems Agency (DISA), Operations Center, within the Services Directorate. Duties are but not limited to providing program, budgeting, governance support, portfolio management and system maintenance support, as well as support to the procurement tools. The Analyst...
-
Credit Analyst/Credit Analyst II
1 month ago
Fort Worth, United States Southside Bank Full timePosition Title: Credit Analyst/Credit Analyst II Exempt Status: Non-Exempt, Full Time Hourly Reports to: Commercial Underwriting Manager Summary of the Job: Provides credit analysis support by analyzing commercial loan requests, evaluating the financial condition of businesses and individuals, identifying strengths and weaknesses, providing...
-
Quality Assurance Analyst II
4 days ago
Fort Worth, United States Aequor Full timeJob Title: Quality Assurance Analyst IILocation: Fort Worth, TX Duration: 6+ Months Job Summary: This position, using in-depth knowledge of relevant guidance/regulatory documents, is responsible for instrument qualifications and applications (LIMS, Chromeleon, etc), participate in product/process investigations as needed, ensuring required quality and...
-
Payment Poster
4 weeks ago
Fort Worth, United States Serenity Healthcare Full timeJob DescriptionJob DescriptionPayment PosterOnsite - Fort Worth, TX Serenity is committed to creating the finest patient experience. Using innovative technology and a holistic approach to patient-centric care, we enable patients to take back their lives. Established in 2017, Serenity is a healthcare start-up in high-growth mode with multiple sites in 7...
-
Systems Analyst II
4 days ago
Fort Lauderdale, Florida, United States Seminole Gaming Full timeJob Title: Systems Analyst IIJob Summary:The Systems Analyst II role is a key position in the Seminole Gaming Support Services IT department, supporting a fast-growing organization and a world-renowned brand. This role involves understanding technical products, configuring, supporting, maintaining, and implementing applications based on requirements and...
-
Quality Assurance Analyst II
1 day ago
Fort Worth, United States TalentBurst Full timeJob Title: Quality Assurance Analyst II Location: Fort Worth, TX (Onsite - 8-5PM) Duration: 6 months Job Description: Bachelors in chemistry preferred – or a masters degree. PHD =overqualified. If no degree, candidate would need to have a minimum of 10 years of experience working in a lab. Lab experience a MUST This position, using in-depth knowledge of...
-
Quality Assurance Analyst II
4 days ago
Fort Worth, United States TalentBurst Full timeJob Title: Quality Assurance Analyst II Location: Fort Worth, TX (Onsite - 8-5PM) Duration: 6 months Job Description: Bachelor's in chemistry preferred - or a masters degree. PHD =overqualified. If no degree, candidate would need to have a minimum of 10 years of experience working in a lab. Lab experience a MUST This position, using in-depth knowledge of...
-
Quality Assurance Analyst II
2 days ago
Fort Worth, United States TalentBurst Full timeJob Title: Quality Assurance Analyst II Location: Fort Worth, TX (Onsite - 8-5PM) Duration: 6 months Job Description: Bachelor's in chemistry preferred - or a masters degree. PHD =overqualified. If no degree, candidate would need to have a minimum of 10 years of experience working in a lab. Lab experience a MUST This position, using in-depth knowledge of...
-
Reconciliation Analyst II
2 weeks ago
Fort Worth, United States Colonial Savings Full timeThe Reconciliation Analyst II is responsible for the execution and oversight of investor custodial and servicing clearing bank reconciliations. Supports internal initiatives, improved efficiency, and controls and assists the Investor Reporting department in problem solving reconciling items in out of balance accounts.Responsibilities include:Perform daily...
-
Quality Assurance Analyst II
4 days ago
Fort Worth, United States TalentBurst, an Inc 5000 company Full timeJob Title: Quality Assurance Analyst IILocation: Fort Worth, TX (Onsite - 8-5PM)Duration: 6 monthsJob Description:Bachelor's in chemistry preferred – or a masters degree. PHD =overqualified. If no degree, candidate would need to have a minimum of 10 years of experience working in a lab.Lab experience a MUSTThis position, using in-depth knowledge of...
-
Quality Assurance Analyst II
4 days ago
Fort Worth, United States Aequor Information Technologies Pvt. Ltd. Full timeQuality Assurance Analyst IILocation: Fort Worth, TX (Onsite - 8-5PM)Duration: 06+Months Job Description:Bachelor’s in chemistry preferred – or a masters degree. PHD =overqualified. If no degree, candidate would need to have a minimum of 10 years of experience working in a lab.Lab experience a MUSTThis position, using in-depth knowledge of relevant...
-
Logistics Lifecycle Analyst II
4 weeks ago
Fort Belvoir, Virginia, United States Amentum Full timeAmentum is currently seeking a Life Cycle Logistics Management Analyst II to contribute to the PM Soldier Survivability (PM SSV) project office under the Program Executive Office (PEO) Soldier. This role offers the chance to be part of a dedicated and collaborative team focused on delivering enhanced protection, individual equipment, and aviation life...
-
Logistics Lifecycle Analyst II
4 weeks ago
Fort Belvoir, Virginia, United States Amentum Full timeAmentum is currently seeking a Life Cycle Logistics Management Analyst II to provide support for the PM Soldier Survivability (PM SSV) project office under the Program Executive Office (PEO) Soldier. This role presents an opportunity to engage with a dynamic and collaborative team dedicated to delivering enhanced protection, individual equipment, and...
Payment Integrity Analyst II
3 months ago
CERIS in Fort Worth, Texas is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) QC Clinical Auditor will be responsible for performing quality control DRG validation (clinical/coding) reviews of internal audit team 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 contract for which review services are being provided. This involves completing medical records review, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination, as well as communicating missed or incorrect information to the auditors in a professional manner. Experience using, ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures.
Job Duties and Responsibilities:
The Quality Control Clinical Auditor will review previously audited claims for any missed opportunities or errors. The Quality Control Clinical Auditor will review all opportunities sent to the customers for complete and correct information. The Quality Control Clinical Auditor will check for physician's notes supporting the DRGs assigned. Reviewing medical records to determine accuracy of billing through verification of coding and supporting clinical documentation. Reviewing previously conducted audits to ensure accurate coding and identifying potential savings. Demonstrated expert knowledge of, ICD-10-CM codes, PCS and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid with the ability to work independently with minimal supervision and demonstrate initiative. Able to clearly, accurately, and professionally communicate coding/clinical information back to the Audit team or the customer, using correct grammar, spelling, sentence structure, and meet template format requirements.Qualifications:
Required minimum of 2 year of recent DRG Quality Auditing experience in a hospital setting, or health plan. National Coding Certification required through either AHIMA (preferred) or AAPC. RN license is preferred but not required. Extensive hands-on ICD-10 CM / PCS experience required. Proficient in both MS and APR DRG methodology preferred. Expert knowledge of application of current Official Coding Guidelines and Coding Clinic citations. Solid knowledge and understanding of clinical criteria documentation requirements used to successfully substantiate code assignments. Proficient in Medicare and CMS guidelines Extreme attention to detail. Must possess problem solving, critical thinking skills. Minimal typing experience. Effective and professional communication skills, both verbal and written. Ability to think and work independently, while working in an overall team environment. Ability to work in a fast paced/production environment. Proficient in Microsoft Office Suite. Other duties as assignedAbout 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.
