Medical Review Lead

7 days ago


Fort Worth, Texas, United States CorVel Corporation Full time
Job Summary

The Professional Review Supervisor is a key role within CorVel Corporation, responsible for overseeing the medical review process and ensuring accurate application of coding rules and regulations. This position requires a strong understanding of medical coding and compliance, as well as excellent leadership and communication skills.

Key Responsibilities
  • Lead and manage a team of medical reviewers to ensure accurate and timely completion of reviews
  • Develop and implement coding and compliance policies and procedures
  • Collaborate with cross-functional teams to ensure seamless integration of medical review services
  • Stay up-to-date on industry developments and regulatory changes affecting medical coding and compliance
  • Provide training and support to team members on coding and compliance best practices
  • Conduct quality control reviews to ensure accuracy and consistency of medical reviews
Requirements
  • High school diploma or equivalent required; bachelor's degree in a related field preferred
  • Current AAPC certification (CPC) required; certification in a related field (e.g. CMC, CCS) preferred
  • Minimum 2 years of experience in medical coding and compliance, with a strong understanding of coding rules and regulations
  • Excellent leadership and communication skills, with the ability to train and mentor team members
  • Strong analytical and problem-solving skills, with the ability to interpret complex medical data
  • Proficient in Microsoft Office Suite, with experience in coding and compliance software a plus
What We Offer

CorVel Corporation offers a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off. We are an equal opportunity employer and comply with ADA regulations as applicable.



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