Description : The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness...) and other requirements as outlined in the Employee Handbook Responsive to additional Professional Review job duties as assigned...
Description : The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness...) and other requirements as outlined in the Employee Handbook Responsive to additional Professional Review job duties as assigned...
Description : The Itemization Review Nurse will provide a Summary and analysis of items by reviewing all charges... Understanding of CERiS systems and Data Base informatics Capability to meet department expectations and standards Be a team player...
Description : CERIS is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor... correct DRG/coding and clinically supported as defined by review methodologies specific to the type of review. This involves...
policies and guidelines Must represent CorVel/CERIS in a professional and knowledgeable manner Additional duties...Description : The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records...
provider Review LIBR and Professional Review findings Determine approach and the target contact within the provider... organization; based on review findings and previous history Consult with Nurse Reviewer and clarify as needed Contact provider...