CERIS Policy - Fort Worth, Texas, , United States

The PPI Coordinator plays a key role in supporting the teams by managing workflow and ensuring timely assignment of appeals. · Strong organizational skills · ...

The hospital bill audit nurse supervisor will maintain a positive team building approach with emphasis on overseeing the day to day functions of hospital bill audit nurses, reporting, leadership and professional communication with all CERiS departments.  · This is a remote positi ...

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards along with CMS and state guidelines as well as client instructions. · This is a rem ...

The CERIS Operations Supervisor is responsible for managing daily production for the department, which may include one or more of the following functions:  human resources, customer service, and promoting positive mentorship for the team. · This is an onsite position. · ESSENTIAL ...

The Senior CERIS Operations Manager is responsible for overseeing all aspects of the department including Personnel Hiring, Quality Assurance of Product, Workflow, Maintaining the tracking of and accountability of staff regarding production standards and department expectations. ...

CERIS is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding and clinically supported a ...

CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine corr ...

Job Details · Description · The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industr ...

The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry standards, along with CMS ...

The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify that services were provided and charges are appropriate based on medical documentation and industry guidelines. The types of audits performed could include, but are not limit ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the type of r ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding and clinically supported as defined by review methodologies specific to t ...

The Document Processing Department Manager is responsible for overseeing all aspects of the department including Personnel Hiring and Quality Assurance of Product. · Associates degree national certification or equivalent · Minimum 5 years office experience · Previous Supervisory ...

Job Details · Description · Responsible for managing daily production (file flow) of designated department, which may include one or more of the following functions: human resources, customer service, and promoting positive influence over Setup Analysts. · This is a remote positi ...

The IT Compliance Analyst supports the organization's compliance and risk management programs by coordinating assessments, audits, and certifications across frameworks such as HITRUST, SOC, HIPAA, and NIST. This role helps maintain a strong IT compliance posture by managing evide ...

The Document Processing Department Manager is responsible for overseeing all aspects of the department including Personnel Hiring, Quality Assurance of Product, Workflow, Maintaining the tracking of and accountability of staff regarding production standards and department expecta ...

The CERIS Operations Supervisor is responsible for managing daily production for the department, which may include one or more of the following functions: human resources, customer service, and promoting positive mentorship for the team. · This is an onsite position. · Essential ...

Job Details · Description · The CERIS Operations Supervisor is responsible for managing daily production for the department, which may include one or more of the following functions: human resources, customer service, and promoting positive mentorship for the team. · This is an o ...

Job Details · Description · The CERIS Operations Supervisor is responsible for managing daily production for the department, which may include one or more of the following functions: human resources, customer service, and promoting positive mentorship for the team. · This is an o ...

+p>The Appeals Team Lead will be responsible for providing expertise or general support in reviewing, researching, investigating, and resolving all types of appeals and grievances. · This is a remote position.Job summary: The Appeals Team Lead is responsible for providing experti ...