(Certified Professional Medical Coder) Professional Review Specialist II
CorVelConnecticut, United States
Posted April 13, 2026
44340 - 71320 USD
Full Time
About the Company
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Job Description
The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.
Requirements
- Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology
- Knowledge of applicable fee schedule and or applicable U&C Guidelines
- Proficient in Microsoft Office applications
- Technical aptitude with the ability to expand knowledge of MedCheck’s proprietary systems
- Ability to work independently, follow process guidelines, and meet productivity standards and timelines
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
