CERIS
CERIS

55 Ceris Jobs Hiring Near You

Understanding of CERIS systems and Data Base informatics * Understanding of HIPAA regulations * Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly

Understanding of CERIS systems and Data Base informatics * Understanding of HIPAA regulations * Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly

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 ...

Appeals Representative II

$18.80 - $30.34/hr

Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill * Utilize applicable tools and resources to complete appeals * Timely completion of ...

Understanding of CERIS systems and Data Base informatics * Understanding of HIPAA regulations * Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly

Understanding of CERIS systems and Data Base informatics * Understanding of HIPAA regulations * Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly

Appeals Representative II

Fort Worth, TX · On-site +1

$18.80 - $30.34/hr

Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill * Utilize applicable tools and resources to complete appeals * Timely completion of ...

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill * Utilize applicable tools and resources to complete appeals * Timely completion of ...

Understanding of CERIS systems and Data Base informatics * Understanding of HIPAA regulations * Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly

Utilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits

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 ...

Utilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits

Ability to assist team with problem-solving, payer policy and clinical questions regarding audits performed by CERIS * Ability to review and apply clinical knowledge along with payer policy to ...

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 ...

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 ...

Clinical Review QC Auditor

Fort Worth, TX · On-site +1

$68K - $104K/yr

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 ...

Appeals Representative II

Fort Worth, TX · On-site

$20.08 - $30.06/hr

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 ...

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 ...

Procurement Analyst I

Dallas, TX · On-site

$13.38 - $20.36/hr

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 ...

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 ...

Showing results 21-40

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Infographic showing various job openings at Ceris in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 29% Physical, and 71% Remote job distribution.

Itemization Review Nurse I

CERiS

Fort Worth, TX • Remote

$52K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Collects supporting data and analyzes information to make decisions regarding accuracy of billing
  • Appropriately documents work and final conclusions in designated computer program
  • Understanding of Surgical Implants
  • Meets department's expectations and standards 
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Understanding of Itemization Review for designated clients
  • Understanding of CERIS systems and Data Base informatics
  • Understanding of HIPAA regulations
  • Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly
  • Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment
  • Strategic problem solving, analytical, and critical thinking skills
  • Effective written and verbal communication skills
  • Ability to work independently and within a team environment
  • Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams

EDUCATION & EXPERIENCE:

  • Must maintain current licensure as a Registered Nurse in the state of employment
  • Must have a minimum of 5 years’ experience in the O.R., ICU, or E.R. as an R.N.
  • Associate Degree in Nursing or higher
  • Experience in medical bill auditing preferred but not mandatory

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range:  $52,999 – $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT 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. 

#LI-Remote


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About CERIS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1990