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 …
Skills: DRG validation, Medical record review, ICD-10-CM, ICD-10-PCS, Clinical auditing
At ID Logistics we are dedicated to fostering a dynamic and inclusive work environment where every team member is welcomed and valued. As a leading global 3PL (3rd party logistics) transportation organization with over 3…
Skills: Production planning, Warehouse operations, Team leadership, Microsoft Office Suite, Safety compliance
Are you in search of a company that resonates with your proactive spirit and entrepreneurial mindset? Your search ends here with Premier Truck Rental! Company Overview At Premier Truck Rental (PTR), we provide customized…
Skills: Customer service, Communication, Problem solving, Critical thinking, Logistics
Position Summary: The Assistant Project Manager is responsible for the estimating, scheduling, procurement, and management of specific projects under master service agreements and site specific projects for distribution …
Skills: Project Management, Estimating, Scheduling, Procurement, Construction Management
Position: Housekeeping Supervisor Starting Salary Range: $19.00-$20.00/hour or more based on experience. Wage Increases: New hires can earn wage increases at 30, 60, 90 days. Employment Type: Full-Time Application Deadli…
Skills: Housekeeping supervision, Team leadership, Staff training, Scheduling, Quality control
We are Gilat. Anywhere on the planet and in space, we bring Boundless Communications. At Gilat Satellite Networks, (NASDAQ: GILT, TASE: GILT) we’re not just shaping the future of satellite communications—we’re transformi…
Skills: Shipping, Receiving, Stockroom management, Inventory control, ERP systems
Front Office Manager - Courtyard by Marriott Fort Worth at Alliance
Fort Worth, Texas, United States · On-site
Mid level
Why Work at Courtyard Fort Worth at Alliance Town Center? At Courtyard Fort Worth at Alliance Town Center, we bring modern comfort, genuine hospitality, and Texas warmth together in one of Fort Worth’s fastest-grow…
Skills: Front desk management, Team leadership, Staff training, Guest service, Performance management
Job DetailsJob Location: Dallas / Fort Worth - Ft Worth, TX 76155Position Type: Full TimeJob Category: Admin - ClericalPOSITION SUMMARY Sales coordinator will be responsible for placing and invoicing orders for Material …
Skills: Sales coordination, Order processing, Invoicing, Purchase orders, Microsoft Office
Job DetailsLevel: EntryJob Location: FORT WORTH, TX 76164Position Type: Full TimeJob Shift: SwingJob Category: Hospitality - HotelABOUT HOTEL DROVER: Inspired by the pioneering spirit of the West, Hotel Drover delivers t…
Skills: Stewarding, Sanitation, Food safety, Team supervision, Inventory management
Title: Academic Program Manager Employee Classification: Academic Program Manager Campus: University of North Texas Health at Fort Worth Division: HSC-Provost & Exec VP SubDivision-Department: HSC-Texas Coll of Osteopath…
Skills: Academic administration, Curriculum coordination, Program management, Data analysis, Communication
Pharmacy Technician - Per Diem (PRN) - JPS Correctional Pharmacy
Fort Worth, Texas, United States · On-site
Mid level
Overview PHARMACY TECHNICIAN– Per Diem (PRN) - JPS Correctional Health Pharmacy We are seeking a compassionate, caring, and customer‑focused Per Diem (PRN) Pharmacy Technician to work per diem (PRN) shifts as needed in t…
Job Title: Director of Development Services Location: Fort Worth, TX Employment Type: Full-time, In-Person Compensation: $120,000–$150,000 annually, based on experience and qualifications About the role We are seeking an…
Skills: Municipal planning, Zoning, Plan review, Permitting, Inspections
DHL Supply Chain is Hiring! At DHL, you will play a part in one of the world’s most essential industries. As the world’s leading contract logistics provider, we believe in doing the right thing, growing together, and del…
Skills: Inventory control, Warehouse management, Inventory accuracy, Data entry, Record keeping
DSV – Global Transport and Logistics At DSV, our purpose is to keep customers’ supply chains flowing and enable the business of our customers by ensuring reliable and efficient transport and logistics services through st…
Skills: Labor management, Warehouse operations, Team leadership, Performance management, Logistics
Title:Custodian Job Description: Job Overview The Custodian is responsible for the cleanliness and sanitation of all areas assigned. Roles & Responsibilities To perform this job successfully and safely, an individual mus…
Position Summary Martek has been awarded a long-term Federal contract supporting the Federal Aviation Administration. We are seeking an Jr. Real Estate Analyst to join our team. The ideal candidate will possess the educa…
Skills: Real estate acquisitions, Contract support, Negotiation, Market research, Data analysis
About WFS Join our Worldwide Flight Services and Oxford family and contribute to the timely delivery of cargo shipments, luggage, business to customer delivery, and on-time flights while operating safely and securely. We…
Skills: Airport operations, Data entry, Reporting, Gate management, Communication
Methodist Retirement Communities (MRC)
Rehabilitation Coordinator- Stevenson Oaks
Fort Worth, Texas, United States · On-site
Entry level
Job DetailsJob Location: Stevenson Oaks - Fort Worth, TX 76123Affiliated with Methodist Retirement Communities and located in Fort Worth, Stevenson Oaks Retirement Community offers 172 independent living apartments, 40 a…
Skills: Scheduling, Administrative support, Medical records management, Insurance verification, HIPAA compliance
Title: Medical Assistant Employee Classification: Medical Assistant Campus: University of North Texas Health at Fort Worth Division: HSC-Health Systems SubDivision-Department: HSC-Health Systems & Clinical Aff Department…
Base Pay This role has a minimum base pay from $15.24 per hour with higher starting pay available based on experience. Purpose This position is responsible for the accuracy and integrity of the store’s inventory. Full-Ti…
Skills: Inventory control, Point of sale analysis, Reporting, Business analysis, Microsoft office suite
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$64k–$95k/yr
Full-time
professional certificate
Medical, Pharmacy, Dental, Vision, Long term disability, Health savings account
Posted 17d ago
~40 hrs/week
Remote in Fort Worth, Texas, United States
Responsibilities
The Clinical Auditor performs DRG validation reviews of medical records to ensure billing accuracy and regulatory compliance. They also assist the quality control team and medical director with appeals and rebuttals while identifying potential reimbursement savings.
Requirements
Candidates must hold an LVN or RN license and possess a CCS or CIC certification with experience in DRG auditing. Proficiency in ICD-10 coding guidelines and knowledge of Medicare/Medicaid regulations are required.
Full job description
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 review. This involves completing medical record reviews, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. This role will utilize their experience with ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures. The ideal DRG Clinical Auditor candidate has strong written and verbal communication skills, clinical knowledge of disease processes, and knowledge of medical necessity rules.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
The Clinical Auditor will review medical records to determine accuracy of billing through verification of coding and review of supporting clinical documentation
Conduct audits to ensure accurate reimbursement and identifying potential savings
Demonstrated knowledge of ICD-10-CM codes, PCS and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid
Understand and comply with all internal and external policies
Working knowledge of HIPAA Privacy and Security Rules
Assist Quality Control team and medical director with appeals, rebuttals, etc.
Notify leadership of any issues or concerns in a timely manner
Additional duties as assigned
KNOWLEDGE & SKILLS:
Proficient understanding of Medicare, CMS guidelines and ICD-10 coding guidelines
Effective and professional communication skills, both verbal and written
Ability to work independently and in a team environment
High attention to detail
Must possess critical thinking skills
Ability to multi-task and assist with team coverage and provide support when needed
Ability to build relationships both internally and externally
Ability to work in a fast-paced environment
Demonstrated proficiency in basic computer skills and typing
Proficiency with Microsoft Office
EDUCATION & EXPERIENCE:
LVN or RN license in the state of employment preferred
CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10 PCS
Experience in the OR, ICU, or ER as an RN highly preferred
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.
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.
A clear path to payment integrity | A CorVel Company
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1990
Headquarters
Fort Worth, Texas
LinkedIn followers
3,096
CERIS, a CorVel company, serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and payment integrity leaders deliver savings through the prevention of improper payments and recovery of overpayments. Our multi-faceted processes and relationships with the medical community makes CERIS a partner of choice for state agencies, commercial health payors, managed care organizations, and third party administrators across the nation. Visit our website to learn more.
Offices: 5128 Apache Plume Rd., Ste: 400, Fort Worth, Texas 76109, US
How many Administrative jobs are open in Fort Worth, TX right now?
There are currently 1,295 open administrative positions in Fort Worth, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Fort Worth, TX?
Companies currently hiring include Cook Children's Health Care System, University of North Texas System, Bank of America, Texas Health Resources, Hotel Drover, Autograph Collection, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Fort Worth, TX?
Yes — 149 of the 1295 open administrative positions offer remote or hybrid work (54 remote, 95 hybrid).
How do I apply for Administrative jobs in Fort Worth, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.