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 coding, ICD-10-PCS coding, Clinical documentation
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise…
We are hiring immediately for full time HOUSEKEEPER positions. Location: Texas Health Methodist Fort Worth - 1301 Pennsylvania Avenue, Fort Worth, TX 76104. Note: online applications accepted only. Schedule: Full time sc…
Job Description Aramark Healthcare+ is seeking an Environmental Services General Manager to join their team at Baylor Scott and White All Saints Hospital in Fort Worth, TX. The Environmental Services General Manager will…
We are hiring immediately for full time HOUSEKEEPER positionS. Location: Texas Health Fort Worth - 1301 Pennsylvania Avenue, Fort Worth, TX 76104. Note: online applications accepted only. Schedule: Full time schedule. 8:…
Skills: Cleaning, Customer service, Attention to detail, Floor maintenance, Vacuuming
Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million ou…
Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million ou…
Skills: Computed tomography, Patient care, Image quality assurance, Contrast media administration, Patient positioning
Registered Nurse – Vascular Surgical Specialists Clinic – Full-Time, Days
Fort Worth, Texas, United States · On-site
Entry level$260K raised
Registered Nurse – Vascular Surgical Specialists Clinic – Full-Time, Days Bring your passion to Texas Health so we are Better + Together Work location: 1325 Pennsylvania Avenue, Fort Worth, TX 76104 Work hours: Full-time…
Skills: Nursing, Vascular Care, Surgical Assistance, Patient Assessment, Medication Administration
Paid training and RBT certification assistance provided, no experience necessary! Work Environment: This position is best for someone who loves autonomy! This role involves providing therapy services in the homes of pati…
Skills: ABA therapy, Data collection, Treatment planning, Autism spectrum disorder support, Child development
Bachelor's Degree Required Job Description: Make a Difference Every Day: Action Behavior Centers hires caring people to help children with autism build communication, social, and independent skills. Schedule: Monday-Frid…
Skills: Applied Behavior Analysis, ABA therapy, Child development, Data collection, Treatment plan implementation
Bachelor's Degree Required Job Description: Make a Difference Every Day: Action Behavior Centers hires caring people to help children with autism build communication, social, and independent skills. Schedule: Monday-Frid…
Skills: Applied Behavior Analysis, ABA therapy, Child development, Data collection, Behavioral health
Shape the future of primary care, have a voice and love your patients! This is what we do at Total Primary Care. We’ve built a growing network of 50+ clinics across Texas where providers are heard, patients are valued, a…
Skills: Primary care, Men's health, Family care, Behavioral health, Patient-centered care
Methodist Retirement Communities (MRC)
Junior Maintenance Technician - Stevenson Oaks
Fort Worth, Texas, United States · On-site
Mid level
Job DetailsJob Location: Stevenson Oaks - Fort Worth, TX 76123Do you have a passion for tinkering, troubleshooting, and turning wrenches? Are you the go-to "fix-it" friend in your group? If you're ready to turn your love…
Skills: Building maintenance, Troubleshooting, Mechanical repair, Preventive maintenance, Construction
Employee Assistance Program (EAP) Clinician Bring your passion to THR so we are Better + Together Work location: Texas Health sites in Denton, Arlington and Flower Mound Work hours: Full time (40hours) Monday - Friday, w…
Resident Assistant Are you a compassionate and dependable individual who is looking for a career that means something? Do you have a passion for serving others and a desire to know you are making a difference? If so, we …
Skills: Activities Of Daily Living, Personal Hygiene Care, Mobility Assistance, Written Communication, Verbal Communication
CGT Reimbursement & Medical Benefit Operations Supervisor
Cary, North Carolina, United States · Hybrid
$55k–$92k/yr
Mid level
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here…
Skills: Team leadership, Medical benefit investigations, Prior authorizations, Reimbursement support, Provider billing
Job Title: Music Therapist - School Based Pay Range: $40-$50 per hour Job Description: $40-$50/hr. | Part -Time | Ft Worth, TX | School-Based | MT-BC Certification Required About the Role: Provide music therapy services …
Skills: Music therapy, IEP development, Clinical assessment, Special education, Communication disorders
MedTech Field Service Software Tech Entry Level - Central Time Zone
Carlsbad, California, United States · On-site
$27/hr–$30/hr
Mid level$4.6B raised
Our Field Service Technicians experience a unique opportunity to employ their technical experience by collaborating with healthcare professionals and leading technical initiatives in medical device technology. You will b…
Skills: Medical device troubleshooting, Hardware installation, Software configuration, Network products, Field service
Medical Director - Pulmonary / Critical Care Physician
Fort Worth, Texas, United States · On-site
Senior
Acclaim Health (Acclaim) is a multi specialty medical group practice comprised of over 500 physicians, nurse practitioners, and physician assistants that partner with JPS Health Network (JPS). Acclaim supports JPS’s miss…
Skills: Pulmonary medicine, Critical care medicine, Bronchoscopy, Inpatient care, Outpatient care
Overview Baylor Scott & White Institute for Rehabilitation Fort Worth, TX Therapy Aide Full Time Inpatient Facility Shift Hours: 7:30am-4pm or 8:30am-5pm Baylor Rehabilitation is seeking a Therapy Technician to fill our …
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 16d 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.
Raising the bar for care. Lowering risk for clients.
Industry
Insurance
Company size
1,001-5,000 employees
Founded
1987
Headquarters
Irvine, CA
LinkedIn followers
36,380
CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry. Our mission is to take care of people and business with risk management solutions that deliver better outcomes for our partners. We are publicly traded (NASDAQ:CRVL), and annual revenues exceed $959 million. Our continuous investments in technology, infrastructure, and human capital allow us to offer local customer service backed by national resources.
Offices: 1920 Main St, Suite 900, Irvine, CA 92614, US · 5th Avenue, Portland, OR 97204, US
Workers' CompensationMedical Bill ReviewCase ManagementPPO ManagementTelehealthReturn to WorkRisk ManagementAuto LiabilityGeneral LiabilityClaims Management
How many Healthcare jobs are open in Fort Worth, TX right now?
There are currently 1,795 open healthcare positions in Fort Worth, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Fort Worth, TX?
Companies currently hiring include Texas Health Resources, Cook Children's Health Care System, CIBA Vision GmbH, Highpoint Health with Ascension Saint Thomas, CVS Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Fort Worth, TX?
Yes — 154 of the 1795 open healthcare positions offer remote or hybrid work (70 remote, 84 hybrid).
How do I apply for Healthcare 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.