Position: Medical Coder
Job-Type: Full-time/permanent
Location: Tampa, FL and Atlanta, GA - Remote ( After the 3-week training in the office, the position is remote)
Job Description
Our team is seeking dedicated and detail-oriented specialists who possess a Medical Coding Certificate and have a strong understanding of records review. They will be responsible for handling appeals for Medicare members, specifically working on NCD/LCD denials, Duplicate denials, and MUE denials. The role involves reviewing medical records, comparing findings to CMS guidelines, and determining if conditions of coverage exist. If conditions are not met, the specialist will provide an uphold justification.
Key Responsibilities:
Basic Requirements:
Preferred:
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