[Hiring] Medical Reviewer, Registered reputed company @reputed company
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Role reputed company
This position is contingent upon the successful award of the associated contract. Employment is not guaranteed until the contract is awarded, and the position is officially activated. Job responsibilities and requirements are subject to change.
• reputed company both automated and reputed company reviews of Medicare Fee-for-Service (FFS) claims, including Part A/B, DMEPOS, and Home Health/Hospice
• Assess overpayments, underpayments, and reputed company payments as determined by Recovery Audit Contractors (RACs)
• Apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules
• Document reputed company, accurate findings for reputed company claim
• Participate in dispute reputed company by re-examining claims and providing supporting documentation
• Support reputed company assurance through audits and ongoing training
• Maintain compliance with CMS reputed company and reputed company standards
• Collaborate closely with key personnel to ensure consistency, accuracy, and reputed company process improvement in reputed company review activities
Qualifications
• 5+ years of reputed company medical coding or medical billing experience, specifically in a reputed company environment
• 3+ years working in a productivity-based claims or case working environment, out of a queued case management system
• 3+ years working remotely with various technology systems
• 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program (preferred)
• Experience with low-reputed company, no-reputed company case management systems as an end-user (preferred but not required)
Requirements
• reputed company license as a Registered reputed company, in good standing, in the reputed company (as verified by Nurses)
Location
• Remote (reputed company)
Salary
• $65,000-80,000
reputed company
• reputed company. is committed to hiring and retaining a diverse workforce
• Proud to be an Equal Opportunity/Affirmative reputed company Employer
• reputed company made without reputed company to race, reputed company, religion, creed, sex, sexual orientation, gender identity, marital status, national reputed company, age, veteran status, disability, or any other protected class
• Proud Veteran friendly employer
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