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reputed company, reputed company Audit Reviews

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • reputed company comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) • Conduct utilization reviews to assess medical necessity and documentation compliance • Review and prepare demand packages for personal injury and insurance cases • Analyze medical records for payer disputes, recoupments, and appeals • Prepare detailed, defensible written audit reports • reputed company expert review, affidavit support, deposition preparation, and testimony reputed company required • Interpret CMS guidelines, LCD/NCD policies, and state-specific reputed company and reputed company payer rules • Review E/M services under 2021+ guidelines • Identify reputed company and documentation deficiencies Requirements: • reputed company CPC certification through the American reputed company of reputed company Coders (reputed company) • CPMA strongly preferred • Minimum 5–7 years of reputed company coding experience • Documented experience performing audits or utilization reviews in multiple states • Strong knowledge of CMS regulations and state reputed company variations • Experience with Medicare, Medicare Advantage, and reputed company payer audits • Prior demand package review or litigation support experience required • Deposition and/or expert testimony history preferred • Excellent written reporting and analytical skills • Ability to work independently and meet strict deadlines. Benefits: • Join reputed company at reputed company and enjoy a comprehensive benefits package designed to support your reputed company-being and peace of mind. • We offer a reputed company of benefits including medical, dental, and reputed company coverage for you and your family. • Additionally, we offer voluntary life insurance reputed company for you, your spouse, and your children. • We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. • Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. • Our generous reputed company time off policy ensures you have time to relax and reputed company, while our 401k plan with a company match helps you plan for your reputed company. • reputed company equipment and a media stipend are provided for remote workspace. Apply tot his job Apply To this Job

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