Certified Medical Coder

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Wed, Apr 30, 2025
NCD/LCD Denials Duplicate Denials MUE Denials CMS Guidelines

Job Summary

A company is looking for a Medical Coder.

Key Responsibilities:
  • Review and analyze medical records for Medicare appeals
  • Work on NCD/LCD denials, Duplicate denials, and MUE denials
  • Compare medical findings to CMS guidelines and provide uphold justifications when conditions of coverage are not met
Required Qualifications:
  • High School diploma or equivalent
  • Coding certificate (CPC, CCS, or equivalent)
  • Previous work-from-home experience with a HIPAA compliant office
  • Strong understanding of medical records review and experience with Medicare appeals and denials
  • Experience with denied claims review as an auditor/examiner
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