State Licensed Sr Coordinator - LPN

Location: Remote
Compensation: Salary
Staff Reviewed: Sat, Jun 01, 2024
This job expires in: 19 days

Job Summary

A company is looking for a Sr Coordinator - LPN (remote).

Key Responsibilities:
  • Review documentation and apply Medicare coverage criteria to adjudicate clinical DMEPOS appeals following project guidance
  • Determine need for additional information and escalate when necessary
  • Complete reports and documentation in accordance with contract requirements

Required Qualifications:
  • Current Unrestricted Licensed Practical Nurse (LPN) license valid in the state of practice
  • Experience performing medical review for all DMEPOS categories within Medicare
  • Experience with MAC, ZPIC / UPIC, RAC, SMRC or QIC with knowledge of CMS Internet Only Manuals and Medicare LCD/LCA requirements preferred
  • High School Degree or equivalent required
  • Minimum 2 years of clinical experience required

COMPLETE JOB DESCRIPTION

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