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Compact State Licensed Coding Expert
A company is looking for a Medicare Regulatory and Coding Expert (Remote U.S.) Key Responsibilities Review and interpret CMS medical necessity and prior authorization guidelines Maintain the internal Action Code Database (ACD) and monitor CMS regulations Assess patient records to determine medical necessity and appropriateness of care Required Qualifications Active and unrestricted LPN/LVN or RN with a Compact State License 2+ years of experience as a Certified Medical Coder or Certified Professional Coder Graduation from an accredited Nursing Degree Program 2+ years of independent clinical experience post-graduation 1+ years of experience in Utilization Management or related fields
A company is looking for a Medicare Regulatory and Coding Expert (Remote U.S.)
Key Responsibilities
Review and interpret CMS medical necessity and prior authorization guidelines
Maintain the internal Action Code Database (ACD) and monitor CMS regulations
Assess patient records to determine medical necessity and appropriateness of care
Required Qualifications
Active and unrestricted LPN/LVN or RN with a Compact State License
2+ years of experience as a Certified Medical Coder or Certified Professional Coder
Graduation from an accredited Nursing Degree Program
2+ years of independent clinical experience post-graduation
1+ years of experience in Utilization Management or related fields
