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Job description
Serco Inc. is hiring a Medical Review Specialist to analyze Medicare claims, review medical records, and apply coding principles (ICD-9/ICD-10, CPT-4) for payment accuracy. You will audit documentation, determine medical necessity, and document decisions in the review tool.
The role requires clinical experience with medical records and a strong grasp of CMS guidelines. The position emphasizes collaboration within CERT, adherence to SOW, and participation in QA/IRR activities, with opportunities
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Worksite address
carson city, NV, 89702, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.