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Serco

Senior Medical Records & Claims Review Specialist

juneau, AK

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Job description

Serco Inc. is seeking a Medical Review Specialist to join the CMS CERT program. You will perform in-depth medical records analysis, apply ICD-9-CM/ICD-10-CM, CPT-4, and HCPCS codes, and determine medical necessity and appropriate billing in accordance with CMS guidelines.

Ideal candidates have a bachelor’s degree or RN background, strong medical records knowledge, and proficiency with Microsoft Office. This role supports production targets and requires collaboration across CERT teams while

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Worksite address

juneau, AK, 99812, US

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