Position: Medical Coder Job-Type: Full-time/permanent Location: Atlanta, GA - Remote ( After the 3-week training in the office, the position is remote) Job Description Our team is seeking dedicated and detail-oriented specialists who possess a Medical Coding Certificate and have a strong understanding of records review. They will be responsible for handling appeals for Medicare members, specifically working on NCD/LCD denials, Duplicate denials, and MUE denials. The role involves reviewing medical records, comparing findings to CMS guidelines, and determining if conditions of coverage exist. If conditions are not met, the specialist will provide an uphold justification. 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. Determine if conditions of coverage are met. Provide uphold justifications when conditions of coverage are not met. Maintain accurate and detailed documentation of all reviews and decisions. Communicate effectively with team members and other stakeholders. Stay updated with CMS guidelines and changes in Medicare policies. Initially focus on FACETS cases, with plans to expand to COSMOS cases. Handle additional coding-related scenarios as the team expands. Basic Requirements: High School or equivalent - Document will be required, so please ask if they have a hard copy available. Previous WFH experience with high-speed internet. Coding certificate (CPC, CCS, or equivalent). Experience with FACETS (required). Strong understanding of medical records review. Experience with Medicare appeals and denials (NCD/LCD, Duplicate, MUE). Able to work in-office during 3-week training. Must have experience with denied claims review as an auditor/examiner. (Note: It is more of a back-office data processing position rather than a call center/customer service job). Preferred: Experience with COSMOS (secondary). Previous experience in a similar role. Knowledge of healthcare regulations and compliance. Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company. Diverse Lynx
...removes from corridor floors, to the linen room and loading dock Cleans/dusts corridors walls, base boards, vacuum carpets, clean... ...availability is required seven (7) days per week, including early mornings, late nights, weekends, and holidays. Part-Time: Must be available...
...Arrow Healthcare Staffing is seeking a travel Physical Therapist for a travel job in West Chester, Ohio. Job Description & Requirements ~ Specialty: Physical Therapist ~ Discipline: Therapy ~ Start Date: 10/20/2025~ Duration: 13 weeks ~40 hours per week...
...Paid Vacations, Holiday Leave, Sick Leave and more. Open to experienced psychiatrists Board certified or board eligible in psychiatry Active or eligible for New York State medical licensure Brooklyn offers a richly diverse and vibrant urban community within...
Medical Transcriptionist II Location Seattle, WA (Industrial District area) : Overview: Medical Transcriptionist II - Seattle,WA -Monday... ...reports, as per Pathologist instructions Hematopathology transcription, as applicable Provide verbally, STAT and malignant results...
...discover personal and professional fulfillment by aligning your career with your values. We are honored to offer behavioral healthcare services in Corrections Perks of working in correctional healthcare: Opportunity to make a positive impact on a...