AceStack LLC

Medical Coder Location: Remote FTE Function Asks: We are seeking dedicated and detail-oriented specialists who possess a 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. Volumes: 300 cases per week FTEs: 1 domestic resources 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...

Medical Coder Location: Remote FTE Function Asks: We are seeking dedicated and detail-oriented specialists who possess a 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. Volumes: 300 cases per week FTEs: 1 domestic resources 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...