Wipro in Atlanta, GA is seeking a Medicare Appeals Review Specialist to analyze medical records and determine coverage decisions. You will review NCD/LCD denials, Duplicates, and MUE cases, comparing findings to CMS guidelines and documenting each step.
The role requires a CPC/CCS certificate, strong analytical skills, and the ability to work independently as well as part of a team. Experience with FACETS is preferred, with COSMOS exposure as a plus.
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