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Medical Reviewer for Surgical DressingsVirtualVocations • Austin, Texas, United States
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Medical Reviewer for Surgical Dressings

Medical Reviewer for Surgical Dressings

VirtualVocations • Austin, Texas, United States
7 days ago
Job type
  • Full-time
Job description
A company is looking for a Medical Reviewer, Surgical Dressings. Key Responsibilities Ensure surgical dressing orders comply with CMS regulations and policies Lead audit and appeals processes, including UPIC/MAC ADR responses Train team members on documentation requirements and track relevant metrics Required Qualifications 3-5+ years of medical review experience at a UPIC or MAC Hands-on adjudication experience with various surgical dressings Expertise in proof of delivery standards and common denial rationales Strong writing skills anchored in policy Ability to work calmly under deadlines while handling PHI
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Medical Reviewer for Surgical Dressings • Austin, Texas, United States

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