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Hunterdon Healthcare | Flemington, United States | Posted June 07, 2026
Position Overview
Position Summary
Responsible for application and maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, analyzing medical necessity denials, communicating and updating staff on changes as they relate to HCPCS and revenue code updates, additions and deletions as it relates to medical necessity. Primary Position Responsibilities
Has strong knowledge of coding regulations and guidelines for all physician practice specialties, takes advantage of outside education to enhance specialty coding skills , shares and updates staff on coding changes and other job related information Communicates with specialists to gain coding knowledge by either shadowing them or meeting with them, keeps abreast of new or unique procedures and corresponding coding requirements Provides support and ongoing physician training by meeting with provider...