| http://www.w3.org/ns/prov#value | - ditsFamiliar with all regulatory requirements including CMS and DHSExperience in coding and abstracting, working knowledge of Diagnosis Related Groups (DRGs), Private Payors, and Medicare coverage guidelines is requiredStrong experience in the analysis and processing of Medicare claims, utilization review/quality assurance procedures, ICD-9-CM and CPT-4 coding, Medicare coverage guidelines, and pa
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