Clinical Coding Appeals Nurse

Job Summary

Reviewing and interpreting medical records, the full-time Clinical Coding Appeals Nurse will draft appeals for denied and underpaid claims while working remotely, ensuring compliance with coding guidelines and deadlines.

Key responsibilities

• Review and interpret medical records to appeal denied and underpaid claims
• Draft well-structured and persuasive appeal letters utilizing coding guidelines
• Ensure timely completion of appeals to meet compliance deadlines

Required qualifications

• Bachelor's Degree in Nursing is required
• 5 years of inpatient clinical experience
• Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC)
• Active Registered Nurse is strongly preferred; LPNs with relevant experience may be considered