Pennsylvania Licensed Utilization Management RN

Job Summary

A company is looking for a Utilization Management RN & Coding Specialist.

Key Responsibilities

• Review and extract pertinent case details from patient medical records and compose appeal letters
• Utilize coding systems and guidelines to ensure accurate coding and compliance
• Educate clients on correct coding practices and participate in ALJ hearings as needed

Required Qualifications

• Associate's Degree (or higher)
• Possess one of the following Coding Certifications: CCS, CCS-P, CPC-H, CPC, RHIT, RHIA, CDIP, CCDS
• Unrestricted RN license required in state of residence
• 3+ years of experience in ED, Telemetry, CCU
• 1+ years of Inpatient Coding experience