Remote CCS Clinical Appeals Registered Nurse

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Wed, Apr 15, 2020

Job Category: Healthcare, Medical Coding, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A consulting company is seeking a Remote CCS Clinical Appeals Registered Nurse.

Core Responsibilities Include:

  • Identifying coding and clinical documentation issues
  • Serving as a liaison with third party payer and agencies regarding appeals
  • Organizing difficult or complex information in an understandable and efficient manner

Qualifications for this position include:

  • Registered Nurse (RN) License
  • CCS Certification through AHIMA
  • Graduate of an accredited College or University
  • 5+ years of clinical experience in Hospital inpatient and outpatient departments
  • 2+ years of clinical appeals/denials writing experience
  • Experience reviewing and analyzing denied/downgraded MS-DRG and APR-DRG accounts