Job Summary
A consulting firm is filling a position for a Remote Clinical Appeals Registered Nurse in Long Beach.
Core Responsibilities Include:
- Preparing clear and concise audit reports
- Identifying coding and clinical documentation issues
- Developing recommendations to maintain efficient and effective processes
Must meet the following requirements for consideration:
- CCS Certification through AHIMA is required
- Registered Nurse (RN) License is required
- 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
- Experience in a variety of Electronic Medical Records (EMR) Systems