Remote Clinical Appeals Registered Nurse in Long Beach

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Thu, Sep 05, 2019

This job expires in 13 days

Job Category: Healthcare, Insurance, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time, Part Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

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