RN Clinical Appeals Specialist
Job Summary
A company is looking for a Clinical Appeals RN - Coding to review appeals and grievances related to healthcare services.
Key Responsibilities
- Analyze and review clinical appeals and grievances
- Review coding edits and address reimbursement issues
- Provide guidance and coaching to others on complex issues
Required Qualifications
- Active, unrestricted RN licensure in state of residence
- 3+ years of clinical experience in a hospital or direct care setting
- Experience with coding edits and reimbursement issues
- Medical record and appeal review experience
- Proficient in Microsoft Office Suite (Word, Excel & Outlook)
COMPLETE JOB DESCRIPTION
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