Telecommute Clinical Appeals CCS Nurse

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Tue, Mar 05, 2019

This job expires in 15 days

Job Category: Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A consulting company has an open position for a Telecommute Clinical Appeals CCS Nurse.

Must be able to:

  • Identify problem accounts and escalates as appropriate
  • Develop recommendations to maintain efficient and effective processes
  • Serve as liaison with third-party payers/agencies

Qualifications for this position include:

  • 3+ years of Facility, Inpatient, medical coding experience
  • Must have valid and active Registered Nurse (RN) License
  • Must have CCS Certification through AHIMA
  • Minimum of 3 years of clinical experience
  • Graduate of an accredited College or University
  • Working knowledge of InterQual and Milliman Care Guidelines