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RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsBoca Raton, Florida, United States
Hace más de 30 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

A company is looking for an IBR Clinical Appeals Reviewer - Remote.

Key Responsibilities

Analyze and respond to IBR Appeals inquiries

Perform medical record reviews and prepare written appeals

Collaborate with auditors and leadership to review impacted claims

Required Qualifications

Undergraduate nursing degree

Unrestricted RN (registered nurse) license

2+ years of appeals experience (coding or auditing)

Experience with CPT-4 and ICD10 CM / PCS coding

Advanced knowledge of regulations and compliance in appeals

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Rn Clinical • Boca Raton, Florida, United States

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