RN Clinical Appeals Reviewer
VirtualVocationsNaperville, Illinois, United States30+ days ago
Job type
- Full-time
Job description
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
Create a job alert for this search
Rn Clinical • Naperville, Illinois, United States
Related jobs
Clinical Documentation Specialist Qualifications.License to practice as a Registered Nurse preferred (any state).Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Register...Show moreLast updated: 22 days ago
Patient Access Specialist, Full-time, Nights.The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Pro...Show moreLast updated: 30+ days ago
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.This patient-first approach is what sets us apart as a leader in the healthcare industry.A...Show moreLast updated: 30+ days ago
Utilization Review Specialist (URS).Skyway Behavioral Health is an innovative center that goes beyond the treatment of mood, anxiety, and eating disorders to address underlying traumatic stress.Our...Show moreLast updated: 20 days ago At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.This patient-first approach is what sets us apart as a leader in the healthcare industry.A...Show moreLast updated: 30+ days ago Patient Access Specialist (Afternoons).At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.
This patient-first approach is what sets us apart a...Show moreLast updated: 24 days ago 
Clinical Documentation Specialist Qualifications.License to practice as a Registered Nurse preferred (any state).Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Register...Show moreLast updated: 22 days ago
Responsible for greeting customers, providing information, and communicating with other departments.Responsible for appointment scheduling.
Education, Experience, Training : .High School diploma or eq...Show moreLast updated: 10 hours ago Clinical Documentation Specialist Qualifications.License to practice as a Registered Nurse preferred (any state).Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Register...Show moreLast updated: 22 days ago 
Loyola Medicine, a member of Trinity Health, is a nationally ranked academic, quaternary care system based in Chicago's western suburbs.
With its main campus at Loyola University Medical Center, Loy...Show moreLast updated: 10 hours ago Rehabilitation Patient Access Specialist-Full-time Days.At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.
This patient-first approach is wha...Show moreLast updated: 30+ days ago Clinical Documentation Specialist Qualifications.License to practice as a Registered Nurse preferred (any state).Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Register...Show moreLast updated: 22 days ago 
The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.Hours : Monday-Friday, [hours and flexible work schedules].The Medical Coder III is ...Show moreLast updated: 30+ days ago
Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right for...Show moreLast updated: 7 days ago Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right for...Show moreLast updated: 30+ days ago Clinical Documentation Specialist Qualifications.License to practice as a Registered Nurse preferred (any state).Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Register...Show moreLast updated: 22 days ago 
Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions.
We are a well-established, higher volume ...Show moreLast updated: 30+ days ago Clinical Documentation Specialist Qualifications.License to practice as a Registered Nurse preferred (any state).Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Register...Show moreLast updated: 22 days ago 
Haymarket Center has emerged as a leader in the field of addictions and behavioral health treatment.We have done this through our evidence based interventions and state of the art programming geare...Show moreLast updated: 14 days ago Clinical Documentation Specialist Qualifications.License to practice as a Registered Nurse preferred (any state).Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Register...Show moreLast updated: 22 days ago
- Promoted
Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP)
Revolution TechnologiesElgin, IL, United StatesRemote
Full-time
- Promoted
Patient Access Specialist, Full-time, Nights
Northwestern Medicine Central DuPage HospitalGeneva, IL, USFull-time
- Promoted
Patient Access Specialist
Northwestern Memorial HealthcareGeneva, IL, USFull-time
- Promoted
Utilization Review Specialist
Skyway Behavioral HealthDowners Grove, IL, USFull-time
- Promoted
Patient Access Specialist
Northwestern Medicine Central DuPage HospitalChicago, IL, USFull-time
- Promoted
Patient Access Specialist (Afternoons)
Northwestern Medicine Central DuPage HospitalChicago, IL, USFull-time
- Promoted
Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP) (Chicago)
Revolution TechnologiesChicago, IL, USRemote
Part-time
- Promoted
- New!
Clinic - Patient Svc Rep - PHIL-MG GI Park Ridge RMIL
Prime HealthcarePark Ridge, IL, USFull-time
- Promoted
Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP) (Aurora)
Revolution TechnologiesAurora, IL, USRemote
Part-time
- Promoted
- New!
Patient Access Rep I
Trinity HealthMelrose Park, IL, USFull-time
- Promoted
Rehabilitation Patient Access Specialist-Full-time Days
Northwestern Medicine Central DuPage HospitalGeneva, IL, USFull-time
- Promoted
Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP) (Joliet)
Revolution TechnologiesJoliet, IL, USRemote
Part-time
- Promoted
Medical Coder III
Endeavor HealthWarrenville, Illinois, USFull-time
- Promoted
Health Information Specialist I
DatavantSkokie, IL, USFull-time
- Promoted
AREA HEALTH INFORMATION SPECIALIST I
DatavantBolingbrook, IL, USFull-time
- Promoted
Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP) (Elgin)
Revolution TechnologiesElgin, IL, USRemote
Part-time
- Promoted
Medical Prior Authorization Specialist
AFC Urgent CareHinsdale, IL, USFull-time
- Promoted
Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP) (Naperville)
Revolution TechnologiesNaperville, IL, USRemote
Part-time
- Promoted
Patient Intake Screener
Haymarket CenterChicago, IL, USFull-time
- Promoted
Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP) (Cicero)
Revolution TechnologiesCicero, IL, USRemote
Part-time