RN Clinical Appeals ReviewerVirtualVocations • San Francisco, California, United States
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RN Clinical Appeals Reviewer
VirtualVocations • San Francisco, California, United States
30+ 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
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