Talent.com
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsSacramento, California, United States
1 day 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 • Sacramento, California, United States

Related jobs
  • Promoted
RDA

RDA

BluetreeRepresa, CA, US
Full-time
Ready to Love Your Job Again? Join Us at Hammond & Proctor Family Dentistry!.Are you a rockstar Registered Dental Assistant (RDA) with a passion for people and a love for creating confident smiles?...Show moreLast updated: 30+ days ago
Experienced RDA

Experienced RDA

Arden Park Dental CareCameron Park, California, United States
Full-time
Quick Apply
Join Our Dental Family : RDA Position Available!.Are you passionate about dentistry and looking for a place to shine? Do you want to work with a drama-free positive team, where everyone is a team pl...Show moreLast updated: 30+ days ago
Experienced RDA EF2

Experienced RDA EF2

Arden Park Dental CareCameron Park, California, United States
Full-time
Quick Apply
Join Our Dental Family : RDA EF2 Position Available!.Are you passionate about dentistry and looking for a place to shine? Do you want to work with a drama-free positive team, where everyone is a tea...Show moreLast updated: 30+ days ago
  • Promoted
Clinical Liaison

Clinical Liaison

Lifepoint HealthSacramento, CA, United States
Full-time +1
Schedule : Days, Weekend rotation.UC Davis Rehabilitation Hospital.We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others.Join us on this ...Show moreLast updated: 10 days ago
  • Promoted
Medical Scribe - Remote

Medical Scribe - Remote

TradeJobsWorkForce94249 Sacramento, CA, US
Remote
Full-time
Medical Scribe Job Duties : Prepares and assembles medical record documentation / charts for ph...Show moreLast updated: 30+ days ago
  • Promoted
Medical Billing - Earn Up to $37 / hr

Medical Billing - Earn Up to $37 / hr

TradeJobsWorkforce94230 Sacramento, CA, US
Full-time
REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...Show moreLast updated: 30+ days ago
  • Promoted
Medical Billing Clerk

Medical Billing Clerk

TradeJobsWorkforce94230 Sacramento, CA, US
Full-time
REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...Show moreLast updated: 30+ days ago
  • Promoted
Registration Clerk

Registration Clerk

Sutter HealthAuburn, CA, US
Full-time
Serves as the face to face point of contact for the patient at a client location.Obtains all necessary information to register and financially clear patients. Greets patients / family members and obta...Show moreLast updated: 4 days ago
  • Promoted
Medical Records Technician

Medical Records Technician

TradeJobsWorkForce95829 Vineyard, CA, US
Full-time
Medical Records Technician Job Duties : Maintains medical records operations by following policies and procedures; ...Show moreLast updated: 30+ days ago
  • Promoted
Medical Transcriptionist

Medical Transcriptionist

TradeJobsWorkForce95831 Sacramento, CA, US
Full-time
Transcribe medical reports, summaries, office visit notes and other medical documents from recorded messages from health care providers Provide online copies of transcribed documents to physicians ...Show moreLast updated: 30+ days ago
  • Promoted
Medical Secretary

Medical Secretary

TradeJobsWorkForce94230 Sacramento, CA, US
Full-time
Provides treatments by cleaning ear canal; fitting hearing aides and other assistive devices; conducting auditory training and instruction in speech and lip reading. fitting and tuning cochlear pla...Show moreLast updated: 30+ days ago
Medical Front Office Coordinator

Medical Front Office Coordinator

California Foot & Ankle CentersDavis, CA, USA
Full-time
Quick Apply
Medical Front Office Coordinator.Davis, CA (and other No Cal locations).Competitive Salary & Bonus Program.Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. With a growing network of l...Show moreLast updated: 30+ days ago
  • Promoted
Healthcare / Employment Litigation Associate #ESF6692

Healthcare / Employment Litigation Associate #ESF6692

ExpertHiringSacramento, CA, US
Full-time
Top Reasons to work with our client : .Expertise in healthcare & employment law!.Nationally recognized, award-winning attorneys!. Supportive, team-focused culture!.Strong litigation and trial expe...Show moreLast updated: 30+ days ago
  • Promoted
Patient Access Coordinator

Patient Access Coordinator

Amsurg CorpRepresa, CA, US
Full-time
Folsom Sierra Endoscopy Center is a more convenient, cost-effective, and flexible alternative to hospital-based surgery for both surgeons and their patients. We deliver friendly, highly responsive a...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Patient Compensation Lead - FSP

Patient Compensation Lead - FSP

Veterans StaffingSacramento, CA, US
Full-time
The Patient Compensation Lead in Clinical Development & Operations will be responsible for ensuring all processes and vendors are in place to enable participant compensation, reimbursement, and tra...Show moreLast updated: 19 hours ago
  • Promoted
Care Review Processor (Must reside in CA)

Care Review Processor (Must reside in CA)

Molina HealthcareSacramento, California, us
Full-time
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...Show moreLast updated: 5 days ago
  • Promoted
Patient Access Coordinator

Patient Access Coordinator

HangerFair Oaks, CA, US
Full-time
With a mantra of Empowering Human Potential, Hanger, Inc.O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.Ha...Show moreLast updated: 17 days ago
  • Promoted
Clinical Liaison (Sacramento)

Clinical Liaison (Sacramento)

Lifepoint HealthSacramento, CA, US
Full-time +1
Schedule : Days, Weekend rotation.UC Davis Rehabilitation Hospital.We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others.Join us on this ...Show moreLast updated: 8 days ago
  • Promoted
Medical Only Claims Specialist

Medical Only Claims Specialist

CorVelRepresa, CA, US
Full-time
Medical Only Claims Specialist.The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervisi...Show moreLast updated: 30+ days ago
  • Promoted
Patient Services Representative II, Ambulatory Surgery Center

Patient Services Representative II, Ambulatory Surgery Center

Sutter HealthYuba City, CA, US
Full-time
Serves as the first point of contact for patients entering the medical facility.This job is intended for use by positions employed by an outpatient facility. Greets and checks-in patients, verifies ...Show moreLast updated: 7 days ago