Talent.com
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsDurham, North Carolina, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.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

serp_jobs.job_alerts.create_a_job

Rn Clinical • Durham, North Carolina, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medical Scribe (Remote)

Medical Scribe (Remote)

Scribe-XRaleigh, NC, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Scribe-X offers unparalleled clinical experience and preparation for medical school.Receive extensive paid training that will help you master EMR systems and patient documentation procedures.Develo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Licensed Health and Life Agent

Licensed Health and Life Agent

Healthy Insurance for Healthy PeopleRaleigh, NC, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Ready to Take Your Sales Career to the Next Level?.Join Best Insurance Group, a leader in the insurance industry, where your sales skills can truly shine, and success has no limits!.We're looking f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Prior Authorization Specialist

Prior Authorization Specialist

East Carolina Anesthesia AssociatesHolly Springs, NC, US
serp_jobs.job_card.full_time
Job Title : Prior Authorization Specialist .Location : Primary – Holly Springs, NC (ECPC Holly Springs Interventional Pain and Spine) . Status : Full-Time, Non-Exempt .Department : Administrative – E...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Navigator

Patient Navigator

InsideHigherEdChapel Hill, North Carolina, United States
serp_jobs.job_card.full_time +2
Is this an internal only recruitment? : .Soc / Clin Research Assistant - Advanced.Full-time / Part-time Permanent / Time-Limited : . Monday – Friday, 8 : 00AM – 5 : 00PM.To learn more about the pay band for this ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Prior Authorization Representative

Prior Authorization Representative

MediabistroCary, NC, United States
serp_jobs.job_card.full_time
Now Hiring : Prior Authorization Specialist Rare Disease Program (Onsite | Cary, NC).Join a growing specialty pharmacy team dedicated to helping patients gain access to life-changing therapies.This...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Health Information Specialist I

Health Information Specialist I

DatavantRaleigh, NC, US
serp_jobs.job_card.full_time
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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Scribe

Medical Scribe

MedScribesChapel Hill, NC, US
serp_jobs.job_card.full_time +1
Invaluable experience for aspiring Pre-PA, Nursing and Medical School Candidates.You have the chance to be a part of a clinical team while always being at the right hand of the physician.IMPORTANT : ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Nurse Interviewer

Nurse Interviewer

InsideHigherEdChapel Hill, North Carolina, United States
serp_jobs.job_card.full_time +2
Lineberger Compr Cancer Center-426801.Health Professional (Physician / Nurse / Other).Is this an internal only recruitment? : . Full-time / Part-time Permanent / Time-Limited : .Monday – Friday, 8am – 5pm (vari...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Transcriptionist / Scribe

Medical Transcriptionist / Scribe

InsideHigherEdChapel Hill, North Carolina, United States
serp_jobs.job_card.full_time +2
ASOD Oral Maxillofacial Surg-434200.Administrative / Clerical Support.Is this an internal only recruitment? : .Admin Support Specialist - Journey. Medical Transcriptionist / Scribe.Full-time / Part-time Per...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access ED Registration Specialist

Patient Access ED Registration Specialist

Cone HealthBurlington, NC, US
serp_jobs.job_card.full_time
Patient Access Ed Registration Specialist.The Patient Access ED Registration Specialist is the first point of contact and creates a welcoming environment to include anticipation and action on the n...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Clinic Scribe

Medical Clinic Scribe

MedScribesRaleigh, NC, US
serp_jobs.job_card.full_time +1
Invaluable experience for aspiring Pre-PA, Nursing and Medical School Candidates.You have the chance to be a part of a clinical team while always being at the right hand of the physician.IMPORTANT : ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Medical Scribe

Remote Medical Scribe

Scribe-XDurham, NC, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Scribe-X offers unparalleled clinical experience and preparation for medical school.Receive extensive paid training that will help you master EMR systems and patient documentation procedures.Develo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Patient Access Representative

Patient Access Representative

Piedmont Health ServicesChapel Hill, NC, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
About Piedmont Health Services.PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healt...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Claims Analyst

Medical Claims Analyst

Robert HalfRaleigh, NC, US
serp_jobs.job_card.full_time
We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina.This long-term contract position is ideal for someone with extensive experience in medical cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Documentation Specialist Auditor- HIM Coding & CDI Quality

Clinical Documentation Specialist Auditor- HIM Coding & CDI Quality

UNC Health CareCHAPEL HILL, North Carolina, United States
serp_jobs.job_card.full_time
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. This positon trains and audits Inpatien...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Inpatient Medical Scribe

Inpatient Medical Scribe

MedScribesChapel Hill, NC, US
serp_jobs.job_card.full_time +1
Invaluable experience for aspiring Pre-PA and Medical School Candidates.You have the chance to be a part of a clinical team while always being at the right hand of the physician.IMPORTANT : It is he...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Patient Compensation Lead - FSP

Patient Compensation Lead - FSP

Veterans StaffingRaleigh, NC, US
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Standardized Patient

Standardized Patient

InsideHigherEdChapel Hill, North Carolina, United States
serp_jobs.job_card.full_time +2
MedStuEd-Curriculum Affairs - 420202.Estimated Duration of Appointment : .A global higher education leader in innovative teaching, research and public service, the. University of North Carolina at Cha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Regional Patient Navigator (MAN-0102)

Regional Patient Navigator (MAN-0102)

United Woundcare InstituteRaleigh, NC, US
serp_jobs.job_card.full_time
The Regional Patient Navigator is a highly organized and passionate team member who will float across a designated region, supporting patients throughout their wound care journey from initial treat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Epic Clinical Documentation Analyst (Hybrid)

Epic Clinical Documentation Analyst (Hybrid)

Serigor Inc.Raleigh, NC, US
serp_jobs.job_card.full_time
Epic Clinical Documentation Analyst (Hybrid).The Clinical Documentation (Clin Doc) Analyst supports the client Operated Healthcare Facilities in the ongoing support of the Epic Electronic Health Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30