Licensed RN Clinical Appeals Reviewer
VirtualVocationsLargo, Florida, United Statesjob_description.job_card.variable_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 who will analyze and respond to client and hospital claim review appeal inquiries.
Key Responsibilities :
Analyze scope and resolution of IBR Appeals and respond to various levels of appeals
Perform complex analyses, identify risk factors, and recommend appropriate actions based on regulations and medical policies
Collaborate with auditors and prepare written appeals while navigating web-based portals and online tools
Required Qualifications :
Undergraduate nursing degree
Unrestricted RN (registered nurse) license
2+ years of appeals experience (coding or auditing)
Experience with CPT-4 coding and advanced knowledge of ICD10 CM and ICD 10 PCS coding
Advanced experience with regulations, compliance, and composing professional appeal responses
serp_jobs.job_alerts.create_a_job
Clinical Reviewer Rn • Largo, Florida, United States
Job_description.internal_linking.related_jobs
Healthcare Attorney (Remote, As-Needed).Headquartered in California and serving clients nationwide, we provide innovative solutions to healthcare organizations including hospitals, community clinic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Mid-Senior Level Healthcare Associate – Tampa.Health Care Practice Group based in.This highly regarded group represents physician practices, telemedicine companies, and a wide range of health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary.
Whatever your decision, it will not be considere...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
May be asked to periodically float to other centers in the Brandon / Tampa area (mileage paid).Accompanies provider during patient visit and scribes in real time directly into EHR.Ensure the timely a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
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_variable_days
That's why it is tantamount to consider the benefit of a transition when considering one.It is no light decision, but when it is done right, can transform a billing lawyer's practice and li...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Labor & Employment Associate – Houston, Texas.Our client is seeking a dynamic, highly motivated associate with 2 years of labor & employment litigation experience to join our nationally recognized ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 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 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 
Health Insurance Medical Claims Examiner.Health Insurance Medical Claims Examiner (Initial Training On Site - 90 days - Remote position after training in FL).
Must live within a reasonable commuting...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Screening Assistant PRN - Community Health - 103088.Title : Community Health Screening Assistant - PRN, as needed position for the Hillsborough region.
At BayCare, we are proud to be one of the large...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Medical Office Rep - Clearwater.BayCare is currently in search of our newest Medical Office Rep who is passionate about providing outstanding customer service to our community.BayCare's top priorit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Returns Authorization Coordinator.Manage the receipt, documentation, and tracking of goods.Communicate with market and vendors regarding issues or status of merchandise.
Maintain flexibility to supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Job Title : Medical Litigation Attorney.Job Salary : 150k - 175k + Bonus + Benefits.Requirements : Healthcare, Medical Litigation, FL State Bar License .
Petersburg, FL, we are a recognized ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Marketing Medical Services Rep Home Health Care Liaison Hernando County.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Healthcare Attorney
Vivo HealthStaffTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Healthcare Attorney
Direct CounselTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Inpatient DRG Reviewer
Zelis Healthcare, LLCSt. Petersburg, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Strategic Client Executive - Regional Health Plans
Zelis Healthcare, LLCSt. Petersburg, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Lead, Area Health Information Specialist Tampa, FL 33607
DatavantTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Scribe - On Site
Innovative Healing Systems IncTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Bill Navigator
Zelis Healthcare, LLCSt. Petersburg, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Area Health Information Specialist I
DatavantTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Healthcare Partner Attorney
Percy TowersTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Healthcare Legal Associate
Qualified Professional & TechnicalTampa, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Inpatient DRG Sr. Reviewer
Zelis Healthcare, LLCSt. Petersburg, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Area, Lead Health Information Specialist
DatavantSaint Petersburg, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Lead, Area Health Information Specialist
DatavantTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Information Specialist I
DatavantClearwater, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Claims Examiner
Premier Administrative SolutionsClearwater Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Screening Assistant PRN - Community Health - 103088
BayCareTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Office Rep - Clearwater - 110550
BayCareSaint Petersburg, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Returns Authorization Coordinator
Cellular SalesTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Litigation Attorney
CyberCodersSaint Petersburg, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Services Rep
VNA of FloridaSpring Hill, FL, USserp_jobs.job_card.full_time