A company is looking for a Medical Policy Clinical Specialist.
Key Responsibilities
Conduct structured research of peer-reviewed literature to support medical policy
Maintain and update existing medical policies and guidelines based on external vendor information
Collaborate with stakeholders to implement medical policy changes and respond to inquiries regarding medical policy
Required Qualifications
Associate or Bachelor's degree in Nursing
Licensed RN in Missouri and / or Kansas
3 years of clinical experience
Experience in reading and understanding clinical literature
Certified Coder with AHIMA or AAPC, or willing to obtain within 6 months of employment
Policy Specialist • Lincoln, Nebraska, United States