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State Licensed Senior Clinical Appeals RN
VirtualVocationsVan Nuys, California, 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 a Senior Clinical Appeals RN.
Key Responsibilities
Analyze and respond to DRG appeals, including complex conceptual analyses
Review medical records and collaborate with auditors to determine overpayment or claim adjustments
Prepare written appeals and provide coaching to remote DRG Validation Specialists
Required Qualifications
Associate's degree (or higher)
Unrestricted RN license in the state of residence
3+ years of MS DRG / APR DRG coding experience in a hospital environment
Advanced proficiency with ICD-10-CM and ICD-10-PCS coding
CCS or CIC certification or ability to obtain within 6 months of hire
serp_jobs.job_alerts.create_a_job
Licensed Clinical • Van Nuys, California, United States
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