Talent.com
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsColumbia, South Carolina, United States
job_description.job_card.variable_hours_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 • Columbia, South Carolina, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Patient Access Rep I - PRN

Patient Access Rep I - PRN

Medical University of South CarolinaColumbia, SC, US
serp_jobs.job_card.full_time
Job Description Summary : Processes patient preadmission and admission demographic and insurance data; enters information in the hospital computer system. maintains quality control for each preadmis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
HEALTH SYSTEMS SPECIALIST

HEALTH SYSTEMS SPECIALIST

US Government JobsEastover, SC, US
serp_jobs.job_card.full_time
This is a National Guard Title 32 Excepted position for a HEALTH SYSTEMS SPECIALIST, Position Description Number PDD0347000, and is part of the SC MED COMMAND, South Carolina Army National Guard.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Scheduler (MCP)

Clinical Scheduler (MCP)

Medical University of South CarolinaElgin, SC, US
serp_jobs.job_card.full_time
MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina that provides healthcare to patients within the rural health network throughout the state of South Carol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinic Office Coordinator

Clinic Office Coordinator

Medical University of South CarolinaElgin, SC, US
serp_jobs.job_card.full_time
To provide constant and efficient operations of the physician medical office.Duties to include scheduling, patient registration, telephone triage, medical records, billing, and collections.Coordina...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Assistant (MCP)

Certified Medical Assistant (MCP)

Medical University of South CarolinaElgin, SC, US
serp_jobs.job_card.full_time
Certified Medical Assistant (MCP).The Certified Medical Assistant performs multi-skilled activities to support a decentralized patient-centered approach to patient care and achieve desired outcomes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Assistant

Certified Medical Assistant

Medical University of South CarolinaLugoff, SC, US
serp_jobs.job_card.full_time
The Certified Medical Assistant reports to the Outpatient Clinic Manager.Interviews patients, measures vital signs (i.Prepares treatment rooms for examination of patients.Basic computer skills requ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Referral Patient Coordinator

Referral Patient Coordinator

Pinner Clinic, PAPeak, SC, US
serp_jobs.job_card.full_time
As a Patient Coordinator, you will use a multi-line phone system and EMR software to register patients, schedule their appointments, assist them with any questions, and direct their calls as necess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Compliance Coord I

Claims Compliance Coord I

AflacColumbia, SC, US
serp_jobs.job_card.full_time
The Location : Columbia, SC, US, 29217.The Division : Group Voluntary Benefits.Opportunity : Claims Compliance Coord I.We develop and empower our people, cultivate relationships, give back to our comm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Office Assistant (MCP)

Medical Office Assistant (MCP)

Medical University of South CarolinaElgin, SC, US
serp_jobs.job_card.full_time
Medical Office Assistant (MCP).To provide constant and efficient operations of the physician medical office.Duties to include scheduling, patient registration, telephone triage, medical records, bi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Applications Coordinator

Medical Applications Coordinator

SouthernMEDLexington, SC, US
serp_jobs.job_card.full_time
What it means to be a Medical Applications Coordinator with Us.We value our families we serve, our communities and our team members. As such we need people like yourself who appreciate time spent wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Rep - PRN

Patient Access Rep - PRN

Medical University of South CarolinaColumbia, SC, US
serp_jobs.job_card.full_time
Processes patient preadmission and admission demographic and insurance data; enters information in the hospital computer system. maintains quality control for each preadmission and admission to ins...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Medical Scribe

Remote Medical Scribe

Scribe-XColumbia, SC, 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
  • serp_jobs.job_card.promoted
Clinical Office Coordinator (OBGYN)

Clinical Office Coordinator (OBGYN)

Medical University of South CarolinaCamden, SC, US
serp_jobs.job_card.full_time
Clinical Office Coordinator (OBGYN).The Clinic Coordinator is responsible for guiding and assigning tasks to the medical support staff, who handle a variety of clinic duties, including front desk o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Rep I

Patient Access Rep I

Medical University of South CarolinaColumbia, SC, US
serp_jobs.job_card.full_time
Processes patient preadmission and admission demographic and insurance data; enters information in the hospital computer system. maintains quality control for each preadmission and admission to ins...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Intake Coordinator Home Health (Non-Clinical)

Intake Coordinator Home Health (Non-Clinical)

Medical Services of AmericaLexington, SC, United States
serp_jobs.job_card.full_time
Home Health & Hospice Central Intake SC.Obtains all pertinent information regarding insurance of patient (address, phone number, exhaustion of benefits, eligibility, etc. Checks the Electronic Medic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Patient Access Rep I-2

Patient Access Rep I-2

Medical University of South CarolinaColumbia, SC, US
serp_jobs.job_card.full_time
Processes patient preadmission and admission demographic and insurance data; enters information in the hospital computer system. maintains quality control for each preadmission and admission to ins...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Home Health Community Relations Representative - Columbia

Home Health Community Relations Representative - Columbia

PruittHealthColumbia, SC, US
serp_jobs.job_card.full_time
Community Relations Representative.We have a new and exciting opportunity for a Community Relations Representative.We are looking for a driven sales professional who will develop early and appropri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
HEALTH SYSTEMS SPECIALIST

HEALTH SYSTEMS SPECIALIST

Clearance JobsEastover, SC, US
serp_jobs.job_card.full_time
This position is located in the Military Duty (AGR) Management Branch of the Support Personnel Management Office.The purpose of this position is to serve as the full-time health systems representat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Certified Medical Assistant-Certified I

Certified Medical Assistant-Certified I

Medical University of South CarolinaLugoff, SC, US
serp_jobs.job_card.full_time
Certified Medical Assistant-Certified I.Camden, Elgin, Lugoff, South Carolina.The Certified Medical Assistant performs multi-skilled activities to support a decentralized patient-centered approach ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Assistant - PRN

Certified Medical Assistant - PRN

Medical University of South CarolinaElgin, SC, US
serp_jobs.job_card.full_time
Certified Medical Assistant - PRN.The Certified Medical Assistant performs multi-skilled activities to support a decentralized patient-centered approach to patient care and achieve desired outcomes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days