RN Clinical Appeals Reviewer
VirtualVocationsLouisville, Kentucky, United Statesjob_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 • Louisville, Kentucky, United States
Job_description.internal_linking.related_jobs A company is looking for a Risk Adjustment Scheduling and Imaging Technician.Key Responsibilities Load medical records into the coding system and link them to appropriate chart IDs Schedule appo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for an Enrollment - Eligibility Representative.Key Responsibilities Research benefits, eligibility, and site of care for Medicare Part B members Communicate with doctor's of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Patient Experience Representative to provide exceptional support to patients and caregivers in a remote setting.
Key Responsibilities Handle inbound and outbound calls f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Hours : Monday-Friday 8 : 30am - 5pm EST.The goal of the Patient Advocate Specialist is to successfully resolve account balances for medical services provided by multiple healthcare facilities to pati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Physician Reviewer - Utilization Review.Key Responsibilities Conduct timely medical reviews to ensure compliance with quality parameters Make clinical determinations b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Risk Adjustment Medical Record Scheduling & Imaging Technician.Key Responsibilities Load medical records into the coding system and link to appropriate chart IDs Sched...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Health Information Specialist I - OnBase Indexer.Key Responsibilities : Perform chart processing functions including preparation, scanning, indexing, and quality review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Radiation Oncology Coder Remote.Key Responsibilities Review accounts for accuracy using the charge capture audit system in compliance with guidelines Compare medical r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Healthcare Credentialing Coordinator, part-time and remote.Key Responsibilities Manage the credentialing and re-credentialing process for healthcare providers, ensuring...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Medical Reviewer / Safety Reviewer III.Key Responsibilities Provide medical oversight for scientific review and approval of promotional and medical materials Collaborate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Document Specialist for a full-time remote position.Key Responsibilities Utilize clinical, coding, and Clinical Documentation Integrity (CDI) knowledge to enha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a HIM Certified Coder.Key Responsibilities Accurately code hospital inpatient, outpatient, and professional fee encounters using appropriate coding systems Provide inter...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Patient Screening Specialist to efficiently screen, schedule, and guide patients through the clinical trial process.
Key Responsibilities Conduct phone screenings to ass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
- serp_jobs.job_card.promoted
Medical Record Imaging Technician
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medicare Eligibility Representative
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Experience Representative
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Advocate Specialist
FirstsourceLouisville, KY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
South Carolina Licensed RN Reviewer
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Licensed Physician Reviewer
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Record Technician
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Information Specialist I
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Radiation Oncology Coder
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Healthcare Credentialing Coordinator
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Pennsylvania Licensed Clinical Appeals Reviewer
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Information Analyst
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Licensed RN Clinical Appeals Reviewer
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Medical Reviewer Contractor
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Michigan Licensed Clinical Document Specialist
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Medical Insurance Verifier
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Certified Medical Coder - IL
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Screening Specialist
VirtualVocationsLouisville, Kentucky, United Statesserp_jobs.job_card.full_time