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RN Clinical Appeals Analyst
Piedmont Healthcare - 187 reviews - Atlanta, GA 30363
If clinical review does not meet criteria, leverages co-morbid conditions and other pertinent clinical facts to support account resolution....
Clinical Auditor, Registered Nurse
As a member of the Corporate Clinical Auditing team, the Clinical Auditor coordinates and completes associate quality audits of clinical staff, focused reviews,...
Nurse Auditor
AmeriWound, LLC - Mayfield Heights, OH
Clinical and/or documentation issues. The Nurse Auditor will work collaboratively with our clinical team, enhance the quality of our EMR, identify opportunities...
Easily apply

Medical Review Nurse Auditor - Home-based - Sioux Falls

Quality Health Strategies - 9 reviews - Sioux Falls, SD  +5 locations
At least five years clinical experience. Health Integrity has exciting opportunities for Medical Review Nurse Auditors to join our Cerritos, CA based United...
Easily apply

RN Clinical Appeals Nurse

Christus Health - 183 reviews - Houston, TX 77008 (Greater Heights area)
The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process....

Medical Review Nurse

Performant Financial Corporation - 11 reviews - San Angelo, TX
Cross train in all clinical departments/areas. The Medical Review Nurse performs medical claims audit reviews. Experience with utilization management systems or...

Specialist, HEDIS/ Quality Reporting

Molina Healthcare - 350 reviews - Midvale, UT
Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or. Clinical Quality, Public Health or Healthcare....

Nurse Auditor/ DRG Experienced Coder

Advize Health - Tampa, FL
Looking for a nurse (LPN/RN) who has his/her CCS and has experience in medical record review with DRG coding. Must be familiar with changes in DRG coding....
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Denials and Appeals RN

Sacred Heart Health Systems - 36 reviews - Pensacola, FL
$60,000 a year
Registered Nurse (RN). Five years of clinical and/or management experience required. Current licensure as a Registered Nurse (RN) in the state of Florida...
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Clinical Appeals Specialist

St. Mary's Health System - 4 reviews - Lewiston, ME
Mary's Health System, a member of Covenant Health, is seeking a Nurse Clinical Appeals Specialist to join the Patient Representative Services Team!...

Medical Review Nurse Auditor - Multiple Locations

Quality Health Strategies - 9 reviews - Easton, CA
At least five years clinical experience. Health Integrity has exciting opportunities for Medical Review Nurse Auditors to join our Orange, CA based United...
Easily apply

Clinical Auditor, Registered Nurse

AmeriHealth Caritas - 193 reviews - Southfield, MI
As a member of the Corporate Clinical Auditing team, the Clinical Auditor coordinates and completes associate quality audits of clinical staff, focused reviews,...

RN MED NURSE AUDITOR PFS

Inova Health System - 445 reviews - Falls Church, VA
Timely and accurate assessment of patient clinical care as it relates to payer reimbursement through chart review, data analysis, consultation with Hospital...
R.N. Coder / Nurse Auditor
Vatica Health - Atlanta, GA
Coding Specialist / Nurse Auditor. Experience reviewing clinical cases. Experience working as a Registered Nurse....
RN Medical Management Auditor Nurse
Medical Staffing Network Care Management - Columbia, SC
RN Medical Management Auditor Nurse Requirements:. Registered Nurse (RN). The RN Medical Management Auditor Nurse is responsible for the auditing of corporate,...
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