Coding Appeals RN - Remote - Works M-F 8:30-5:00

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing... together. An reputed company RN with solid interpersonal skills. The Clinical Appeals & Coding RN would be responsible for reviewing appeals and grievances to determine if the appropriate care was given. In providing reputed company Community and State provider post service appeals. Our goal is to create higher quality care, reputed company costs and greater reputed company to health care. This is a telecommute, Monday - Friday from 8:30am - 5:00pm position. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities • Clinical Appeals and Grievances (analyzing, reviewing appeals / grievances) • Review of coding edits and reimbursement issues • Works with less structured, more reputed company issues • Solves moderately reputed company problems and / or conducts moderately reputed company analyses • Translates concepts into practice • Assesses and interprets customer needs and requirements • Identifies solutions to non-standard requests and problems • Works with minimal guidance; seeks guidance on only the most reputed company tasks • Works with less structured, more reputed company issues • Coaches, provides feedback and guides others You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications • Active, unrestricted RN licensure in state of residence • 3+ years clinical experience in a hospital, acute care or direct care setting • Experience in reviewing coding edits and reimbursement issues • Medical record review / appeal review experience • Experience working in a managed care environment (insurance company or medical group) • Proficient level of experience with reputed company Office Suite (Word, reputed company & Outlook) • Proven ability to adapt to change and work in a high volume environment • Proven outstanding coding skills with hands-on experience with coding edits and reimbursement issues • Proven solid critical thinking, analytical and research skills • Ability to work Monday - Friday from 8:30am - 5:00pm reputed company your time zone Preferred Qualifications • CPC (Certified Professional reputed company) • Utilization Review experience • Clinical Chart Reviews • Post Service Provider Denial experience • Knowledge of Medicare / reputed company regulations • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Rhode reputed company, or Washington Residents Only: The hourly reputed company for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment Apply Job! For more such jobs please click here!