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Clinical Appeals Registered Nurse
A company is looking for a Clinical Denials and Appeals RN. Key Responsibilities Secure pre-service approvals and review pre/post service denials Conduct comprehensive denial root-cause analysis and retrospective medical record reviews Coordinate pre-service authorization approvals and construct warranted appeals Required Qualifications Bachelor's Degree (relevant experience may substitute formal education) Current Registered Nursing License Minimum of 4-6 years of prior clinical experience Familiarity with medical records assembly and clinical terminology Working knowledge of basic coding guidelines
A company is looking for a Clinical Denials and Appeals RN.
Key Responsibilities
Secure pre-service approvals and review pre/post service denials
Conduct comprehensive denial root-cause analysis and retrospective medical record reviews
Coordinate pre-service authorization approvals and construct warranted appeals
Required Qualifications
Bachelor's Degree (relevant experience may substitute formal education)
Current Registered Nursing License
Minimum of 4-6 years of prior clinical experience
Familiarity with medical records assembly and clinical terminology
Working knowledge of basic coding guidelines