Senior Clinical Appeals RN
Company: VirtualVocations
Location: Bridgeport
Posted on: November 16, 2024
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Job Description:
A company is looking for a Senior Clinical Appeals RN to review
and respond to appeals related to DRG coding and reimbursement.
Key Responsibilities
Analyze and respond to DRG appeals at various levels
Review medical records and collaborate with auditors to determine
overpayment or claim adjustments
Prepare written appeals and provide coaching to DRG Validation
Specialists
Required Qualifications
Associates Degree or higher
Unrestricted RN license in the state of residence
3+ years of MS DRG/APR DRG coding experience in a hospital
environment
Intermediate knowledge of ICD-10-CM and ICD-10-PCS coding
CCS or CIC certification or willingness to obtain within 6 months
of hire
Keywords: VirtualVocations, Albany , Senior Clinical Appeals RN, Healthcare , Bridgeport, New York
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