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Remote Clinical Review & Appeals Specialist

CorroHealth Inc

Wisconsin
  • Remote job

CorroHealth Inc. is seeking a Clinical Review Specialist to support medical necessity reviews and appeals on a remote, US-only basis. The role focuses on DRG downgrades, level-of-care decisions, and payer guideline alignment across inpatient and outpatient services. You will review medical records, ensure timely submissions, and maintain quality and compliance with CMS, Medicaid, and commercial payer requirements. Strong documentation and communication are essential. #J-18808-Ljbffr CorroHealth Inc

Vacancy posted 3 days ago
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