Remote Clinical Coding Appeals Nurse
R1 RCM
New York, NY
- Remote job
R1 RCM is seeking a Clinical Coding Appeals Nurse to review medical records and draft appeals for denied or underpaid claims. You will apply clinical judgment across ICD-9/10-CM & PCS, CPT, HCPCS, and NCCI guidance while ensuring timely appeals and compliance. Strong MS Office skills are essential for this remote role. The position requires a Nursing degree with 5 years of inpatient experience and CCS or CPC certification; RN status is strongly preferred. #J-18808-Ljbffr R1 RCM
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Clinical Coding Appeals Nurse in New York, NY vacancy
$65k - $116.75k
R1 RCM Inc. is seeking a Clinical Coding Appeals Nurse to review medical records, draft appeals of denied and underpaid claims, and ensure accurate... ...-9/10 CM & PCS, CPT, HCPCS, and NCCI guidance. This is a remote, independent, production-driven role requiring RN with 5 years...Remote job- ...Role Snapshot The Appeals Nurse examines medical records and claims information for first... .... Work Location We are open to remote work in the following approved states:... ...all relevant medical documentation, coding, and clinical information are provided to support the...Remote workContract workFor contractorsLocal areaImmediate start
WPS Health Solutions
Columbus, OH4 days ago $65k - $116.75k
R1 RCM is seeking a Clinical Coding Appeals Nurse for a remote, US-based role. You will review medical records, draft appeals, and provide coding recommendations using ICD-9/10 CM/PCS, CPT, HCPCS, and NCCI guidance. Strong nursing background and coding certifications are...Remote job- R1 RCM Inc. is seeking a Clinical Coding Appeals Nurse to review medical records and draft appeals for denied and underpaid claims. The role focuses... ...inpatient experience and coding certifications. This remote, independent position offers a target bonus and competitive...Remote job
$95k - $110k
Gainwell Technologies is seeking a DRG Nurse Reviewer Appeals and Hearings professional for remote work. You will coordinate and perform appeal duties, analyze... ..., CPC/CCS/CPMA certification, and 5+ years of clinical or coding experience. Expect remote work with up to 25%...Remote job- ...Description Description: Job Title: Appeals Nurse Manager Company: Physician... ...(PC3) Location: Remote Job Type: Full-time Job... ...leadership and oversight of the clinical appeals function, ensuring... ...management, case management, coding, clinical documentation integrity...Remote workFull timeWork at office
Physician Care Coordination Consultants
Louisville, KY2 days ago $65k - $116.75k
Remote, USA Remote, GA Remote, OH Remote, NC Remote, TN Remote, TX Remote, FL Remote, KY Remote, IN Full time R26... ...intelligent automation, and workflow orchestration. As our Clinical Coding Appeals Nurse , you will help review and interpret medical records to...Remote workFull timeLocal area$95k - $110k
...DRG Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most... ...provider appeals and redeterminations using approved clinical and coding guidelines and documents appeal determinations...Remote workFull timeWork from homeRelocation packageFlexible hoursGainwell Technologies
United States4 days ago- ...IMCS Group is seeking an experienced nurse for a 10-month contract role primarily focused on reviewing clinical data and managing member appeal requests in accordance with company policies. The position allows for remote work, preferably from Iowa, with possible on-site...Remote workContract work
IMCS Group
West Des Moines, IA1 day ago - ...intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to... .... The role emphasizes strong clinical judgment, coding accuracy, and regulatory... ..., and participate in the appeals process while staying current...Remote jobWork from home
- UnitedHealth Group's Optum is seeking a Utilization Management Nurse to review patient records and craft defensible appeal letters in accordance with OPAS guidelines. This role supports 40 hours per week, Monday-Friday, with telecommuting flexibility across the U.S. and...Remote jobMonday to Friday
- Optum is seeking an Utilization Management Nurse to review patient records and craft defensible appeal letters according to process instructions. You will extract pertinent details, reference clinical guidelines, and ensure compliance with HIPAA and policies. Position offers...Remote job
- CVS Health is seeking an Appeals Nurse Consultant to process Medicare Part C appeal requests from members and providers. The role is production-based and remote, with a 40-hour work week and occasional weekend/holiday rotations. Qualified candidates hold an RN license,...Remote job
- ...Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role... ...medical necessity reviews, appeals, and payment integrity within Molina Healthcare... ...review experience, with strong coding knowledge (ICD-10, CPT, HCPCS) and proficiency...Remote jobContract work
- Apolis is seeking a Grievance and Appeals RN in Phoenix, AZ (or remote within AZ time zone) to review and investigate member and provider grievances and appeals for Medicare Part C and Part D. The nurse reviews medical records, claims, authorizations, and plan benefits...Remote job
- ...Technology Partners is seeking a Med Appeals & Grievance Specialist Coordinator (Clinical) for a 5-month contract based in... .... Must be a licensed nurse with strong clinical and analytical... ...coordinating with internal departments. Remote work is available; schedule 8:00-4...Remote jobContract work
- WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals... ...Appeals Examiners to prepare timely redeterminations, document clinical rationales, and ensure compliance with CMS guidelines. A...Remote job
- CVS Health is recruiting an Appeals Nurse Consultant to process medical necessity for Medicare Part C appeals. The role combines independent and team work in a remote setting, with a 40-hour weekly schedule and occasional weekend/holiday rotations. Required RN licensure...Remote job
- ...Job Description Description: Job Title: Appeals Nurse Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification... ...the denial should be overturned based on clinical documentation and medical necessity. This...Remote workFull time
Physician Care Coordination Consultants
Louisville, KY2 days ago - Overview Job Title: Registered Nurse - Claims & Appeals Review Location: Remote (Anywhere in Florida) Duration: 06 Months/Can be Extended Working hours: Day... .... This role supports continuous improvement in clinical operations by identifying quality gaps, performing root...Remote workContract workDay shift
- CVS Health is seeking an Appeals Nurse Consultant to review and determine medical necessity for Medicare Part C appeals from members and providers... ...communication, and the ability to work independently in a remote, fast-paced environment. Typical schedule includes 40 hours...Remote jobWeekend work
- CVS Health in the United States is seeking an Appeals Nurse Consultant to evaluate Medicare Part C medical necessity for members and providers... ...role blends independent action with team collaboration in a remote setting. The position features a 40-hour work week, weekend/...Remote jobWeekend work
$36 - $40 per hour
...re forging our own path. We’re a remote-first staffing and consulting company... ...long term fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to... ...85,000.00-$95,000.00 1 month ago Clinical Review Nurse - Prior Authorization...Remote workPermanent employmentFull timeWork visa- CVS Health in Idaho is seeking an Appeals Nurse Consultant to process the medical necessity of Medicare Part C appeals. This full-time role... ...team focused on safe, quality care. The role supports remote work within the U.S. time zones. #J-18808-Ljbffr CVS HealthRemote jobFull timeWeekend work
$85k - $108k
...The Medical Claims Review Nurse provides monitoring of member... ...and claim patterns using clinical nursing knowledge and coding expertise to oversee the... ...works in conjunction with the Appeals team providing clinical... ...and reimbursement; remote work and continuing education...Remote workFull timeTemporary workWork at officeFlexible hoursHealthcare Management Administrators Inc
Remote11 days ago- A healthcare solutions provider is seeking a Registered Nurse for Claims & Appeals Review. This remote role supports compliance and quality assurance in appeal reviews. Candidates should have a Bachelor's degree in healthcare and valid RN license in Florida. Key responsibilities...Remote job
$66.58k - $142.58k
...Summary CVS Aetna is seeking a dedicated Appeals Nurse Consultant to join our remote team. Key Responsibilities... ...Responsible for the review and resolution of clinical appeals. Reviews documentation and... ...UM (includes expedited), MPO, Coding, or Behavioral Health appeals....Remote workHourly payWeekly payFull timeTemporary workWork experience placementLocal areaMonday to FridayShift work- Gainwell Technologies is seeking a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing... ...case files and case summaries for hearings. The role offers remote (work from home) options with up to 25% travel for onsite...Remote jobWork from home
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
Health First
United States3 days ago $70k - $80k
...Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider appeals. Candidates must hold an active North Carolina licensure as an RN, LPN, PT, or OT and have significant clinical experience...Remote workFull timeContract workMonday to FridayPiper Companies
United States1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Coding Appeals Nurse. Be the first to apply!
Related searches
- holistic nurse practitioner New York, NY
- trainee nurse practitioner New York, NY
- nursing home nurse practitioner New York, NY
- nurse practitioner - women's health New York, NY
- gastroenterology nurse practitioner New York, NY
- nurse practitioner-internal medicine New York, NY
- oncology nurse practitioner New York, NY
- neonatal nurse practitioner locum tenens New York, NY
- pediatric nurse practitioner New York, NY
- clinical nurse New York, NY