Remote DRG Appeals Nurse Denials & Appeals Expert
Kids For The Future
Kids for the Future is seeking a DRG Appeals Review Nurse to analyze and appeal denied MS-DRG and APR-DRG accounts. The ideal candidate will have a Registered Nurse License, relevant coding certifications, and extensive clinical experience. Key responsibilities include reviewing claims for appeal potential, writing detailed appeal letters, and maintaining compliance with regulatory standards. This position offers the opportunity to work from home and includes perks like career support and employee discounts. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote DRG Appeals Nurse Denials & Appeals Expert in New York, NY vacancy
- ...Managed Resources, Inc. is seeking a part-time DRG Appeals Review Nurse to analyze denied MS-DRG and APR-DRG claims. This remote role requires a Registered Nurse (RN) license... ...The Nurse will be responsible for reviewing denials and writing appeal letters, ensuring...Remote workPart time
Managed Resources
New York, NY1 day ago - ...Knowtion Health is seeking an Appeals Nurse to oversee the review and appeal of claims related to clinical denials from Medicare, Medicaid, and other payers. The ideal candidate... ...familiarity with utilization review. This remote position offers a variety of benefits,...Remote work
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Alpharetta, GA2 days ago - ...is looking for an experienced Clinical Appeals Review Nurse to join their healthcare consulting team... ...This role involves conducting clinical denial reviews to help determine appropriate... ...Certification and have experience with DRG Denials and billing processes. Benefits...Suggested
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...Norwood we’re forging our own path. We’re a remote-first staffing and consulting company... ...the healthcare industry. Our team of experts have placed thousands of professionals... ...in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to...Remote workPermanent employmentFull timeWork visaNorwood
New York, NY2 days ago- ...Purpose The Clinical Appeals Review Nurse reviews and analyzes denied/downgraded MS‑DRG and APR‑DRG and APC accounts received from... ...client. After review of the denial and medical record, the Clinical... ...detail and the ability to work remotely in an environment where HIPAA regulations...Remote workContract work
Managed Resources
Long Beach, CA4 days ago - Zotec Partners is looking for an AR Specialist to manage claims follow-up in a remote working environment. The position entails identifying billing issues, processing appeals, and resolving correspondence issues. Candidates should have AR follow-up experience, a high school...Remote jobWork at office
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- ...Downtown Boulder Partnership is seeking a Nurse Reviewer for Appeals and Hearings to coordinate and perform all appeal-related duties, including... ...summaries for hearings. This position is a full-time, permanent remote role that complies with work-from-home policies. The...Remote workPermanent employmentFull timeWork from homeFlexible hours
Downtown Boulder Partnership
El Paso, TX18 hours ago $90k - $99k
...candidates. Summary We are seeking a talented individual for a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related... ...environment. What you should expect in this role Remote (Work from Home) Up to 25% Travel for onsite hearing testimony...Remote workFull timeWork from homeRelocation packageFlexible hoursSanta Barbara Cottage Hospital
New York, NY2 days ago- ...healthcare solutions company seeks an Acute Coding Appeals Specialist to manage medical coding appeals and denials. Candidates should have a minimum of 5 years... ...coding, and hold an active coding certification. This remote position requires knowledge of various coding...Remote work
Ensemble Health Partners
United States2 days ago $90k - $99k
A leading healthcare solutions provider seeks a DRG Nurse Reviewer Appeals and Hearings to coordinate appeal duties and engage in hearings, both... ...must have an active RN license and coding certification. This remote role offers flexibility and opportunities for career...Remote workFlexible hoursGainwell Technologies
Florida, NY4 days ago- ...retrospective, and concurrent review of appeals for denied prior... ...including diagnosis-related group (DRG) validation, itemized bill... ...criteria with medical directors on denial decisions. • Supplies... ...• At least 2 years clinical nursing experience, including at least...Remote workWork at office
Molina Healthcare
United States5 days ago - ...ability to analyze claims data and regulations effectively. The candidate will be responsible for documentation and reporting within the appeals process, contributing to continuous improvement initiatives in a dynamic healthcare environment. #J-18808-Ljbffr Performant CorpRemote job
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A healthcare solutions company is seeking a DRG Nurse Reviewer Appeals and Hearings to handle appeals from providers and participate in hearings. This remote position requires an active RN license and certification in coding. The ideal candidate will possess excellent communication...Remote workFlexible hoursGainwell Technologies LLC
Jackson, MS18 hours ago- Brighton Health Plan Solutions is seeking a Clinical Appeal and Grievance Nurse to conduct clinical and benefit reviews in a production-driven environment... ...compliance with regulatory requirements. This position is remote and emphasizes independence and accountability in a fast-...Remote job
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...Denial Prevention Nurse Position at Nuvance Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12... ...health care for the better. Hybrid/Remote Summary: The purpose of the Denial... ...conversion, etc. # Tracking and trending all appeals and communicating on a daily/regular...Remote workHourly payDaily paidPart timeShift workNight shiftRotating shiftNuvance Health
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R1 RCM is looking for a Complex Denials Consultant in Detroit, Michigan. In this role, you will represent healthcare providers in disputes with insurance carriers, handling appeals and contract reviews. A law degree and bar eligibility are required. The position offers...Contract work- A healthcare services provider in Oklahoma City seeks an Appeals Denial Management Specialist. The role involves resolving denied claims and working directly with payors to ensure accurate reimbursements. The ideal candidate will have experience in managed care and will...
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...seasoned Medical Billing AR Specialist with deep expertise in appeals, denial management, and out-of-network claims? We want to hear from... ...experienced, results-driven AR professional to join our fully remote team. This is not an entry-level role - we are looking for someone...Remote workAdelfi Medical Billing Solutions
United States4 days ago- A healthcare solutions firm is looking for a Clinical Appeals Nurse (RN) to support revenue cycle operations by reviewing denied claims. This remote position requires an active RN license and 3-5 years of clinical nursing experience. Responsibilities include assessing...Remote work
Health Business Solutions
United States4 days ago - ...in America’s heartland. Facility: Remote SD (Central Time) Location: Remote,... ...position Job Summary Facilitates the denial and appeal process through exercising clinical... ...Graduate from a nationally accredited nursing program preferred, including, but not limited...Remote workFull timePart timeImmediate startWork from homeShift workDay shift
Sanford Health
United States3 days ago - ...Diego is seeking an experienced attorney with over 5 years of appellate work experience. The role involves independently handling appeals and drafting complex law documents. Ideal candidates possess strong academic credentials and a passion for advocacy. The firm values...Remote jobWork experience placement
- ...Possibility to extend) Location: Remote, preferred Iowa. Possible to... ...denied claims, upholding the denials and submitting cases to the Medical... ...received Generate appropriate appeal resolution communication to... ...by the team lead; the appeals nurse is responsible for working the...Remote workContract workShift work
- ...Description Are you a registered nurse ready to take your career in an... ...outcomes for vulnerable populations Remote work - enjoy the convenience and balance... ..., generating authorization notices, denial letters, reason codes, and appeal rights in compliance with regulatory...Remote workFull timeTemporary workWork at officeWork from home
The CKHobbie Group
Pittsburgh, PA1 day ago - Managed Resources, Inc. is seeking a Clinical Appeals & CDI Manager in Sacramento, California to oversee the Clinical Appeals Department... ...reviewing clinical appeal letters, assisting Clinical Appeal Nurses, and ensuring compliance with HIPAA regulations. Preferred qualifications...Remote jobWork at officeWork from home
- ...RN DRG Downgrades Appeals Review Specialist St. Luke's is proud of the skills, experience and compassion... ...sick and injured; educate physicians, nurses and other health care providers; and... ...DRG downgrades, clinical validation denials, and medical necessity determinations...
St. Luke's Hospital
Allentown, PA4 days ago - ...Description Are you a registered nurse ready to take your career in an... ...outcomes for vulnerable populations Remote work - enjoy the convenience and balance... ...authorization notifications, denial letters, reason codes, and appeal rights in accordance with MA regulations...Remote workFull timeTemporary workWork at office
The CKHobbie Group
Harrisburg, PA1 day ago - ...seeking a highly motivated Medical Coding Denial Specialist. The role focuses on resolving... ...specialty departments, generating appeals, and managing complex claims. Candidates... ...preferred. This position can be performed 100% remotely, and offers generous benefits including leave...Remote work
University Physicians
Aurora, CO14 days ago
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