Clinical Appeals Coordinator - RN Denials & Revenue Integrity
University of Mississippi Medical Center
University of Mississippi Medical Center is seeking a Clinical Appeals Coordinator to support billing processes, manage denials and appeals, and conduct clinical research. The role requires an Associate's degree in nursing with substantial clinical nursing experience or a Bachelor's degree, and a valid RN license. The ideal candidate will possess strong analytical, communication, and problem-solving skills. This full-time position is day shift and exempt under the FLSA, located in Jackson, Mississippi. #J-18808-Ljbffr
- ...Clinton is seeking a part-time Clinical Appearls Coordinator. This role involves... ...billing process, managing denial and appeal reviews, and supporting... ...Candidates must have a valid RN license and at least two... ...and focuses on enhancing revenue integrity. Most duties include...SuggestedPart timeFlexible hours
- ...healthcare institution is seeking a Clinical Appearls Coordinator (part-time) to support the billing process, manage appeals, and conduct clinical... ...must hold a valid RN license and have two years of... ...The role includes analyzing denial data, communicating with insurers...SuggestedPart timeDay shift
- ...Office - Clinton Job Title Clinical Appearls Coordinator-PT Job Summary... ...billing process, including denial and appeal reviews. Evaluates and monitors... ...Registration Required Valid RN license. Preferred... ...ensure accuracy and maintain revenue integrity. Analyzes denial and payment...SuggestedHourly payPart timeCasual workWork at officeShift work
$29.05 - $67.97 per hour
...Job Summary Utilizing clinical knowledge and experience... ...and concurrent review of appeals for denied prior... ...identified by the payment integrity analytical team; makes... ...with medical directors on denial decisions. Supplies criteria... .... Registered Nurse (RN). License must be...SuggestedHourly payWork experience placementWork at office- ...Trauma Management Location/s: Main Campus Jackson Job Title: RN Clinical -Outcomes Coordinator-Specialty Job Summary: To support and coordinate... ...clinical quality improvement initiatives. Works to ensure integration of clinical quality improvement initiatives into the day...SuggestedFull timeWork experience placementCasual workSeasonal workShift work
$29.05 - $67.97 per hour
...Job Summary Utilizing clinical knowledge and experience... ...concurrent review of appeals for denied prior authorizations... ...by the payment integrity analytical team; makes... ...with medical directors on denial decisions. • Supplies... ...• Registered Nurse (RN). License must be active...Hourly payWork experience placementWork at office- ...A healthcare organization in Jackson, MS is seeking a Behavioral Health Registered Nurse to coordinate clinical operations, ensuring high-quality patient-centered care. Ideal candidates should have 1-3 years of clinical experience and possess strong communication and organizational...Night shift
- ...Clinical Transition Coordinator Soleo Health is seeking a Clinical Transition Coordinator to support our Jackson, MS area. Join us in Simplifying... ...5pm Weekends as needed Requirements: Licensed RN in the state of MS, in good standing Minimum five (5) years...Work at officeLocal areaMonday to FridayWeekend work
- ...Behavioral Health Registered Nurse Clinical Coordinator Position Type: Full Time Nights Benefits: ~ Health Insurance (Medical, Dental,... ...best practices and standards. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State...Full timeLocal areaNight shift
- ...looking for someone who shares these values to join us. We're seeking the right candidate for the position of RN MDS Clinical Care Coordinator at Chadwick Community Care Center . In this vital role, you'll ensure that our residents receive the highest level...
$90k
...Position Overview The Kaiser Field Clinical Coordinator is the primary field-based point of contact for all Kaiser Permanente clinical and... ...clinical program coordination preferred. Experience supporting integrated delivery networks or Kaiser Permanente is a plus. Ability...Contract workLocal areaFlexible hours$200k
...Association (APA) - the Psychological Clinical Science Accreditation System (PCSAS) -... ...management goals and objectives into well-coordinated and controlled work operations Ability... ...assigned as the Primary Care Mental Health Integration (PCMHI) Program Manager serves as the...Permanent employmentFull timeWork experience placementInternshipWork at officeRemote workRelocation packageMonday to Friday$186.2k - $363.09k
...• Participates in and maintains the integrity of the appeals process, both internally and externally... ...guidelines for the plan including compliant clinical quality improvement activity (QIA) in... ...concurrent review and manages the denial process. • Monitors appropriate care...Part timeWork experience placementWork at officeLocal areaRemote work- ...Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory... .... Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge...Temporary workShift work
- ...Diagnostic Medical Sonography Clinical Coordinator/Faculty Responsible for coordinating clinical education and faculty duties within the Diagnostic Medical Sonography program. Essential Duties and Responsibilities Maintain knowledge of diversity‑related issues, legislation...Full timeWork at officeImmediate start
- ...available for a full time Weekend RN Unit Manager! Weekend shift;... ...opportunity to advance their clinical leadership skills through our... ...touch and our core values of Integrity, Excellence, Compassion,... ...Ability to plan, evaluate and coordinate services. Experience in triaging...Full timeRelocation packageShift workWeekend work
$246.1k - $344.2k
...Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretation and medical decisions for healthcare services. This role requires an MD or DO degree, board certification, and 5 years of clinical experience. Responsibilities include making independent...Remote work$115 per hour
...be responsible for conducting quarterly audits of clinical reviews and overseeing physician panels to... ...MD quality as well as handle client requests, and appeals. Complete clinical reviews with regards to denials and level of care on various contracts. Fulfill...Full timePart timeCurrently hiringRemote workHome officeMonday to Friday- ...Clinical Documentation Integrity Specialist Evaluates the day to day documentation practices of the Medical... ...of the coding and billing revenue cycle. Must demonstrate knowledge... ...concepts acquired through completion of RN program. Strong computer skills required...Remote work
$68.97k - $113.31k
The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or short-term disability claims. The Clinical Consultant identifies...Full timeTemporary workWork at officeFlexible hours$71.2k - $166.1k
...and support of document imaging and management solutions for healthcare organizations, ensuring strategic alignment and seamless integration with existing workflows and EHR systems. • Mentor and provide guidance to team members, fostering skills development and sharing...Temporary workFlexible hours$79.1k - $158.2k
...more human, you've come to the right place. The Dentistry Clinical Consultant partners with Federal healthcare customers to... ...skills during project events, the Clinical Consultant will coordinate integration of clinical activities and workflow reviews, facilitate business...Contract workTemporary workWork experience placementLocal areaRemote workFlexible hours- ...Registered Nurse (RN) | Labor & Delivery Location: Flowood, MS Agency: Concentric Healthcare Staffing Pay: Competitive... ...is to develop partnerships with our clients and become an integral part of your staffing solution. Concentric representatives understand...Weekly payFull timeContract workTemporary workImmediate start
$1,956.24 per week
...Registered Nurse (RN) | Labor & Delivery Location: Flowood, MS Agency: ATC... ...work history (MM/YYYY format) Two current clinical references State-required professional... ...organization rooted in collaboration, integrity, and care. We proudly support our local healthcare...Weekly payDaily paidFull timeContract workLocal areaImmediate startFlexible hoursShift work- ...Registered Nurse (RN) | Labor & Delivery Location: Flowood, MS Agency: Access... ...healthcare systems with highly qualified clinical talent nationwide. The agency is proud to... ...first. Through transparency, integrity, and hands‑on support, Access Healthcare...Weekly payDaily paidPermanent employmentFull timeContract workSummer workShift work3 days per week
- ...Registered Nurse (RN) | Labor & Delivery Location: Flowood, MS Agency: Concentric Healthcare Staffing Pay: Competitive... ...is to develop partnerships with our clients and become an integral part of your staffing solution. Concentric representatives understand...Weekly payPermanent employmentFull timeContract workTemporary workImmediate start
- ...Molina Healthcare is seeking a Care Manager RN to provide support for care management and care coordination activities across Mississippi. The role involves assessing members, developing care plans, and conducting ongoing monitoring of care effectiveness. Candidates need...Local area
- .... The Case Manager of Clinical Services specializes in... ...agencies to prevent denials of payment or days.... ...Demonstrates competence in coordination and service delivery.... ...coordinating denials/appeals. # Demonstrates ability... ...unrestricted Mississippi State License as RN...ReliefLocal area
- ...The University of Mississippi Medical Center is seeking a Clinical Education and Outcomes Coordinator for Children's Respiratory Therapy in Jackson. This full-time role involves planning, implementing, monitoring, and improving quality services aimed at optimal patient...Full time
- ...Gentiva in Jackson, Mississippi, is looking for a compassionate and experienced Hospice Clinical Liaison for a weekend-only position (Friday, Saturday & Sunday). The role involves managing referrals, assessing patient eligibility, and educating families about hospice...Weekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Appeals Coordinator - RN Denials & Revenue Integrity. Be the first to apply!


