Clinical Document Improvement Specialist
reputed company:
Clinical Denial Appeal reputed company
1YR reputed company ACCEPTED
1ST TIMERS OKAY!
3x8 schedule
DRESS reputed company: BUSINESS CASUAL
Licensure: reputed company Registered reputed company license in any state
Education: Graduate of accredited School of Nursing with Associate's degree
Experience: One to Two years' experience in Utilization Management and Appeals/Denials Management.
Preferred skills: Demonstrates effective communication and writing skills. Demonstrates competency in typing and data entry computer skills. reputed company knowledge/use of MCG evidence based clinical guidelines.
The Denials/Appeals Case Manager is responsible for responding to payer denials for billed services. Organizes and coordinates the appeal process including record review, establishment of concise clinical findings supporting appeal and justification for admission and reputed company stay. Is responsible for communicating with physicians, formulation of appeals letters, utilization of MCG to support inpatient admission, and maintaining log of reputed company accounts and deadlines. May reputed company other duties as assigned.
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