- R1 RCM (Detroit, MI)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you ... this remote production-drive position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical… more
- Molina Healthcare (Sterling Heights, MI)
- …for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS… more
- Henry Ford Health System (Troy, MI)
- …medical records to determine accuracy of billing through verification of coding , billing and supporting clinical documentation. Coordinates all activities ... GENERAL SUMMARY: Coordinates payer denials and appeals , responds to insurance company requests for medical...coding processes and terminology specific to audit processes, clinical procedures, disease states, and other topics as indicated.… more