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Appeals and Denials Author

Company: VirtualVocations
Location: Tallahassee
Posted on: September 16, 2023

Job Description:

A company is looking for an Appeals and Denials Author.
Key Responsibilities:

Conduct detailed review of patient medical records and payer denial information
Assess hospital stay and clinical course to determine if payer denial was justified
Prepare written appeals or represent clients at telephonic hearings

Required Qualifications:

RN license with strong appeals experience or Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) medical license
At least 2 years of clinical experience with inpatient care
Knowledge of, or experience in working with the verbal and written appeals process
Experience with electronic medical record systems and proficiency with MS Word
Understanding of DRG/coding principles and familiarity with both inpatient and outpatient care and procedures in multiple specialties

Keywords: VirtualVocations, Tallahassee , Appeals and Denials Author, Other , Tallahassee, Florida

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