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RN Appeals Writer (RAC)
Piedmont - Atlanta, Georgia, United States, 14 days ago
DescriptionJOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narrati...
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Senior Manager 1, Field Marketing
Sodexo Group - Palo Alto, California, United States, 94306 1 months ago
Sodexo is an EEO/AA/Minority/Female/Disability/Veteran employer. Sodexo is committed to upholding the spirit and principles of the Rehabilitation Act ...
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Sandwich Artist $16-$35/hr
Apptness.io - Lakewood, California, United States, 90715 2 months ago
No experience requited, hiring immediately, appy now.Job Description The Sandwich Artist
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Sandwich Artist $16-$35/hr
Apptness.io - Lakewood, Ohio, United States, 44107 2 months ago
No experience requited, hiring immediately, appy now.Job Description The Sandwich Artist
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Sandwich Artist $16-$35/hr
Apptness.io - Lakewood Park, Florida, United States, 2 months ago
No experience requited, hiring immediately, appy now.Job Description The Sandwich Artist
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Senior Manager, Communications and Branding
Select Medical - Mechanicsburg, Pennsylvania, United States, 17050 23 days ago
OverviewThe senior manager of communications for the Inpatient Rehabilitation Hospitals Division will assist in the development and execution of marke...
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Director of Marketing, Belmar Shopping Center
Bridge33 Capital - Denver, Colorado, United States, 80285 16 days ago
JOIN OUR TEAMBridge33 Capitalis a rapidly growing, vertically integrated real estate private equity firm focused on open-air retail real estate. The C...
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Polysomnographic Technician
Sentara Healthcare - Hurdle Mills, North Carolina, United States, 27541 25 days ago
Sentara is currently hiring a Polysomnographic Technician. This is a Part Time position for the rotating shift located in Halifax, VA.Job Requirements...
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Marketing Manager
BAYADA Home Health Care - Las Vegas, Nevada, us, 89105 1 months ago
Marketing Manager, Home HealthAre you looking for an exciting opportunity in one of the fastest growing areas of healthcare that will allow you to mak...
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Go to next pagePiedmont - Atlanta, Georgia, United States,
DescriptionJOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical coding, federal and state hospital Utilization Review (UR) regulations and Medicare guidelines regarding medical necessity, inpatient, outpatient and observation; assisting Senior Director with research and preparation for beneficiary hearings before the Administrative Law Judge (ALJ); potentially testifying as expert witness in ALJ hearings; collaborating with internal and external legal resources in an effort to facilitate the best possible outcomes in response to process or guideline changes that directly impact the RAC process.QualificationsMINIMUM EDUCATION REQUIRED:Graduate from an accredited School of Nursing.Minimum Experience RequiredSeven (7) years of clinical experience in a healthcare setting using electronic medical records or acute hospital utilization review using InterQual or Milliman.Minimum Licensure / Certification Required By LawCurrent License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License.Additional QualificationsWorking knowledge of medical coding, case management, government and contracted payers.Experience in clinical software such as SCM / Quest, STAR, EPIC, Client Tracking, and I-Suites is desired. Previous experience with medical record auditing with medical necessity claims.IQCI Certification preferred.MicroSoft Word and Excel proficiency preferred.HealthPort systems experience a plus.#GD
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RN Appeals Writer (RAC)