Appeals and Denials Nurse

Norwood; United States; Remote; USD 65,000 - 75,000; Full time

Benefits offered by this job

Remote work opportunities

Health benefits

Paid time off

Travel expenses covered

6 paid holidays

Job summary

A healthcare staffing company is seeking an Appeals and Denials Nurse to manage denials for post-acute care facilities. The ideal candidate has strong clinical documentation experience and certifications. This remote position offers a supportive work environment, competitive salary, and full-time benefits including healthcare and PTO. Join a mission to improve hospital bottom lines while achieving fulfillment in your coding career.

Qualifications

• RN or FMG with certifications required.
• Strong background in Clinical Documentation Improvement.
• Experience in handling inpatient appeals is necessary.

Responsibilities

• Review and complete daily work queue of denials.
• Analyze work queues and identify denial trends.
• Maintain communication with third party payor representatives.
• Initiate corrected claims and appeals per payer guidelines.
• Meet productivity standards consistently.

Skills

Strong background in CDI

Experience with inpatient appeals letters

Education

RN or FMG: CDIP, CCDS, CCS, and/or ICD-10 Certification

Job description

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At Norwood we’re forging our own path. We’re a remote-first staffing and consulting company specializing in mid-Revenue Cycle management within the healthcare industry. Our team of experts have placed thousands of professionals that support organizations ranging from small, community-based hospitals to the largest healthcare systems in the nation. Our mission? Bringing health to hospitals’ bottom lines.

No need to job hop or worry about your next assignment when you work for Norwood! Our goal is to help you find long term fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to sharpen your skills, we want to connect with you!

What can you expect from your Norwood experience?

• Personalized recruiter relationships
• Industry Subject Matter Experts
• A sales department with reliable client relationships nationwide
• Remote opportunities that allow for positive life/work balance
• Permanent opportunities are available
• Travel expenses are covered upfront (if travel is required)
• Full time employees enjoy 6 paid holidays, PTO and health benefits

Our requirements:

• RN or FMG: CDIP, CCDS, CCS and/or ICD-10 Certification or Trainer designation
• Must have strong background in CDI and have experience with inpatient appeals letters

Responsibilities:

• Reviews and completes continuous daily work queue volume of denials.
• Most, if not all denials will be from post-acute care facilities. (mostly behavioral health patients with medical needs)
• Analyzes work queues and other system report and identifies denial/non-payment trends
• Maintains open communication with third party payor representatives to resolve claim issues.
• Identifies, reviews, and interprets third party denials
• Initiates corrected claims and appeals according to payer guidelines.
• Keeps abreast of all government, managed care and third-party hospital coding, billing and reimbursement rules, regulations, and guidelines.
• Promotes Teamwork and maintains a positive atmosphere when communicating, both oral and written.
• Completes all assignments per the turnaround standards. Reports unfinished assignments to the Supervisor.
• Meets productivity standards or consistently exceeds productivity standards

We are a small company with big company advantages! Norwood currently has several openings for HIM/coding professionals with inpatient or outpatient experience. Apply today to be connected with one of our specialized recruiters who can help you achieve your medical coding career goals and needs!

Applicants must be authorized to work in the US. We are unable to sponsor or take over sponsorship for any employment visas at this time.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Staffing and Recruiting, Hospitals and Health Care, and Health and Human Services

Referrals increase your chances of interviewing at Norwood by 2x

Inferred from the description for this job

Medical insurance

401(k)

Child care support

Paid maternity leave

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