Remote IBR Clinical Appeals Analyst (RN)

UnitedHealth Group; Minnesota; Remote; USD 48,000 - 87,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group seeks an IBR Clinical Appeals Analyst to analyze and respond to claim review appeals. This fully remote role requires expertise in auditing, coding, and clinical reviews. A minimum of 2 years of appeals experience and an unrestricted RN license are mandatory.

The ideal candidate will perform complex analyses, collaborate with teams, and navigate web portals. The position offers a comprehensive benefits package including a 401k contribution and stock options.

Qualifications

• Must have 2+ years of appeals experience in coding or auditing.
• Requires unrestricted RN license.
• Advanced experience with CPT-4 and ICD coding required.

Responsibilities

• Analyze scope and resolution of IBR Appeals.
• Respond to Level one, two or higher appeals.
• Research and prepare written appeals.

Skills

Auditing

Clinical reviews

CPT-4 coding

ICD10 CM coding

ICD 10 PCS coding

Complex analysis

Education

Undergraduate nursing degree

Tools

Web-based portals

Job description

UnitedHealth Group seeks an IBR Clinical Appeals Analyst to analyze and respond to claim review appeals. This fully remote role requires expertise in auditing, coding, and clinical reviews. A minimum of 2 years of appeals experience and an unrestricted RN license are mandatory.

The ideal candidate will perform complex analyses, collaborate with teams, and navigate web portals. The position offers a comprehensive benefits package including a 401k contribution and stock options.