Appeal Specialist II Benefits Comprehensive Health Coverage Medical, dental, and vision plans to keep you and your family healthy. Future Security: 401(k) with matching Student Loan Support Up to $10,000 repayment assistance, because we invest in
Appeal Specialist II - RN The Appeal Specialist II - RN reviews, analyzes, and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. This role logs and reviews denials for trend reporting, provides feedback to
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered. -
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system