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4 fresh jobs found
Clinical Denials and Appeals RN
Home Office: Birmingham, AL Guidehouse logo Guidehouse
Appeals construction Pre-service authorization Medical record reviews Documentation integrity Denial root-cause analysis Mid-revenue cycle Medical Necessity Review Evidence-based clinical guidelines Medical records assembly +22
Senior Mid Full Time
USD 65K+
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Clinical Denials and Appeals RN - Remote
Home Office: Birmingham, AL Guidehouse logo Guidehouse
Medical records assembly Evidence-based clinical guidelines Denial root-cause analysis Clinical appeals Medical Necessity Review Coding terminology Medical necessity reviews Clinical terminology Coding Guidelines +15
Senior Mid Full Time
USD 65K+
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Appeals Review Nurse
Remote Oscar logo Oscar
NCCN Medical decision support tools Level of care reviews Medical necessity reviews Milliman care guidelines Evidence-Based Guidelines InterQual MCG Clinical Guidelines +16
Entry Mid Full Time
USD 70K+
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Utilization Review RN - Remote
Home Office: Birmingham, AL Guidehouse logo Guidehouse
Payer regulations Managed care trends Coding terminology Medical necessity reviews Clinical terminology Clinical Guidelines Medical Records Utilization management Productivity +20
Senior Mid Full Time
USD 86K+
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