RN Appeals Writer

3 weeks ago


Atlanta, United States Piedmont Healthcare Corporate Full time

Description:RESPONSIBLE FOR: 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. Qualifications:MINIMUM EDUCATION REQUIRED:Graduate from an accredited School of NursingMINIMUM EXPERIENCE REQUIRED:Clinical experience in healthcare setting with a minimum of 7 years using electronic medical records or acute hospital utilization review using InterQual or Milliman. Working knowledge of medical coding, case management, government and contracted payers.MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:Current Georgia nursing licensure.ADDITIONAL QUALIFICATIONS:Experience in clinical software such as SCM / Quest, STAR, EPIC, Client Tracking, and I-Suites. Previous experience with medical record auditing with medical necessity claims; IQCI Certification preferred MicroSoft Word and Excel proficiency preferred. HealthPort systems experience a plus.#LI-POST#GD


  • RN Appeals Writer

    3 weeks ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:JOB 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,...

  • RN Appeals Writer

    3 months ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:JOB PURPOSE:Detailed review,analysis and extraction of clinical information from patientmedical records and drafting of effective narratives for Medicareand Medicaid appeals documentation and briefs in support of deniedcases under appeal at all levels of the government appeals process;maintaining current knowledge base of medical coding, federal...

  • RN Appeals Writer

    3 weeks ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:JOB 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,...

  • RN Appeals Writer

    3 months ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:JOB 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,...

  • RN Appeals Writer

    2 months ago


    Atlanta, United States Piedmont Full time

    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,...

  • RN Appeals Writer

    4 weeks ago


    Atlanta, GA, United States Piedmont Healthcare Corporate Full time

    Description:JOB 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,...

  • RN Appeals Writer

    3 weeks ago


    Atlanta, GA, United States Piedmont Healthcare Corporate Full time

    Description: JOB 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,...

  • RN Appeals Writer

    2 months ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:RESPONSIBLE FOR: 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...

  • RN Appeals Writer

    4 months ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:RESPONSIBLE FOR: 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...

  • RN Appeals Writer

    4 months ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:RESPONSIBLE FOR: 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...

  • RN Appeals Writer

    2 months ago


    Atlanta, United States Piedmont HealthCare Full time

    DescriptionRESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting ofeffective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied casesunder appeal at all levels of the government appeals process; maintaining current knowledge base ofmedical coding,...

  • RN Appeals Writer

    3 weeks ago


    Atlanta, GA, United States Piedmont Healthcare Corporate Full time

    Description:JOB 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,...

  • RN Appeals Writer

    1 month ago


    Atlanta, GA, United States Piedmont Full time

    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,...

  • RN Appeals Writer

    3 weeks ago


    Atlanta, GA, United States Piedmont Healthcare Corporate Full time

    Description: RESPONSIBLE FOR: 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...

  • Tech Content Writer

    2 weeks ago


    Atlanta, Georgia, United States MakeUseOf & How-To Geek Full time

    Job OpportunityWe're seeking a talented Tech Content Writer to join our team at MakeUseOf & How-To Geek. As a Tech Content Writer, you'll be responsible for creating high-quality, engaging content for our readers.About the RoleThis is a remote, freelance position that requires a strong passion for technology and excellent writing skills. You'll be working on...

  • RN Appeals Writer

    4 months ago


    Atlanta, United States Piedmont Healthcare Corporate Full time

    Description:RESPONSIBLE FOR:Detailed review, analysis and extraction ofclinical information from patient medical records and drafting ofeffective narratives for Medicare and Medicaid appealsdocumentation and briefs in support of denied cases underappeal at all levels of the government appeals process; maintainingcurrent knowledge base of medical coding,...

  • RN Appeals Writer

    3 weeks ago


    Atlanta, GA, United States Piedmont Healthcare Corporate Full time

    Description:RESPONSIBLE FOR: 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...

  • RN Appeals Writer

    3 weeks ago


    Atlanta, GA, United States Piedmont Healthcare Corporate Full time

    Description:RESPONSIBLE FOR: 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...

  • RN Appeals Writer

    4 weeks ago


    Atlanta, GA, United States Piedmont HealthCare Full time

    DescriptionRESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting ofeffective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied casesunder appeal at all levels of the government appeals process; maintaining current knowledge base ofmedical coding,...

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    1 month ago


    Atlanta, United States MakeUseOf & How-To Geek Full time

    Job DescriptionJob DescriptionThis position will operate on a remote, freelance basis. HowToGeek.com is looking for tech enthusiasts to write feature articles on a consistent basis for the site. We're looking for content with mainstream appeal for the US reader base.Areas of intended coverage include Android, Mac, iPhone, Windows, Linux, Virtual...