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Appeals & Coding RN - (CPC Preferred) - Telecommute

UnitedHealth Group

Nashville, TN
Job Code:
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Job Details

Appeals & Coding RN - (CPC Preferred) - Telecommute(Job Number:727765)

We are currently seeking an experienced RN with strong interpersonal skills to join our team. The chosen Clinical Appeals & Coding RN would be responsible for reviewing appeals and grievances to determine if the appropriate care was given. In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us, and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
This is a telecommute, Monday-Friday from 8:30am - 5:00 pm position.
Primary Responsibilities:
  • Clinical Appeals and Grievances (analyzing, reviewing appeals / grievances)
  • Review of coding edits and reimbursement issues
  • Works with less structured, more complex issues
  • Solves moderately complex problems and / or conducts moderately complex analyses
  • Translates concepts into practice
  • Assesses and interprets customer needs and requirements
  • Identifies solutions to non-standard requests and problems
  • Works with minimal guidance; seeks guidance on only the most complex tasks
  • Works with less structured, more complex issues
  • Coaches, provides feedback and guides others

Job Clinical Appeals
Primary Location US-TN-Nashville
Other Location 
Organization Clinical Appeals & Grievances
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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