Top 489 Clinical documentation specialist Jobs in Usa (remote)

Market Appeals Specialist
UHS - Nashville Regional Office —Illinois
- $69,000 - $99,000 a year
- Full-time
- Remote
- Microsoft Excel
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Inpatient Coding Specialist - FT - SIGN ON BONUS ELIGIBLE
e4health —Remote
- From $35 an hour
- Full-time
- Remote
- Mid-level
- US work authorization
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Healthcare CDI Specialist
The CSI Companies —Jacksonville, FL
- Contract
- Remote
- Mid-level
- Discharge planning
- Medical terminology
Quick Apply
CDQI Nurse Specialist PRN
Datavant —Tampa, FL
- $40 - $45 an hour
- PRN
- Remote
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Dental insurance
Country Approval Specialist - FSP
Thermo Fisher Scientific —North Carolina
- Full-time
- Remote
- English
- Mid-level
- Office
Clinical Documentation Specialist (CDI)
Solventum —Remote
- $96,000 - $132,000 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Health savings account
- Disability insurance
Clinical Documentation Specialist Audit Coordinator (Remote)
Trinity Health —Livonia, MI
- $41.43 - $62.15 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Databases
Clinical Documentation Specialist
Managed Resources, Inc (MRI) —Remote
- $32 - $45 an hour
- Full-time
- Remote
- Medicine
- Anatomy knowledge
- RN License
- Paid holidays
- Health insurance
Clinical Operations Specialist
SmarterDx —Remote
- $100,000 - $125,000 a year
- Remote
- Nursing
- Anatomy knowledge
- Writing skills
- Paid parental leave
- Health insurance
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Trinity Health —Livonia, MI
- $75,592.71 - $113,389.06 a year
- Full-time
- Remote
- Nursing
- Mid-level
- Analysis skills
Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - P/T Days Remote
University of California, Irvine —Irvine, CA
- $119,400 - $230,800 a year
- Part-time
- Remote
- Background check
- Nursing
- Medicine
- Health insurance
- Retirement plan
Lead Clinical Documentation Specialist
Ascension —Remote
- $96,208.99 - $134,109.89 a year
- Full-time
- Remote
- Management
- High school diploma or GED
- Mentoring
- Disability insurance
- Health insurance
1d
Clinical Documentation Integrity (CDI) Analyst (Remote)
University Hospitals —Shaker Heights, OH
- $79,331 - $124,051 a year
- Remote
- Nursing
- Medicine
- RN License
Healthcare Audit Coordinator
Berkeley Research Group, LLC —Remote
- $75,000 - $85,000 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Outlook
- HIPAA
3d
Clinical Documentation Specialist II- RN- Remote
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Clinical Documentation Integrity Specialist - Remote
Med-Metrix —Remote
- Full-time
- Remote
- Nursing
- Doctoral degree
- RN License
Clinical Documentation Specialist - DRG Appeals
Catholic Health —Melville, NY
- $130,000 - $170,000 a year
- Remote
- Nursing
- Microsoft Excel
- Bachelor of Science
- Health insurance
- Tuition reimbursement
13d
Inpatient Clinical Documentation Specialist
Enjoin —Remote
- Full-time
- Remote
- RN License
- HIPAA
- Acute care experience
- Paid holidays
- Health insurance
Quick Apply
Clinical Documentation Auditor and Educator
Ascension —Remote
- $96,208.99 - $134,109.89 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Associate's degree
- Disability insurance
- Health insurance
3d
Risk Adjustment Clinical Documentation Specialist
UASI —Remote
- Remote
- RN License
- Mid-level
- Microsoft Office
- Paid time off

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Market Appeals Specialist

UHS - Nashville Regional Office
Illinois

Quick Apply

Job Details

Full-time
$69,000 - $99,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Appeals
Microsoft Excel
Writing skills
LPC
Inventory management software
Master's degree
Database management
Case appeal in utilization management
Bachelor's degree
Utilization management
Resource utilization in healthcare
Microsoft Teams
Productivity software
Clinical documentation standards
Insurance claims appeal handling
LCSW-C

Full Job Description

BH Shared Services (a UHS company) is currently seeking an experienced Market Appeals Specialist to join our established team in the Central Appeals Office.

POSITION SUMMARY: This position supports utilization management and shared services within the behavioral health division. This role oversees and completes all standard appeals within a designated market, including both Cerner and non-Cerner facilities.
A successful candidate must have knowledge of utilization management operations, including experience with appeal letters and payer engagement. The ability to apply clinical acumen in a behavioral health setting both verbally and in writing is essential to this role. *This is a fully remote position.

RESPONSIBILITIES:

Complete all standard appeals timely and manage appeal inventory through ongoing tracking and monitoring.
Act as a liaison with local facilities and payers to ensure timely appeal processing including appropriate follow-up with payers for facility reimbursement.
Participate in local facility UM team meetings to support the standard appeal process.
Provide feedback to providers and UM team on opportunities impacting facility recoveries (e.g., documentation)
Performs other duties as assigned/required by this position

This opportunity provides the following:

UHS offers a challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Excellent Medical, Dental, Vision and Prescription Drug Plan.
401k plan with company match
Generous Paid Time Off

REQUIREMENTS:

Bachelor's degree required, Master's preferred
RN License or Master's level clinician required,Licenusre preferred
3-5 years related experience required, 5-8 preferred
Knowledge of utilization management operations, including experience with appeal letters and payer engagement.
Proficient in Excel, Microsoft Office/Teams, Word, and database inventory management.
Knowledge of payer requirements for reimbursement across all levels of care and behavioral health business office operations.
Strong oral communication skills to represent patient progress and treatment in behavioral health.
Understanding of medical necessity criteria application for all levels of care.
Ability to apply clinical acumen in behavioral health to written correspondence.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay: $69,000.00 - $99,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Education:

Master's (Preferred)

License/Certification:

LCSW-C (Preferred)
LPC (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

clinical documentation specialist jobs in usa (remote)

Market Appeals Specialist

Inpatient Coding Specialist - FT - SIGN ON BONUS ELIGIBLE

Healthcare CDI Specialist

CDQI Nurse Specialist PRN

Country Approval Specialist - FSP

Clinical Documentation Specialist (CDI)

Clinical Documentation Specialist Audit Coordinator (Remote)

Clinical Documentation Specialist

Clinical Operations Specialist

Ambulatory Clinical Documentation Integrity Specialist (Remote)

Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - P/T Days Remote

Lead Clinical Documentation Specialist

Clinical Documentation Integrity (CDI) Analyst (Remote)

Healthcare Audit Coordinator

Clinical Documentation Specialist II- RN- Remote

Clinical Documentation Integrity Specialist - Remote

Clinical Documentation Specialist - DRG Appeals

Inpatient Clinical Documentation Specialist

Clinical Documentation Auditor and Educator

Risk Adjustment Clinical Documentation Specialist

I want to receive the latest job alert for clinical documentation specialist in usa (remote)

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