Licensed Clinical Consultant

Job Summary

A company is looking for a Clinical Consultant Mid Level - Remote.

Key Responsibilities

• Provide expert clinical and strategic leadership for operational teams
• Assist with high level clinical reviews, including appeals and peer-to-peer consultations
• Collaborate with clinical operations teams on complex cases and educate providers on clinical coding

Required Qualifications

• Current, active, and fully non-restricted licensed Nurse Practitioner or Physician Assistant
• Coding Certification through AHIMA or AAPC
• 3+ years of clinical practice experience
• Experience with CPT/HCPCS/ICD-9/ICD-10 coding and knowledge of health insurance business
• Familiarity with current medical issues and practices