Job Summary
A company is looking for a Clinical Consultant I.
Key Responsibilities
- Provide client-facing support for Coding Validation and act as a liaison between internal teams and external customers
- Collaborate with internal teams to enhance Coding Validation processes and support quality assurance activities
- Assist in the preparation of policy presentations and manage appeals processes as needed
Required Qualifications
- Associate or Bachelor's degree in Nursing with an active and unrestricted RN license
- Professional coder certification (CPC, CPC-H, CPC-P, or CCS-P), RHIT or RHIA certification required
- 2+ years of clinical experience as a Registered Nurse
- 1+ years of experience in Coding Validation and claims adjudication
- 1+ years of customer service or client management experience in a healthcare setting
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