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Registered Nurse Clinical Consultant

6/15/2025

No location specified

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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