- Molina Healthcare (Atlanta, GA)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making...these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Elevance Health (Atlanta, GA)
- ** Registered Nurse - Diagnosis Related Group Coding...may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit ... Coding Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines, and maintaining objectivity in the performance of medical audit… more