Should have experience with medical and insurance terminology, CPT, ICD coding structures, and ... The Clinical Denial Audit/Analyst RN performs advanced level work related to clinical denial ...
Quick apply
Should have experience with medical and insurance terminology, CPT, ICD coding structures, and ... The Clinical Denial Audit/Analyst RN performs advanced level work related to clinical denial ...
Quick apply
Should have experience with medical and insurance terminology, CPT, ICD coding structures, and ... The Clinical Denial Audit/Analyst RN performs advanced level work related to clinical denial ...
Calverton, NY · On-site
$55K - $60K/yr
... risk to the organization * Analyze credit, financial, and underwriting documentation * Make ... care options, including medical, dental and vision -Generous 401K plan -Paid Time Off plan ...
Quick apply
Calverton, NY · On-site
$55K - $60K/yr
... risk to the organization * Analyze credit, financial, and underwriting documentation * Make ... care options, including medical, dental and vision -Generous 401K plan -Paid Time Off plan ...
Clinical Analyst RN - Full Time Shift: 8:00am - 4:30pm PATIENT POPULATION: The patient population ... Responds as resource for clinical and medical personnel during implementation and support durations ...
Quick apply
Clinical Analyst RN - Full Time Shift: 8:00am - 4:30pm PATIENT POPULATION: The patient population ... Responds as resource for clinical and medical personnel during implementation and support durations ...
Dallas, TX · On-site
Responsibilities Risk Analysis and Assessment * Conduct comprehensive risk assessments for the real ... Comprehensive medical insurance, dental insurance, and vision insurance; life and disability ...
Dallas, TX · On-site
Responsibilities Risk Analysis and Assessment * Conduct comprehensive risk assessments for the real ... Comprehensive medical insurance, dental insurance, and vision insurance; life and disability ...
Fort Worth, TX · On-site
We value our people and offer generous benefits - Medical, Dental, Vision benefits start day ONE ... This position works to minimize risk by monitoring daily transaction exceptions to approved account ...
Fort Worth, TX · On-site
We value our people and offer generous benefits - Medical, Dental, Vision benefits start day ONE ... This position works to minimize risk by monitoring daily transaction exceptions to approved account ...
Fort Worth, TX · On-site
We value our people and offer generous benefits - Medical, Dental, Vision benefits start day ONE ... This position works to minimize risk by monitoring daily transaction exceptions to approved account ...
Fort Worth, TX · On-site
We value our people and offer generous benefits - Medical, Dental, Vision benefits start day ONE ... This position works to minimize risk by monitoring daily transaction exceptions to approved account ...
Appeal Analyst RN | Contract Walker Healthforce is seeking an Appeal Analyst RN with a minimum of 3 ... Medical, Dental & Vision available * 401k options Why Work With Walker? * Access to our top ranked ...
Appeal Analyst RN | Contract Walker Healthforce is seeking an Appeal Analyst RN with a minimum of 3 ... Medical, Dental & Vision available * 401k options Why Work With Walker? * Access to our top ranked ...
Somerville, NJ · On-site
$97K - $132K/yr
Data Analyst RN Req #: 0000261192 Category: Revenue Cycle and Patient Access Status: Full-Time ... Medical and Prescription Drug Insurance * Dental and Vision Insurance * Disability and Life ...
Somerville, NJ · On-site
$97K - $132K/yr
Data Analyst RN Req #: 0000261192 Category: Revenue Cycle and Patient Access Status: Full-Time ... Medical and Prescription Drug Insurance * Dental and Vision Insurance * Disability and Life ...
Melbourne, FL · On-site
$60 - $80/hr
As a Senior Risk Analyst in our Melbourne Headquarters location, you will serves as a senior ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...
Melbourne, FL · On-site
$60 - $80/hr
As a Senior Risk Analyst in our Melbourne Headquarters location, you will serves as a senior ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...
Hartford, CT · On-site
Maintain and analyze risk management data, statistics, and files in compliance with Joint ... Connecticut RN license (preferred) * Experience in medical risk management, insurance, and/or legal ...
Hartford, CT · On-site
Maintain and analyze risk management data, statistics, and files in compliance with Joint ... Connecticut RN license (preferred) * Experience in medical risk management, insurance, and/or legal ...
Austin, TX · On-site
The Senior Risk Analyst advances the company's risk management function through disciplined data ... Your Well-Being is a Priority. 100% covered Medical, Dental, and Vision * Invest in Your Future ...
Austin, TX · On-site
The Senior Risk Analyst advances the company's risk management function through disciplined data ... Your Well-Being is a Priority. 100% covered Medical, Dental, and Vision * Invest in Your Future ...
Austin, TX · On-site +1
The Senior Risk Analyst advances the company's risk management function through disciplined data ... Your Well-Being is a Priority. 100% covered Medical, Dental, and Vision * Invest in Your Future ...
Austin, TX · On-site +1
The Senior Risk Analyst advances the company's risk management function through disciplined data ... Your Well-Being is a Priority. 100% covered Medical, Dental, and Vision * Invest in Your Future ...
Lake Mary, FL · On-site
Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and ... What you can expect as a IT Risk Analyst I: * Responsible for creation and delivery of responses to ...
Quick apply
Lake Mary, FL · On-site
Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and ... What you can expect as a IT Risk Analyst I: * Responsible for creation and delivery of responses to ...
Springfield, MO · On-site
Medical, Vision, Dental, Retirement Plan with employer match, and many more! * For a comprehensive ... analysis tools. * Licensure/Certification: * Preferred: JD, RN, CPHRM, ARM, CPCU, CPHQ
Quick apply
Springfield, MO · On-site
Medical, Vision, Dental, Retirement Plan with employer match, and many more! * For a comprehensive ... analysis tools. * Licensure/Certification: * Preferred: JD, RN, CPHRM, ARM, CPCU, CPHQ
Kennesaw, GA · On-site
Yamaha Motor Finance - US has an exciting opportunity for a Risk Analyst II to support advanced ... Medical, Dental, Vision * Life and AD&D Insurance * Wellness Program * Short-Term Disability ...
Kennesaw, GA · On-site
Yamaha Motor Finance - US has an exciting opportunity for a Risk Analyst II to support advanced ... Medical, Dental, Vision * Life and AD&D Insurance * Wellness Program * Short-Term Disability ...
Stamford, CT · On-site
$60 - $80/hr
... medical, dental and vision coverage, a health spending account, a defined contribution pension plan ... Lead analytics and reporting for credit risk and counterparty default risk * Responsible for ...
Stamford, CT · On-site
$60 - $80/hr
... medical, dental and vision coverage, a health spending account, a defined contribution pension plan ... Lead analytics and reporting for credit risk and counterparty default risk * Responsible for ...
Chicago, IL · On-site
Medical, dental and vision insurance * Lifestyle Spending Account * Competitive PTO plan * 11 paid ... What you'll do The Model Risk Analyst (Analyst) within the Model Risk Management Group (MRM) is ...
Chicago, IL · On-site
Medical, dental and vision insurance * Lifestyle Spending Account * Competitive PTO plan * 11 paid ... What you'll do The Model Risk Analyst (Analyst) within the Model Risk Management Group (MRM) is ...
Chicago, IL · Hybrid
Medical, dental and vision insurance * Lifestyle Spending Account * Competitive PTO plan * 11 paid ... What you'll do The Model Risk Analyst (Analyst) within the Model Risk Management Group (MRM) is ...
Chicago, IL · Hybrid
Medical, dental and vision insurance * Lifestyle Spending Account * Competitive PTO plan * 11 paid ... What you'll do The Model Risk Analyst (Analyst) within the Model Risk Management Group (MRM) is ...
Kennesaw, GA · On-site
Yamaha Motor Finance - US has an exciting opportunity for a Risk Analyst II to support advanced ... Medical, Dental, Vision * Life and AD&D Insurance * Wellness Program * Short-Term Disability ...
Kennesaw, GA · On-site
Yamaha Motor Finance - US has an exciting opportunity for a Risk Analyst II to support advanced ... Medical, Dental, Vision * Life and AD&D Insurance * Wellness Program * Short-Term Disability ...
Somerville, NJ · Hybrid
$97K - $132K/yr
... Data Analyst opportunity, you must hold an active New Jersey Registered Nurse license in good ... Medical and Prescription Drug Insurance * Dental and Vision Insurance * Disability and Life ...
Somerville, NJ · Hybrid
$97K - $132K/yr
... Data Analyst opportunity, you must hold an active New Jersey Registered Nurse license in good ... Medical and Prescription Drug Insurance * Dental and Vision Insurance * Disability and Life ...
$15.38 - $19.97
3% of jobs
$19.97 - $24.56
7% of jobs
$24.56 - $29.15
12% of jobs
$30.05 is the 25th percentile. Wages below this are outliers.
$29.15 - $33.74
15% of jobs
$33.74 - $38.33
13% of jobs
The median wage is $38.48 / hr.
$38.33 - $42.92
16% of jobs
$42.92 - $47.51
8% of jobs
$48.08 is the 75th percentile. Wages above this are outliers.
$47.51 - $52.10
11% of jobs
$52.10 - $56.69
6% of jobs
$56.69 - $61.28
6% of jobs
$61.28 - $65.87
3% of jobs
$15
$40
$65
For Medical Risk Analyst Rn jobs, the most frequently searched job titles are:

Searcy, AR • On-site
Full-time
Re-posted 11 days ago
6.0
Based on 40 frontline employees who took The Breakroom Quiz
748th of 898 rated healthcare providers
Education: Minimum of an associate’s degree in nursing is required; BSN is preferred. Requires a current RN license for the state of Arkansas. Must have two (2) years of relevant experience.
Training and Experience: Minimum of two (2) years’ recent experience in hospital case management and/or hospital revenue cycle required. Three (3) years of experience in a healthcare revenue cycle or clinic operations role with one (1) of those years being in a role which included claim-related appeal writing is preferred. Should have experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms. Should have knowledge of Medicare, Medicaid and third-party reimbursement methodologies and of local, state and federal healthcare regulations.
Job Knowledge: Must have the ability to make good decisions in demanding situations, focus on continuous process improvement, have effective communication skills, and the ability to listen empathically. Should possess extensive writing capabilities and the ability to organize details logically and accurately. Must have the ability to manage multiple tasks easily and efficiently, work independently, and be results oriented. Must have the ability to multitask and use various computer applications. Basic math skills and knowledge of general accounting principles are necessary.
Safety Sensitive: NO
In the interest of protecting the health and safety of all patients, associates, and guests, Unity Health has classified some positions as “safety sensitive.” A “safety sensitive” position is any job position in which impaired performance could result in harm to the health and/or safety of self or others. Any associate that is actively engaged in the use of medical marijuana, even if in possession of a valid medical marijuana card, will be excluded from employment in a “safety sensitive” position.
DESCRIPTION:
The Clinical Denial Audit/Analyst RN performs advanced level work related to clinical denial management. The individual is responsible for managing claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, etc. Will assist with the tracking notification and following of denials in Compliance 360. The Clinical Denial Audit/Analyst RN writes and submits professional appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language and coding guidelines. Appeals are submitted timely and tracked through until final outcome. Will also handle audit-related / compliance responsibilities and other administrative duties as required. Works independently to plan, schedule, and organize activities that directly impact hospital and physician reimbursement and assist in creating and maintaining documentation of key processes.
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Health care and social assistance
1,001 - 5,000 Employees
Searcy, AR, US
1967