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Remote Emr Conversion Rn Jobs in Boca Raton, FL (NOW HIRING)

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Remote Emr Conversion Rn information

See Boca Raton, FL salary details

$912

$1.9K

$2.8K

How much do remote emr conversion rn jobs pay per week?

As of Jul 17, 2026, the average weekly pay for remote emr conversion rn in Boca Raton, FL is $1,856.27, according to ZipRecruiter salary data. Most workers in this role earn between $1,450.00 and $2,171.15 per week, depending on experience, location, and employer.

What is the difference between Remote Emr Conversion Rn vs Remote Medical Coder?

AspectRemote Emr Conversion RnRemote Medical Coder
CredentialsRN license, EMR certificationMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare facilities, EMR conversion projectsHealthcare offices, insurance companies, remote coding
Industry UsageEMR system implementation, data migrationBilling, coding, insurance claims processing

Remote Emr Conversion Rns focus on converting and implementing electronic medical records, requiring nursing credentials and EMR expertise. Remote Medical Coders specialize in translating medical records into billing codes, needing coding certifications. While both roles work remotely in healthcare, their core functions and required qualifications differ significantly.

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Remote Emr Conversion Rn jobs near you
Manager, Clinical Appeals

Manager, Clinical Appeals

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 3 days ago

Job description

Job Summary:

We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is responsible for overseeing day-to-day activities of clinical appeal specialists, managing appeal strategy execution, ensuring quality and compliance, and meeting client-specific performance goals.

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and offshore teams (e.g., Philippines). This position is critical to ensuring timely and effective resolution of denied claims, supporting revenue recovery efforts, and maintaining payer and regulatory compliance.

Key Responsibilities:

  • Manage the full-cycle clinical appeals process across multiple payer types, with a focus on government (e.g., Medicare, Medicaid) and commercial payers.
  • Lead and support a team of nurses, clinical reviewers, and appeal specialists—including potential offshore (Philippines-based) staff.
  • Monitor appeal workloads, productivity, and turnaround times to ensure all appeal deadlines and client service level agreements (SLAs) are met.
  • Review and approve complex or high-value clinical appeal cases, ensuring clinical accuracy and compliance with payer guidelines.
  • Maintain up-to-date knowledge of medical necessity criteria, payer policies, NCDs/LCDs, and applicable CMS regulations.
  • Train new and existing team members on clinical guidelines, appeal writing standards, and regulatory requirements.
  • Work cross-functionally with audit, legal, compliance, and operations teams to align on strategy and escalate trends or systemic payer issues.
  • Identify and implement process improvements to increase efficiency, reduce denials, and improve overturn rates.
  • Support the creation and refinement of appeal templates, clinical arguments, and documentation standards.
  • Generate and deliver performance and quality reports to leadership, identifying risks and opportunities for improvement.

Qualifications:

  • Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health Administration, or related field preferred.
  • 5+ years of experience in clinical appeals, utilization review, or medical necessity denials.
  • 2+ years in a leadership or supervisory role, preferably within a revenue cycle or payer appeals setting.
  • In-depth understanding of payer denial processes, especially Medicare Advantage, Medicaid Managed Care, and commercial plans.
  • Experience managing remote and/or offshore teams (Philippines experience preferred).
  • Strong working knowledge of ICD-10, CPT, and HCPCS coding as they relate to clinical justifications.
  • Excellent writing skills and the ability to clearly communicate complex clinical reasoning.
  • Familiarity with appeal submission portals, EHRs, and workflow platforms.
  • Knowledge of HIPAA, CMS, and NCQA standards.

Apply