Claims Specialist - Registered Nurse (Coding Specialist)

Claims Specialist - Registered Nurse (Coding Specialist) - Remote (#R10261)

• Location: Remote
• Employment Type: Full-Time
• Hourly Rate: $60.00/hour

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a certified medical coder-claims specialist role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Why Join Us?

• Competitive Compensation: $60.00/hour
• Comprehensive Benefits: Comprehensive benefits package
• Work Schedule: Full-time, Monday–Friday
• Professional Growth: Combine nursing knowledge with coding expertise
• Impactful Work: Enhance documentation integrity and coding accuracy

Key Responsibilities:

• Review clinical documentation for accuracy and completeness
• Support coders by providing clinical insight and clarification
• Assist with audit reviews and quality improvement
• Query providers for missing or unclear clinical details
• Stay updated on coding and clinical documentation regulations

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.

Qualifications:

• Job qualifications & certifications:
• Active RN license (NY)
• CPC, CCS, or clinical coding background
• 2+ years clinical experience
• Skills:
• Strong clinical judgment
• Excellent understanding of medical terminology
• Ability to bridge clinical and coding concepts