UnitedHealth Group is seeking an experienced Utilization Management & Clinical Validation RN to review patient records, extract pertinent details, and craft defensible appeal letters according to policy and evidence-based guidelines. Roles involve encoder usage and coding interpretation (ICD-9/10, CM/PCS, CPT, HCPCS) with HIPAA compliance. Telecommuting from anywhere in the U.S.
is available. Requirements include an active RN license in the resident state, 3+ years in ED/Telemetry/Critical Care,
#J-18808-Ljbffr