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Communicates daily with clinical departments, revenue cycle teams, and payers to facilitate resolution of clinical billing disputes. • Reports and records denials using designated systems and ensures that the clinical documentation supports the services billed.

BBSS Beyond Blue

Clinical Payer Integrity Nurse

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Provides advanced expertise by collaborating with providers, coders, case managers, and the healthcare team to validate severity of illness, risk of mortality, and medical necessity. • Performs admission and continued stay reviews to validate principal diagnosis, comorbidities, and clinical indicators supporting severity of illness.

Inpatient Clinical Documentation Specialist II

Applicants should hold a minimum of a Bachelor of Science in Nursing degree from a regionally accredited institution and have two years of clinical experience as a registered nurse. The part-time faculty position will provide clinical teaching in the Associate of Applied Science in Nursing and Bachelor of Science in Nursing programs.

Eastern Kentucky University

Part-Time Faculty Clinical Instructor

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Coordinator, Education Clinical Placement

Review and monitor medication orders and patient profiles to prevent, identify, and resolve drug-related problems; complete pharmacist consults and perform pharmacokinetic dosing, monitoring, and adjustments. Contribute to professional advancement through practice innovation, research, specialty alignment (e.g., critical care, oncology, infectious disease, committee participation, and scholarly activity.

Clinical Jobs in Berea, KY

Clinical Payer Integrity Nurse BBSS Beyond Blue

Inpatient Clinical Documentation Specialist II BBSS Beyond Blue

Part-Time Faculty Clinical Instructor Eastern Kentucky University

Coordinator, Education Clinical Placement Eastern Kentucky University

Clinical Pharmacist Inpatient PRN AdventHealth

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