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DRG Nurse Auditor: Denials & Appeals Specialist

Universal Health Services, Inc., Richmond, VA, United States


A leading healthcare provider in the United States seeks a DRG Nurse Auditor with clinical case management experience. Responsibilities include analyzing clinical claim denials, drafting detailed appeal letters, and performing DRG validation reviews. The role requires an RN or LPN licensure in good standing, with a preference for a BSN degree and 3-5 years of experience. Strong analytical skills, attention to detail, and excellent communication are necessary. Competitive compensation and benefits are offered. #J-18808-Ljbffr