Claims Specialist - Registered Nurse (Coding Specialist) at Greenlife Healthcare Staffing

Jericho, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Jul, 26

Salary

60.0

Posted On

07 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical documentation review, Medical coding, Medical billing, Claims processing, Clinical judgment, Medical terminology, Audit reviews, Quality improvement, CMS regulations, Provider querying, Compliance, Peer-review

Industry

Staffing and Recruiting

Description

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

Responsibilities

The Claims Specialist will review clinical documentation for accuracy and provide clinical insight to support coders and audit reviews. They will also query providers for missing information and ensure compliance with coding and clinical documentation regulations.