💼 Full-Time | Remote | Nursing/Healthcare Admin
🧾 About the Role
WVU Medicine is hiring a remote Clinical Denial Coordinator to lead the review, appeal, and resolution of clinical claim denials. This is a strategic, detail-oriented role ideal for experienced RNs who want to impact hospital revenue recovery, patient advocacy, and compliance—all from a home-based setting.
✅ Position Highlights
• Full-time, salaried remote position
• Join West Virginia’s largest private employer
• Focused on clinical denials, appeals, and payer trend analysis
• Supportive, mission-driven revenue cycle team
• Room to influence process improvement
📋 What You’ll Own
• Write appeals for denied clinical claims and coordinate peer review documentation
• Analyze patient records, CPT/ICD coding, and payer policies
• Collaborate with case managers, billing, and providers to resolve denials
• Track, report, and escalate trends in denial data
• Conduct root cause analysis and recommend process improvements
• Support education across teams to reduce future denials
🎯 Must-Have Traits
• Active RN license (multi-state eNLC accepted)
• 3+ years of clinical experience
• Strong understanding of Medicare/Medicaid guidelines and utilization management
• Skilled in appeal writing and interpreting payer policies
• Clear communicator with strong organizational habits
• Experience with CPT/NCD/LCD/observation and surgical necessity support a plus
💡 Why It’s a Win for Remote Job Seekers
This is a perfect fit for experienced nurses looking to pivot into the administrative side of healthcare while working remotely. You’ll use your clinical expertise to drive outcomes, recoup revenue, and support patients in a behind-the-scenes but high-impact way.
✍️ Call to Action
If you’re a registered nurse ready to step into a strategic role with purpose, apply now to become a Clinical Denial Coordinator at WVU Medicine.