Licensed Nurse Practitioner Consultant

Job Summary

A company is looking for a Clinical Consultant Mid Level to provide clinical leadership and expertise within the clinical investigation teams.

Key Responsibilities

• Provide expert clinical and strategic leadership for operational teams
• Assist with high level clinical reviews, including appeals and peer-to-peer interactions
• Collaborate with clinical operations teams on complex cases and educate providers on clinical coding practices

Required Qualifications

• Current, active, and fully non-restricted licensed Nurse Practitioner or Physician Assistant
• 3+ years of clinical practice experience
• CPT/HCPCS/ICD-9/ICD-10 coding experience with knowledge of health insurance business
• Familiarity with current medical issues and practices