Clinical Financial Case Manager Ii- Irp

Ohio State University

Columbus, Ohio, US
3 years oncology experience required
Strong icd-10-cm and cpt coding knowledge
Evidence-based clinical interpretation skills
The position is responsible for intervening on accounts requiring clinical interpretation and ensuring precertification for outpatient procedures

Job Summary

  • The position is responsible for intervening on accounts requiring clinical interpretation and ensuring precertification for outpatient procedures.
  • Candidates must provide education to clinical staff and managed care payers to reduce claim denials and recoup lost revenue.
  • The role requires a strong understanding of disease implications, treatment modalities, and expected outcomes in an oncology setting.

Matching Summary

The position is responsible for intervening on accounts requiring clinical interpretation and ensuring precertification for outpatient procedures.

Skills & Requirements

Must-have

  • 3 years oncology experience required
  • Strong ICD-10-CM and CPT coding knowledge
  • Evidence-based clinical interpretation skills

Nice-to-have

  • Experience with physician practice utilization review
  • Proficiency in computer-based billing systems
  • Ability to identify trends in claim denials

Key Requirements

  • Associate or Bachelor Degree in Nursing preferred
  • Minimum 3 years oncology experience
  • Solid clinical skills and current practices

Work Rights

Not specified

Tailored Resume

Cover Letter