Reqroute, Inc
Reqroute is a Staffing and Recruitment Marketing firm based in the heart of Silicon Valley in California. We enable our clients to concentrate on their core business while we look after their recruitment and staffing needs. We are a young, vibrant and dynamic organization that offers a wide range of services for the entire employment cycle. Reqroute leverages social media networks to build a Social Media Recruiting Strategy (SMRS) for your organization to help you reach the passive candidate pool and also provide services in marketing your jobs across various job search engines to further reach out to a larger target audience. We differentiate ourselves by our strong value system, commitment to our clients, strategic approach, unique search processes, accountability for our actions, tireless efforts and a strong candidate experience in finding out-performers. We uphold our values in everything we do. ReqRoute strives to develop sustainable relationships based on mutual trust, responsiveness and accountability. While we continue to expand the infrastructure and resources available to our clients, we remain nimble in our approach to customer service and the management of our relationships.
Job Title: Fully Remote Registered Nurse Employment Type: W2 contract Pay Range: $30 – $34.50/hour Location: Remote
Active RN License (Multi-state/Compact license preferred) Strong proficiency with CMS Tools (e.g., FISS, HETS, MAC portals, Medicare/Medicaid guidelines) Experience handling clinical coding–related appeals, denials, and documentation clarification Role Summary: The Clinical Nurse Specialist will support clinical documentation, coding accuracy, and appeals management for cardiothoracic and cardiovascular service lines. This role combines clinical expertise with advanced coding knowledge to ensure compliance, optimize reimbursement, and support quality and performance initiatives.
Perform detailed clinical documentation and code review for CTS/CVS cases Apply CCS expertise to ensure accuracy of ICD-10-CM, CPT, and HCPCS coding Utilize CMS tools to validate coverage, check claim status, and interpret payer policies Prepare, submit, and track clinical appeals and denials, providing strong clinical justification Collaborate with physicians, nurses, CDI teams, and revenue cycle staff for documentation clarity Ensure regulatory compliance with CMS, Joint Commission, and hospital guidelines Provide clinical insight during coding audits and quality improvement processes Maintain confidentiality and adhere to HIPAA regulations
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