Appeals Nurse Coordinator
XSOLIS, Inc. · United States · US
Utilization Review
Remote
Nurse
Dentist
Demand80
Career growth72
Healthcare fit85
Remote potential60
5-year outlook
Likely stable to modest growth as payers and providers continue investing in utilization management, denial prevention, and documentation integrity. Compensation should remain competitive for experienced nurses, but exact figures depend on location, licensure, and prior UM/appeals experience.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-25
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- Nurse, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for nurses who want a non-bedside health-tech role combining clinical judgment, payer communication, and appeals work. Less suitable for clinicians without chart-review, utilization management, or denial/appeal exposure.
Who should apply
RNs or LPNs with utilization management, case management, denials/appeals, clinical documentation integrity, payer relations, or hospital revenue-cycle experience. Also relevant for nurses with strong medical-record review skills who want to move into health-tech clinical review.
CV angle
Frame clinical nursing experience around medical-record review, clinical judgment, documentation quality, payer communication, and care coordination. Quantify case volume, denial/appeal support, ICD-10/DRG exposure, EMR use, and any utilization review or managed-care familiarity; do not claim UM experience that is not real.
Skills to highlight
- Utilization management
- Medical necessity review
- Denials and appeals
- Clinical documentation review
- ICD-10 and DRG concepts
- Payer policy and CMS requirements
- EMR documentation
- Case prioritization and communication
Role summary
Nurse coordinator supporting XSOLIS clients with concurrent review, medical necessity and level-of-care determinations, denial management, appeal correspondence, and clinical documentation/ICD-10/DRG validation using payer rules and AI-enabled tools.
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