Clinical Denials & Appeals / CDI

Looking for experienced healthcare professionals (Doctors & Registered Nurses) for high-impact clinical roles supporting a premier US Healthcare GCC:

Role 1: Clinical Denials & Appeals Specialist / QA / Trainer

Education: MBBS, MD, BDS, BHMS, BPT, B.Sc/M.Sc NursingExperience: 2+ years in US Denials & Appeals, Utilization Review, or Utilization ManagementCore Skills: Medical necessity reviews, appeal letter writing, MCG/InterQual criteria Role 2: Clinical Documentation Improvement (CDI) Specialist / QA / Trainer

Education: MBBS, MD, B.Sc/M.Sc Nursing ONLYExperience: 2+ years bedside clinical (ICU/Ward) AND 2+ years in Inpatient CDI or IPDRG CodingCore Skills: Inpatient chart reviews, physician queries, IPDRG methodologies Total Openings: 100+ .