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Clinical Appeals Auditor – Medical Reviews & ALJ Hearings
Job in
Edinburgh, City of Edinburgh Area, EH1, Scotland, UK
Listed on 2026-08-08
Listing for:
Railway Corp
Full Time
position Listed on 2026-08-08
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
reputed company is seeking a Medical Review Clinical Appeals Auditor - ALJ to conduct Appeals reviews of new evidence and support training and process improvements. The role includes taking party status in ALJ hearings and contributing to audit outcomes.
The ideal candidate will review medical records, document outcomes, and collaborate with the clinical audit team to uphold or overturn findings while meeting productivity and quality standards.
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