- Elevance Health (Atlanta, GA)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG CODING AUDITOR** **_Virtual_** **_: _**...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. +… more
- Elevance Health (Atlanta, GA)
- … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- HCA Healthcare (Savannah, GA)
- … Coding Manager in verifying and reporting staff productivity for Coding , DRG /Code Validation , Unbilled, CDI reconciliation and CARS functions **What ... goals. You will also verify complete, accurate, and consistent coding and DRG code validation ...(CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement… more
- HCA Healthcare (Savannah, GA)
- … Coding Manager in verifying and reporting staff productivity for Coding , DRG /Code Validation , Unbilled, CDI reconciliation and CARS functions **What ... identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation , query...(CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement… more
- Molina Healthcare (Columbus, GA)
- …reports quality of care issues. + Assists with Complex Claim review including DRG Validation , Itemized Bill Review, Appropriate Level of Care, Inpatient ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more