- Elevance Health (Roanoke, VA)
- Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit** leads a high-performing… more
- Elevance Health (Norfolk, VA)
- … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Title:** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Elevance Health (Richmond, VA)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG Coding Auditor Principal** **_Virtual: _**...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred.… more
- Elevance Health (Ashburn, VA)
- …Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis-Related Group ( DRG ) Coding /Clinical Validation Audit setting or hospital ... medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG , AP- DRG ,… more
- Deloitte (Mclean, VA)
- …case manager , clinical documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare ... improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR- DRG , MS- DRG and HCC assignment + Other revenue cycle… more