- Elevance Health (Seattle, WA)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Molina Healthcare (Spokane, WA)
- …experience in case management, disease management or utilization management in managed care, medical or behavioral health settings. + Two years of clinical ... The Clinical Services Auditor performs auditing of clinical staff in Utilization...Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) and monitors… more