- Elevance Health (Louisville, KY)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Elevance Health (Louisville, KY)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
- Datavant (Frankfort, KY)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of… more
- Molina Healthcare (Lexington, KY)
- …measurement. + Experience with clinical intervention concepts, design of quality improvement projects (QIPs), advanced QI concepts, identification of target ... report to Molina's Georgia Health Plan and requires residence in Georgia. Molina's Quality Improvement function oversees, plans, and implements new and existing… more
- Datavant (Frankfort, KY)
- …in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim coding ... to help shape the future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART… more
- Molina Healthcare (Owensboro, KY)
- …Summary** The Specialist, Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of ... maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between… more