• Payment Integrity DRG Coding & Clinical…

    Excellus BlueCross BlueShield (Rochester, NY)
    …documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and ... Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an...to participate and represent department on interna/external committees. Level III (in addition to Level II Accountabilities) . Provides… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... staff and assists with coaching, whenever necessary. + Participates on committees. Level III (in addition to Level II Accountabilities) + Manages the highest level… more
    Excellus BlueCross BlueShield (09/17/25)
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