• CDI Specialist Certified

    Covenant Health Inc. (Knoxville, TN)
    …related to initial DRGs and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any assigned facilities. Assists ... of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for...federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager… more
    Covenant Health Inc. (10/13/25)
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  • Physician Advisor

    Premier Health (Dayton, OH)
    …expert second-level reviews, leads provider education, and partners closely with the CDI Manager , Coding Manager and interdisciplinary teams to ensure that ... The Physician Advisor - CDI, Coding & Quality serves as a key clinical...* Review and resolve escalations involving Query disagreement, Clinical Validation , or incomplete response. * Partner with the CDI… more
    Premier Health (10/10/25)
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  • Project Manager (Healthcare)

    Robert Half Technology (New York, NY)
    …PowerPoint, and Word; familiarity with Power BI is advantageous. * Understanding of DRG coding and payment integrity principles. * Exceptional communication and ... Description We are looking for a skilled Healthcare Project Manager to lead critical initiatives within the payment integrity domain. This role requires a strategic… more
    Robert Half Technology (09/11/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …reports quality of care issues. + Assists with Complex Claim review including DRG Validation , Itemized Bill Review, Appropriate Level of Care, Inpatient ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (09/06/25)
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