• Manager , DRG Validation

    Zelis (St. Petersburg, FL)
    …you've gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department ... for daily operations and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the oversight of DRG… more
    Zelis (08/02/25)
    - Related Jobs

  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or ... ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge of… more
    Elevance Health (07/22/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (08/01/25)
    - Related Jobs

  • Acute Care Outpatient Coder Team Lead

    HCA Healthcare (Ocala, FL)
    …goals. You will also verify complete, accurate, and consistent coding and DRG code validation resulting in appropriate reimbursement, data integrity, and ... RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation , query validation ) +...and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and… more
    HCA Healthcare (06/21/25)
    - Related Jobs

  • Inpatient Coder 3 (H)

    University of Miami (Medley, FL)
    …III to work remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder III reviews documentation in the electronic medical record ... the Clinical Care Transformation (CDI) team as part of the clinical documentation validation and physician query workflow. + Analyze and sequence codes in compliance… more
    University of Miami (07/30/25)
    - Related Jobs

  • Inpatient Coder 2 (H)

    University of Miami (Medley, FL)
    …to work in remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder 2 (H) reviews documentation in the electronic medical record ... Clinical Care Transformation (CDI) team as part of the clinical documentation validation and physician query workflow. + Analyzes and sequences codes in compliance… more
    University of Miami (07/30/25)
    - Related Jobs

  • Coding Auditor-Inpatient

    AdventHealth (Maitland, FL)
    …role you'll contribute:** Under the general supervision of the Coding Quality Manager , the Data Quality Reviewer is responsible for validating the coding performed ... + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. + May… more
    AdventHealth (07/24/25)
    - Related Jobs