- Zelis (NJ)
- …this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the ... savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA… more
- Cardinal Health (Trenton, NJ)
- …billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and ... peers, customers, and suppliers at various management levels; may interact with senior management + Interactions normally involve resolution of issues related to… more