- Elevance Health (Nashville, TN)
- DRG Clinical ( RN ) Validation Auditor **Virtual** : This role enables associates to work virtually full-time, except for required in-person training ... an accommodation is granted as required by law._ The ** DRG Clinical Validation Auditor** is...efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license. + Requires a minimum… more
- Ansible Government Solutions (Memphis, TN)
- …our customers' success as if it is their own. Responsibilities + Act as the Registered Nurse Advisor for the facility's CDI program, focusing on both inpatient ... data gathered by the CDI team, reviewing it for clinical validation , trends, and opportunities for improvement...an accredited program + Current, full, active and unrestricted RN license in any State, Territory, or Commonwealth of… more
- Community Health Systems (Franklin, TN)
- …**Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing appropriate coding references for CHS hospitals ... non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes… more
- Deloitte (Nashville, TN)
- …degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) ... CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician...manager, clinical documentation specialist, utilization review, informatics RN , Quality, DRG Validation and… more
- Covenant Health Inc. (Knoxville, TN)
- …and the resources used in the diagnosis and treatment of the patient. The validation of the clinical diagnoses is an additional focus and responsibility. ... and verbal communications skills. Analytical skills. Proficient computer skills. Licensure Requirement: RN or equivalent/advanced clinical licensure. RN must… more
- Covenant Health Inc. (Knoxville, TN)
- …and the resources used in the diagnosis and treatment of the patient. The validation of the clinical diagnoses is an additional focus and responsibility. The ... and verbal communications skills. Analytical skills. Proficient computer skills. Licensure Requirement: RN or equivalent/advanced clinical licensure. RN must… more