- Elevance Health (Roanoke, VA)
- ** Manager DRG Coding Validation ( Manager Program and Project Management)** **** **Hybrid 2:** This role requires associates to be in-office **3** ... eliminate and prevent unnecessary medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing team… more
- 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 ... team management of the DRG product. The Manager , DRG Validation will be...primarily responsible for the oversight of DRG validation reviews to ensure accurate and compliant coding… more
- Mount Sinai Health System (New York, NY)
- …requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to help develop coding education and training and ... **Job Description** The purpose of DRG validation is to confirm that...? Minimum of 3 to 5 years of experience coding in an acute care hospital. Validation … more
- Elevance Health (Hanover, MD)
- … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Elevance Health (Richmond, VA)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG CODING AUDITOR** **_Virtual_** **_: _**...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. +… more
- Hartford HealthCare (Farmington, CT)
- …. Provide ongoing education to the coding and CDI teams regarding DRG validation , payer guidelines, and best practices to minimize future denials. . ... guidelines. *_Working Relationship:_* *This Job Reports To (Job Title):*HIM Manager Coding Quality and Education *Education* ....assignment, and payer regulations related to DRG validation . . Ability to analyze medical records, coding… more
- Marshfield Clinic (Marshfield, WI)
- …concerns and DRG assignments + Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding ... Guidelines for Coding and Reporting. The Hospital Coding Specialist II provides charge validation and...Discharge Data Set (UHDDS) and assignment of the appropriate MS- DRG (Medicare Severity-Diagnosis Related Group) or APR- DRG … more
- Marshfield Clinic (Marshfield, WI)
- …concerns and DRG assignments + Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding ... the most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding… more
- AdventHealth (Orlando, FL)
- … coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications **The expertise and experiences you'll need ... each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager , the Data Quality Reviewer is responsible for validating… more
- Trinity Health (Livonia, MI)
- …integrity program is required. Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement. Demonstrated knowledge of state and ... PURPOSE** Work Remote Position At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily operations of… more
Recent Jobs
-
Resident Sales Distribution Manager
- System One (Jersey City, NJ)
-
Associate Veterinarian
- VCA Animal Hospitals (Union City, CA)