• Diagnosis Related Group Clinical Validation…

    Elevance Health (Las Vegas, NV)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS- DRG , AP- DRG ...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… more
    Elevance Health (11/12/25)
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  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    …of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Payment Integrity Nurse Coder RN III Job Category:...and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG , POA, and all relevant coding elements.… more
    LA Care Health Plan (10/23/25)
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  • Medical Investigator I/II ( RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding ... group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government...on or before December 28, 2022. + Current NYS RN license with a minimum of three years clinical… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Chicago, IL)
    …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps...CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager,… more
    Deloitte (11/08/25)
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  • CDI Specialist Lead

    Community Health Systems (Fort Wayne, IN)
    …professionalism, collaboration, and leadership in interdisciplinary environments **Licenses and Certifications** + RN - Registered Nurse - State Licensure ... **Job Summary** The Clinical Documentation Improvement (CDI) Specialist Lead provides advanced support for CDI activities within...care standards, and medical terminology + Proficient in ICD-10-CM/PCS coding principles, MS- DRG and APR- DRG … more
    Community Health Systems (10/10/25)
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  • Supervisor, Clinical Documentation Integrity (CDI)…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + Licensure as a physician assistant (PA) or Nurse… more
    Trinity Health (08/26/25)
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  • Supv Clinical Documentation / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    …others as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse ( RN ) with 3-5 years CDS experience . ... experience o Previous management experience preferred **Licensure, Certification, Registration** . RN and/or Certified Coding Specialist (CCS) **And** .… more
    Hartford HealthCare (09/17/25)
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  • Regional Manager, Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …Nursing or the equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + Licensure as a physician assistant (PA) or Nurse… more
    Trinity Health (10/08/25)
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  • Clinical Documentation Integrity Team Lead…

    AdventHealth (Tampa, FL)
    …you'll need to succeed:** Associate's of Nursing Required. 1 years Related Experience Required Registered Nurse ( RN ) current FL Required CCDS - Certified ... and internal quality audits for site CDS. Partners with coding leadership related to accuracy of final DRG... coding leadership related to accuracy of final DRG assignments. Provides input as needed for monthly CDI/… more
    AdventHealth (11/13/25)
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  • Clinical Documentation Specialist, REMOTE

    Trinity Health (Athens, GA)
    …medical field such as NP/APN or PA. Must possess one of the below: Current Registered Nurse License in the State of practice, Registered Health Information ... RN license or CCS or RHIT with Inpatient Coding experience. This position will be based at St....diagnoses codes, establishing a working principle diagnosis and working DRG (MS or APR). Collaborates with coding … more
    Trinity Health (10/23/25)
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