• DRG Coding Auditor

    Elevance Health (Waukesha, WI)
    …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. + Requires ... **Location** : This position will work a hybrid model ( remote and office). The ideal candidate will live within...one of our Elevance Health PulsePoint locations. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical more
    Elevance Health (03/14/25)
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  • Sr Specialist , Quality Improvement (RN)…

    Molina Healthcare (Milwaukee, WI)
    …Health Quality (CPHQ) + Registered Health Information Technician (RHIT), or + Certified Medical Record Technician with training in coding procedures (as required ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
    Molina Healthcare (03/19/25)
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  • Sr. Regulatory Specialist

    Veralto (Milwaukee, WI)
    …leader in the product identification market, providing in-line printing, coding and marking products, consumables, and software solutions. Videojet's technologies ... a global leader in the development and manufacture of coding & marking inks, offering fluids for CIJ, TIJ,...DOD, and graphics technologies. Reporting to the Staff Regulatory Specialist , the **Senior Regulatory Specialist ** will support… more
    Veralto (02/15/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Milwaukee, WI)
    …of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (02/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Waukesha, WI)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (03/04/25)
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