- Elevance Health (Mason, OH)
- **Title:** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual:** This role enables associates to work ... for employment, unless an accommodation is granted as required by law. The ** Diagnosis Related Group Clinical Validation Auditor-RN** is responsible for… more
- Elevance Health (Mason, OH)
- …medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor-RN ... and Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis - Related Group (DRG) Coding/ Clinical Validation Audit setting or… more
- Molina Healthcare (Cincinnati, OH)
- …reports quality of care issues. + Assists with complex claim review including diagnosis - related group (DRG) validation, itemized bill review, appropriate ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
- City of Cincinnati (Cincinnati, OH)
- …of newborns, infants, children, adolescents, and male and female adults. Performs related duties as required. This is a Noncompetitive position that includes an ... transmitted diseases. Skill to: Operate appropriate computer equipment; use properly all related hardware and software. Operate assigned vehicle in the course of… more
- Aspen Dental (Florence, KY)
- …ADMI Corp., doing business as TAG, The Aspen Group , its affiliates, related companies, and independently owned supported clinical practices are proud to be ... you are a trusted co-provider with the doctor, using clinical indicators to recommend therapy, educating patients, and shaping...Aspen Dental practices are supported by TAG, The Aspen Group , giving you the stability of a national network… more
- Elevance Health (Mason, OH)
- …for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis - Related Group (DRG) assignments. This role plays a critical ... industry's best practices and payer-specific requirements. .Collaborates cross-functionally with clinical , compliance, provider engagement, and data analytics teams to… more