- Elevance Health (Louisville, KY)
- ** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... for employment, unless an accommodation is granted as required by law. The ** Diagnosis Related Group Clinical Validation Auditor** is responsible for… more
- STG International (Hopkinsville, KY)
- STGi is currently seeking a Licensed Clinical Social Worker-Mental Health to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The Licensed ... Master Social Worker (LMSW)/Licensed Clinical Social Worker (LCSW) will provide social work services...* Provide referrals for patients and families for individual, group , marital, family, financial or activity therapies. * Provide… more
- Molina Healthcare (Covington, KY)
- …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
- 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
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …and knowledge of current standards of practice, trends, and developments in related scope of job role or practice. Adheres to infection-control policies and ... ability to develop a full understanding of the Studer Group practices and tools and communicate effectively. Must embrace...Works collaboratively with all members of health care team. Clinical Services: + Follows acute and chronic standard of… more
- Wellpath (West Liberty, KY)
- …month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and ... for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. **How you make… more
- CenterWell (Frankfort, KY)
- …Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid ... judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring… more