- Elevance Health (Indianapolis, IN)
- **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 (Indianapolis, IN)
- …medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor ... and Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis - Related Group (DRG) Coding/ Clinical Validation Audit setting or… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …after complete review of the EDRP application. Responsibilities DUTIES: Clinical Responsibilities: Screening/Assessment - In conjunction with the interdisciplinary ... and other VA programs and VA staff, the Complex Care Social Worker gathers clinical information vital to the process of setting appropriate treatment goals and time… more
- Elevance Health (Indianapolis, IN)
- …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
- CenterWell (Indianapolis, IN)
- …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