• Diagnosis Related Group

    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
    Elevance Health (12/20/25)
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  • Chief Medical Officer - Group Medicare

    Humana (Frankfort, KY)
    …business. Key responsibilities include: + Executive oversight of the planning, staffing and budgeting related to various Group MA clinical teams: clinical ... Adjustment strategy to optimize accurate diagnosis capture through comprehensive clinical documentation and coding practices, ensuring Group Medicare members… more
    Humana (12/20/25)
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  • Program Management Lead, Offshore Coding…

    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
    CenterWell (10/23/25)
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