- Elevance Health (Wallingford, CT)
- ** DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work virtually._ _Alternate locations may be considered._ _The Ideal candidate must ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor ** is responsible for auditing inpatient medical… more
- Elevance Health (Wallingford, CT)
- … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- Actalent (New York, NY)
- …Optum and Epic experience a huge plus. CCS and/or CRC are also a huge plus. DRG validation/ DRG auditor experience are also a plus. Experience Level ... to capture accurate representation of the severity of illness and facilitate proper coding . - Validates coding reflects medical necessity of services and… more