- Elevance Health (New Hyde Park, NY)
- Manager of DRG Coding Audit -Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated ... eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit ** leads a high-performing team responsible for auditing… more
- Elevance Health (Wallingford, CT)
- …Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis-Related Group ( DRG ) Coding /Clinical Validation Audit setting or hospital ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG ,...clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Molina Healthcare (Yonkers, NY)
- …2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in coding : DRG , ICD-10, HCPCS codes is highly preferred. Additional experience ... proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified… more