- 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
- Molina Healthcare (Louisville, KY)
- …reports quality of care issues. * Assists with complex claim review including diagnosis - related group (DRG) validation, itemized bill review, appropriate ... Skilled Nursing Facility experience, and outpatient coding experience including diagnosis . Candidates with knowledge of CPT/HCPCS codes, record review, chart… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …case management. (b) Ability to incorporate complex multiple causation in differential diagnosis and treatment within approved clinical privileges or scope of ... of the programs or clinics. Serves at the direct liaison with both clinical and administrative service chiefs, necessary to promote effective functioning of these… more