- Elevance Health (Dearborn, MI)
- ** DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This ... onboarding and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical… more
- R1 RCM (Detroit, MI)
- …- one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every day in this role… more
- R1 RCM (Detroit, MI)
- …AI, intelligent automation, and workflow orchestration. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing ... for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and flexible in a… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes....underpaid claims. + Apply clinical judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review… more