- Elevance Health (Tampa, FL)
- ** Director , Payment Integrity - DRG Validation (Dir Program Management)** _Location: Alternate locations may be considered. This position will work a ... live within 50 miles of one of our Elevance Health PulsePoint locations._ The ** Director , Payment Integrity - DRG Validation** will lead a team of… more
- AdventHealth (Maitland, FL)
- …clinical language, coding guidelines, severity of illness, risk of mortality and DRG assignment. Explain importance of correct disease reporting and ICD code capture ... for physician/hospital performance profiling, E&M payment , pay-for-performance and hospital reimbursement. Educate hospital physicians on ICD-10 and DRG coding… more
- AdventHealth (Tampa, FL)
- …. Participates in the mortality/risk adjustment reviews when assigned. . Assists with post- payment DRG appeals. . Maintains 98% accuracy rate. . Assists manager ... works in collaboration with the Manager to ensure the integrity of coded data, the education and training of...you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and concurrently as… more