- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Manager , Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing ... Key participant in the development and implementation of the DRG validation program. Responsible for auditing inpatient...medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Ensures that… more
- Elevance Health (Atlanta, GA)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG Coding Auditor Principal** _Virtual: This...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred… more
- Elevance Health (Atlanta, GA)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG CODING AUDITOR** **Location** : _This...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. +… more
- Elevance Health (Atlanta, GA)
- … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more