- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary The RN Lead , DRG Coding /Validation provides lead level support developing diagnosis-related group ( DRG ) validation ... and other utilization management documentation to evaluate issues of coding and DRG assignment accuracy. * Collaborates...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding ... group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government...on or before December 28, 2022. + Current NYS RN license with a minimum of three years clinical… more