- Molina Healthcare (Vancouver, WA)
- **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
- PeaceHealth (Vancouver, WA)
- … product. + May manage the denials/appeals process for coding and clinical validation related to DRG downgrades. + Performs other duties as assigned. **What ... **Description** **PeaceHealth is seeking a Manager of Hospital Coding - Hospital... coding using the ICD-10-CM and CPT4/HCPCS classification coding systems. Familiar with MS- DRG , APR- DRG… more
- Elevance Health (Seattle, WA)
- … 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