- Elevance Health (Washington, DC)
- Manager of DRG Coding ...prevent unnecessary medical-expense spending. The ** Managers of DRG Coding & Clinical Validation** ... or process improvement and efficiency recommendations. .Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate… more
- Elevance Health (Washington, DC)
- …Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP-...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Deloitte (Washington, DC)
- …A CDS: + Is knowledgeable regarding clinical documentation standards and clinical indicators which drive reimbursement, MS- DRG , APR- DRG , PSIs, HACs, ... and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical ...CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager… more
- Datavant (Washington, DC)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC...facility or CCS HIM director. + Review disagreements on APC/ DRG changes with the appropriate manager . +… more
- Datavant (Washington, DC)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... 2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an… more