Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused
Job Purpose The Clinical Documentation Integrity DRG Downgrade Specialist is responsible for reviewing, analyzing, and responding to payer initiated DRG downgrades. The Clinical Documentation Integrity DRG Downgrade Specialist ensures accurate DRG assignment, protects revenue integrity, and supports compliant documentation practices
Overview Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages
Overview In the role of Concept Development Analyst (CDA) within our CCV business unit, you will support the enhancement and ongoing optimization of claim selection processes and tools, including AI-enabled methodologies. This role is primarily focused
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote
The Manager of Operations ensures client savings and internal revenue are achieved. The Manager of Operations is responsible for planning, coordinating, and directing the activities of the audit program, ensuring staff is well trained, knowledgeable, responsive,
INTERESTED IN LIVING THE COASTAL GEORGIA LIFE? Brunswick, GA 31520 Southeast Georgia Health System is the areas healthcare provider and employer of choice! BENEFITS: Competitive pay Generous Paid-time-off accrual 403B retirement savings with company match Medical/dental/vision
The DRG Manager leads the planning, coordination, and execution of DRG audit activities, ensuring teams meet client SLAs and operational goals. This role oversees inventory, aging, risks, and day-to-day performance, while collaborating cross-functionally to support program success. The
Location:Work from home (Pennsylvania) Shift:Days (United States of America) Scheduled Weekly Hours:40 Worker Type:Regular Exemption Status:No Job Summary:Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations.
DRG Coder Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To: Alice Tejeda Compensation: $33.00 - $38.00 / hour Description The Senior DRG Coder is responsible for
Company Description Delivering Digital Outcomes. Driving Real Impact. Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers. Job Description In this role, we will look
We are recruiting for a mission-driven Coder IV- IP DRG - Remote (Selected States Only) to join our team! Were with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we
Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team
Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor for one of our clients to work 100% remote. The salary ranges anywhere from $80,000-$95,000. This person should have an extensive background in either facility-based
DeVry University strives to close our society’s opportunity gap by preparing learners to thrive in careers shaped by continuous technological change. Through innovative programs, relevant partnerships, and exceptional care, we empower students to meaningfully improve their
ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency
ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency
Job Description SummaryUnder the direct supervision of the Hospital Coding Supervisor, the Coder II will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes. Adheres
This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The HB IP Coder reviews, interprets, and translates provider medical