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
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
Are you a seasoned Diagnosis Related Group (DRG) or All Patient Refined Diagnosis Related Groups (APR DRG) auditor who loves mentoring others, digging into data, and making things better? Want to take your auditing expertise to the next
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
JOB SUMMARY: This role provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and federal regulations to ensure correct billing practices. In this role, incumbent will perform itemized
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
DRG Validator - Full Time - Remote 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 insurance coverage Employee-assistance program
Payment Integrity Expert 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 will directly improve health outcomes by connecting
Current Saint Francis Employees - Please click HERE to login and apply.Full Time Job Summary: The Revenue Integrity Analyst collaborates with clinical departments, coding, finance, and Information Technology (IT) to resolve discrepancies, reduce revenue leakage, and
Newport News, Virginia FOR APPLICATION REVIEW - PROVIDE YOUR CREDENTIAL OR AHIMA ID NUMBER ON YOUR APPLICATION OR RESUME This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS,
FWA Analyst Intern Department: SIU Employment Type: Internship Location: Headquarters DescriptionHealthcare Fraud Shield is seeking a part-time Fraud, Waste and Abuse (FWA) Analyst Intern for our health care Fraud, Waste and Abuse software platform. You will
Job Purpose The Physician Advisor II serves as a leader on the Physician Advisor team, mentoring, teaching internally and externally, maintaining quality across the spectrum of Physician Advisors, and manages PAOC relationships with clients. Additionally, the