DRG Validator/Reviewer The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their technical expertise in
Coding Quality Education Review Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Monday-Friday, 40hrs per week. 8am-5pm in your time zone. On occasion, schedule adjustment may be necessary for department meetings to accommodate
Program Integrity Subject Matter Expert Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers.
Remote MSDRG Auditor The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with responsibility for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries