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
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
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
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
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We are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. We deliver proven ROI across the entire revenue cycle – front, middle, and back office. This enables
Overview This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR). Auditors in this role will be doing DRG Validation for our prepay and retrospective audits and making determinations without a medical record. The
Capital Health is the regions leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited
Opportunity Overview: We are seeking a Senior DRG Auditor, Disputes to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive MS-DRG and APR-DRG coding reviews to ensure the accuracy of claims and maximize overpayment identification. If
Senior DRG Coder - RCO Coding (Remote) - (2603788) Description EDUCATION & EXPERIENCE: Minimum Qualifications: Three years of related experience. Preferred Qualifications: Experience with communicating, training, and educating providers in proficiency. Knowledge of coding guidelines, anatomy and
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
DRG Validation Auditor Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The salary ranges anywhere from $80,000-$95,000. This person should have an extensive background in either facility-based nursing, clinical
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
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
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
Coding Specialist To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. Selects records from EPIC
Inspire health. Serve with compassion. Be the difference. Job SummaryCodes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately.