As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we
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
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
About the Role To be considered a qualified candidate, must have knowledge of CPT surgical coding and ICD10 diagnostic coding. What You’ll Be Doing Review all clinical documentation to code and post-surgery charges and hospital charges for insurance
This is a remote office opportunity. We are looking for a Quality Analyst & Trainer who is a licensed RN with strong organizational skills and a proactive, self-motivated attitude. The Quality Analyst & Trainer oversees work
Our Mission: Hospital-Quality Care, Everywhere. The healthcare industry still relies on faxes and phone tags to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a
Hi, were Oscar. Were hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving
The IRF Quality Analyst performs random, targeted, and follow-up quality reviews to confirm that audit determinations are supported by the IRF-PAI, UB-04/final bill, acute inpatient discharge summary, complete IRF medical record, therapy documentation, physician documentation, nursing
The Outpatient Trainer plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. This role supports the Outpatient Audit program by delivering and reinforcing training to improve
This is a remote office opportunity. The BH Quality Analyst IV oversees work performed by the BH audit program to ensure that EXL’s standard of accuracy is met. Audits are performed by validating the accuracy of
Thank you for considering Progyny! Progyny is seeking a Claims Audit Extern to join our team. This role will primarily support claims audits, quality assurance reviews, and other related audit activities. In this role, you’ll gain
Are you passionate about accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an experienced Outpatient Quality Analyst – QC Coder to join our remote team! If
We Breathe Life Into Data At Komodo Health, our mission is to reduce the global burden of disease. And we believe that smarter use of data is essential to this mission. That’s why we built the
Executive Director Of Risk Adjustment Optum NY is seeking an Executive Director of Risk Adjustment to join our team in New York, NY. Optum is a clinician-led care organization that is changing the way clinicians work
Program Management Load all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business in a timely and accurate manner. Provide subject matter expertise in all areas of contract configuration, fee schedules/groupers, and rate reimbursement.
DRG Validation Coordinator The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and reported by the hospital on its claim, matches both the attending
Executive Director Of Risk Adjustment Optum NY is seeking an Executive Director of Risk Adjustment to join our team in New York, NY. Optum is a clinician-led care organization that is changing the way clinicians work
About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam DAngelo, Larry Summers, and Jack Dorsey. Position: Certified
We are sharing a specialised consulting opportunity for experienced Medical Coders with strong expertise in ICD-10, CPT, Evaluation & Management coding, clinical documentation review, and coding quality assurance to contribute to an advanced AI training and medical-data evaluation project.