DRG Auditor The DRG Auditor 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
Coding and Medical Records Auditor TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims
Director, Out-of-State Medicaid The Director, OSM is a key leader within the Out-of-State Medicaid function responsible for driving performance, operational execution, and client outcomes across multiple teams. This role oversees Managers, Supervisors, and Revenue Specialists, ensuring
Trading Specialist Fidelity will not provide immigration sponsorship for this position. To be eligible for consideration of this role, your primary residence must be located within a 90 mile radius at the time of application from
Revenue Specialist, Commercial Billing The Revenue Specialist, Commercial Billing investigates and analyzes Motor Vehicle Accident accounts in order to properly identify and coordinate insurance benefits and resolve outstanding balances for our clients. This position acts as
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