• DRG Validation RN

    Adecco US, Inc. (Chicago, IL)
    Adecco Healthcare & Life Sciences is hiring a DRG Validation RN Auditor ! This role is work from home / remote. Please see below and apply today for ... - Friday, 8am to 5pm EST **Pay:** $40.50 to $42.76 an hour **Responsibilities of the** ** DRG Validation RN Auditor :** . Conduct MS- DRG and APR- DRG more
    Adecco US, Inc. (11/05/24)
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  • Diagnosis Related Group Clinical Validation

    Elevance Health (Atlanta, GA)
    **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
    Elevance Health (11/08/24)
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  • Intermediate Clinical Auditor /Analyst, QA…

    UPMC (Pittsburgh, PA)
    …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... (Excel, Access, OneDrive, OneNote, and Word). + Experience with DRG Assignment and clinical validation of diagnoses....CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
    UPMC (11/01/24)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Chicago, IL)
    …judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters ... and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + **Active AHIMA or AAPC Coding Certification** including CCS,… more
    R1 RCM (11/06/24)
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