Inpatient DRG Reviewer
Zelis(3 months ago)
About this role
The Inpatient DRG Reviewer at Zelis performs post-service, pre-payment and post-pay reviews of inpatient DRG claims to validate coding and ensure billing accuracy against clinical documentation and policies. The role supports accurate claim regrouping and identifies opportunities to optimize savings for clients within Zelis’ healthcare finance platform.
Required Skills
- DRG Review
- ICD-10 Coding
- Inpatient Coding
- Medical Records
- Clinical Documentation
- Auditing
- Clinical Analysis
- Communication
- Organization
Qualifications
- Registered Nurse License (Preferred)
- CCS
- CIC
- RHIA
- RHIT
About Zelis
zelis.comDiscover the connected platform that's bridging gaps and aligning interests of healthcare payers, providers, and healthcare consumers.
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