Inpatient DRG Sr. Reviewer
Zelis(3 months ago)
About this role
A member of Zelis’ Price Optimization division focused on ensuring accuracy and compliance of inpatient DRG coding across payer and provider claims. The role supports client financial outcomes by aligning coding practices with national guidelines and organizational standards while operating within Zelis’ healthcare financial technology platform.
Required Skills
- DRG Validation
- Medical Coding
- ICD-10
- Inpatient Coding
- Quality Assurance
- Audit Techniques
- Clinical Documentation
- Critical Thinking
- Process Improvement
- Communication
Qualifications
- Registered Nurse Licensure (Preferred)
- CCS
- CIC
- RHIA
- RHIT
- Inpatient Coding Certification
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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