Inpatient DRG Sr. Reviewer
Zelis(1 month ago)
About this role
A Senior DRG Quality Assurance Analyst in Zelis’ Price Optimization division focused on ensuring inpatient DRG coding accuracy to support claims integrity and client savings. The role centers on applying industry coding standards and clinical documentation review to uphold payment accuracy and inform product/program development. It operates within a healthcare-finance technology environment serving payers and providers.
Required Skills
- DRG Validation
- Medical Coding
- ICD-10
- Quality Assurance
- Claims Audit
- Clinical Review
- Coding Guidelines
- Training
- Process Improvement
- Communication
+2 more
Qualifications
- Registered Nurse Licensure (Preferred)
- CCS
- CIC
- RHIA
- RHIT
About Zelis
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