Managers of DRG Coding & Clinical Validation Audit
Elevance Health
About this role
The Manager of DRG Coding & Clinical Validation leads a team that audits inpatient medical records to ensure accurate and compliant Diagnosis-Related Group (DRG) assignments. The role focuses on identifying coding discrepancies, recoverable claim opportunities, and supporting regulatory and payer-specific integrity for the company and its clients. This position is part of Carelon Payment Integrity within Elevance Health and partners cross-functionally to align audit insights with broader program goals.
Skills
Qualifications
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
Recent company news
MarketBeatElevance Health, Inc. $ELV Position Increased by Mirabella Financial Services LLP
3 hours ago
Healthcare DiveCMS threatens Elevance with Medicare Advantage sanctions
2 weeks ago
Fierce HealthcareCMS set to suspend enrollment in Elevance Health's Medicare Advantage plans
2 weeks ago
TIKR.comElevance Health’s Medicare Crisis and $5 Billion Cash Floor: The Bull Case Explained
22 hours ago
Modern HealthcareCMS to freeze Elevance Health Medicare Advantage enrollment
2 weeks ago
About Elevance Health
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Elevance Health.
Salary
$111k – $200k
per year
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