Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)
Excellus BCBS
About this role
A Payment Integrity DRG Coding & Clinical Validation Analyst at a health plan ensures the integrity of inpatient coding and DRG assignments by applying knowledge of clinical documentation and payment systems. The role supports accurate hospital billing and compliance with regulatory coding guidelines across multiple experience levels (Level I–III).
Skills
Qualifications
About Excellus BCBS
excellusbcbs.comOfficial site of Excellus BCBS, a trusted health insurance plan for over 85 years. Shop for affordable health plans including Medicare, medical, dental, vision, and employer plans.
Recent company news
Rochester Business JournalExcellus BCBS posts $108M operating loss in 2025 amid rising health care costs
1 week ago
Greater Rochester Chamber of CommerceExcellus BCBS names seasoned upstate NY hospital leader Martin Stallone, M.D., as Executive Vice President, Chief Healthcare Services Officer
Sep 2, 2025
romesentinel.comExcellus BCBS earns recognition as among best in-state employers
Sep 8, 2025
WHEC.comRising healthcare costs force insurers to scale back Medicare Advantage offerings, affecting local seniors
Oct 3, 2025
Greater Rochester Chamber of CommerceExcellus BlueCross BlueShield Tackles Chronic Pain and Rising Employer Health Care Costs with Virtual PT Benefit
Oct 6, 2025
About Excellus BCBS
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 Excellus BCBS.
Salary
$65k – $142k
per year
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