. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... Clinic Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate...
the Product Service Manager and Service Specialist informed of incoming information relative to machine quality... warranty group in evaluating failures and questionable claims Recommend products that require more training. Help set up the...
conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.... How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...
: Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management... Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS- P), Registered Health Information Administrator...
, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions...) ,Healthcare Common Procedure Coding System (HCPCs) codes. Technical Support to UM Specialist: Processing of time sensitive...