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Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) @ Univera Healthcare

Rochester, New York, USOnsiteFull-time
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About this role

Embrace the opportunity to become a Payment Integrity DRG Coding & Clinical Validation Analyst and play a key role in ensuring accurate inpatient coding and compliance. Leverage your expertise in ICD-10, MS-DRG, and APR-DRG systems to audit claims, support quality assurance, and drive continuous improvement in healthcare payment integrity.. Category: Customer Service, Claims & Insurance Operations

Skills

icd-10 codingms-drg codingclaims auditingapr-drg codingquality assurancerecovery auditingmedical record reviewprovider billing guidelinesmedical necessity criteriacoding terminologyclaims processing systemsauditing toolsproject managementanalytical skillsstakeholder management

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