About this role
Director, DRG Validation at Zelis. Location: St. Petersburg or Hyderabad or United States. Role: leading operations, driving innovation, ensuring compliance Requirements: Requires inpatient coding certification (CCS/CIC/RHIA/RHIT), 12+ years in DRG validation/inpatient coding or related functions, 5+ years leadership, experience with automation/AI/analytics, and expertise in reimbursement integrity. Category: Product Management Seniority: Senior Level Tools: AI, machine learning, automation, analytics, BI, Coding Clinic, CPT Assistant Certifications: ccs, cic, rhia, rhit, rn Commitment: Full Time Workplace: Hybrid Languages: English