Talent.com
Certified DRG Reviewer
Certified DRG ReviewerVirtualVocations • Carson, California, United States
Certified DRG Reviewer

Certified DRG Reviewer

VirtualVocations • Carson, California, United States
19 hours ago
Job type
  • Full-time
Job description

A company is looking for a DRG Reviewer to join their remote Payment Integrity team.

Key Responsibilities

Analyze and review inpatient claims for adherence to Official Coding and Reporting Guidelines for ICD-10-CM / PCS codes

Conduct comprehensive initial reviews and screenings to verify clinical support for coded diagnoses

Achieve a production goal of 15-20 claims per day, increasing to 20 claims / day after six months, maintaining 95% accuracy in claim reviews

Required Qualifications

Must hold and maintain one of the following certifications : Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or Registered Health Information Technician (RHIT)

A minimum of 3 years of experience in acute care inpatient coding or auditing

Bachelor's degree required

Experience level : Experienced

Create a job alert for this search

Reviewer • Carson, California, United States

Related jobs
Associate Director, Residential Mortgage Loan Servicing

Associate Director, Residential Mortgage Loan Servicing

Apollo • El Segundo, CA, US
Full-time
Residential Mortgage Loan Servicing Associate Director.Apollo is a high-growth, global alternative asset manager.In our asset management business, we seek to provide our clients excess return at ev...Show more
Last updated: 30+ days ago • Promoted
Regulatory Change Management Auditor

Regulatory Change Management Auditor

Western Alliance Bancorporation • Westlake Village, CA, US
Full-time
Regulatory Change Management Auditor.The Regulatory Change Management Auditor is responsible for evaluating and ensuring the organization's adherence to evolving regulatory requirements that impact...Show more
Last updated: 13 days ago • Promoted
Portfolio Associate - Credit

Portfolio Associate - Credit

PIMCO • Newport Coast, CA, US
Full-time
PIMCO is a global leader in active fixed income with deep expertise across public and private markets.We invest our clients' capital across a range of fixed income and credit opportunities, leverag...Show more
Last updated: 30+ days ago • Promoted
Assistant Director of NCLEX Review

Assistant Director of NCLEX Review

West Coast University • ANAHEIM, California, United States
Full-time
At American Career College, we share a.As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, studen...Show more
Last updated: 7 days ago • Promoted
Manager, Cancer Registry

Manager, Cancer Registry

University of California - Los Angeles Health • Los Angeles, CA, United States
Full-time
At UCLA Health, our advanced information technology plays a critical role in elevating our overall patient care and delivering positive patient experiences. Your passion and specialized expertise wi...Show more
Last updated: 30+ days ago • Promoted
Senior Reimbursement Manager (Hybrid)

Senior Reimbursement Manager (Hybrid)

University of California - Los Angeles Health • Los Angeles, CA, United States
Full-time
Take on a key leadership role within a world-class, award-winning health system.As Senior Reimbursement Manager at UCLA Health, you will oversee complex reimbursement activities that directly suppo...Show more
Last updated: 30+ days ago • Promoted
Reimbursement Manager (Hybrid)

Reimbursement Manager (Hybrid)

University of California - Los Angeles Health • Los Angeles, CA, United States
Full-time
Take on a significant role within a world-class health organization.Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level...Show more
Last updated: 8 days ago • Promoted
VAS Quality & Risk Management Director

VAS Quality & Risk Management Director

CBRE Group • Glendale, CA, US
Full-time
Vas Quality & Risk Management Director.CBRE has a long-standing commitment to providing equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin...Show more
Last updated: 19 days ago • Promoted
Asst Manager-Risk Residuals

Asst Manager-Risk Residuals

American Honda Finance • Torrance, CA, United States
Full-time
Torrance - Main Campus Location.American Honda Finance Corporation is currently seeking an Assistant Manager of Credit / Pricing for our Risk and Analysis department. This position will report to the ...Show more
Last updated: 2 days ago • Promoted
Assistant Director of NCLEX Review

Assistant Director of NCLEX Review

American Career College • ANAHEIM, California, United States
Full-time
At American Career College, we share a.As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, studen...Show more
Last updated: 7 days ago • Promoted
Field Reimbursement Manager

Field Reimbursement Manager

Syneos Health / inVentiv Health Commercial LLC • Orange, CA, United States
Full-time
The FRM will be responsible for the management of defined accounts in a specified geographic region within the Neurology and Rare Disease therapeutic area, specifically supporting the Customer's as...Show more
Last updated: 30+ days ago • Promoted
Regional Compliance Auditor

Regional Compliance Auditor

Spread Your Wings • Garden Grove, CA, US
Full-time
Come join our new regional team! This position can be based out of our Garden Grove, Sacramento or Greater South Bay area offices. Do you have experience providing services to intellectually disable...Show more
Last updated: 30+ days ago • Promoted
Quality Assurance Reviewer II

Quality Assurance Reviewer II

Volunteers of America Los Angeles • Los Angeles, CA, US
Full-time
Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services t...Show more
Last updated: 30+ days ago • Promoted
Quality Assurance Reviewer

Quality Assurance Reviewer

Volunteers of America Los Angeles • Los Angeles, CA, US
Full-time
Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services t...Show more
Last updated: 30+ days ago • Promoted
Bill Reviewer III

Bill Reviewer III

AVONRISK • Orange, CA, US
Full-time
Quick Apply
Bill Reviewer II Job Details Job Type Full-time Orange, CA OR Rocklin, CA Description Summary : .Employee is a Lead Bill Reviewer who will assist the Bill Review Supervisor in a variety of func...Show more
Last updated: 7 days ago
Mortgage Loan Servicing Manager- On Site

Mortgage Loan Servicing Manager- On Site

Northrop Grumman Federal Credi • Gardena, CA, US
Full-time
Launching your career with Northrop Grumman Federal Credit Union (NGFCU) means being a valued team member at one of the strongest credit unions in the country. AT NGFCU, we understand that our emplo...Show more
Last updated: 16 days ago • Promoted
Associate Director of Strategic Accounts Rheumatology and Dermatology - West

Associate Director of Strategic Accounts Rheumatology and Dermatology - West

Bristol Myers Squibb • Los Angeles, CA, US
Full-time
Those aren't words that are usually associated with a job.But working at Bristol Myers Squibb is anything but usual.Here, uniquely interesting work happens every day, in every department.From optim...Show more
Last updated: 30+ days ago • Promoted
RN Manager - Care Management

RN Manager - Care Management

Providence • Tarzana, CA, United States
Full-time
RN Manager of our Care Management team at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA.This management position is Full-Time and will work Day shifts. Providence Cedars-Sinai Tarzan...Show more
Last updated: 30+ days ago • Promoted
Product Manager - Review

Product Manager - Review

Relativity • Los Angeles, CA, United States
Full-time
At Relativity we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...Show more
Last updated: 30+ days ago • Promoted
Access & Reimbursement Manager (ARM) - Renal - Long Beach, CA (Remote)

Access & Reimbursement Manager (ARM) - Renal - Long Beach, CA (Remote)

Novartis • Long Beach, CA, US
Remote
Full-time
Access And Reimbursement Manager.Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their a...Show more
Last updated: 26 days ago • Promoted