Elevance Health
St. Louis, MO, USA
DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)
This position will work virtually. Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations.
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG.
How you will make an impact:
Analyzes and...