Remote Medical Policy & DRG Director
$174.07k - $374.92k9025 CVS Shared Services Resources LLC
- Remote job
9025 CVS Shared Services Resources LLC is seeking a Medical Director for a remote role to promote high-quality medical care and clinical policy. With a strong focus on improving healthcare services, you'll leverage clinical expertise and data analysis skills to drive effective delivery. Required qualifications include a current medical license, M.D. or D.O. degree, and at least five years in healthcare delivery. The position offers a competitive salary range of $174,070.00 – $374,920.00 as well as a comprehensive benefits package. #J-18808-Ljbffr 9025 CVS Shared Services Resources LLC
- ...a Complex Claims Clinical Reviewer for a remote position. Responsibilities include conducting... ...notices, and ensuring compliance with medical reimbursement guidelines. Ideal... ...+ years of experience with ICD-10 and MS-DRG. Strong knowledge of medical claims systems...Remote workMedicalWork from home
- A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible... ...have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work...Remote workMedicalWork from home
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have at... ...preferred. ~ Experience with telecommuting and electronic medical record systems. ~ Familiarity with MS word, MS Excel,...Remote workMedicalImmediate startWork from home$80k - $120k
...them. Position Overview: The Policy Director will lead the organization's state and... ...-Friday Location: This position is remote, but individual must reside either in the... ..., paid time off, parental leave, medical leave, 403b retirement savings account...Remote workMedicalTemporary workFor contractorsWork at officeImmediate startLong distanceMonday to Friday- ...RemoteFetch is seeking a Medical Coding Specialist to review and analyze patient medical records for accurate coding and reimbursement.... ...terminology and coding systems. Attention to detail and familiarity with MS-DRG is essential for success in this role. #J-18808-LjbffrRemote workMedical
- ...A leading health services company is seeking an Inpatient Medical Coding Auditor to review hospital claims. This remote position requires expertise in medical coding, specifically MS-DRG. The ideal candidate will hold a relevant certification with at least four years...Remote workMedicalFlexible hours
- ...Humana Inc is seeking an Inpatient Medical Coding Auditor to join their coding disputes team. This remote position involves reviewing DRG and ICD-10-CM coding for accuracy while collaborating with coding professionals to achieve compliant outcomes. The ideal candidate...Remote workMedical
- ...A healthcare technology company is seeking a DRG Integrity Specialist for a full-time remote position. This role involves reviewing medical records and code assignments in accordance with federal guidelines, ensuring accurate DRG assignment. The ideal candidate should...Remote workMedicalFull time
$90k - $115k
...A leading healthcare intelligence company is seeking a DRG Reviewer to conduct thorough audits of medical records for payment validation. This role requires expertise in coding, clinical guidelines, and compliance with payment standards. The ideal candidate should have...Remote workMedicalFlexible hours$120k - $145k
...Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical... ...Working Conditions and Physical Requirements: This remote role can be located anywhere in the continental US....Remote workMedicalWork experience placementWork at officeImmediate start- ...Dedicated to DRG validation workflows, the full-time California Licensed DRG Integrity... ...optimization opportunities while working remotely. Key responsibilities Perform initial DRG... ...Experience reviewing inpatient medical records within established workflows AHIMA...Remote workMedicalFull time
$269.5k - $425.5k
...A leading healthcare organization is seeking a Medical Director to oversee Clinical Review efforts. This role involves providing expertise in DRG coding and collaborating with diverse teams to improve health outcomes. Candidates must possess an MD or DO, board certification...Remote workMedicalFull time- ...A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including...Remote workMedicalMonday to Friday
- ...A healthcare coding company is seeking an experienced Medical Coding Specialist to work remotely. The ideal candidate will have a minimum of 3 years of... ...guidelines. This role is crucial for facilitating accurate DRG-based reimbursement and requires a thorough...Remote workMedical
$90k - $115k
...A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess... ...inpatient claims auditing experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance...Remote workMedicalFlexible hours- ...Iberia Medical Center (IMC) in New Iberia, LA is seeking a DRG Coder to join their remote team. The role involves coding inpatient medical records and ensuring compliance with coding guidelines for reimbursement. Candidates should have a bachelor's degree in Health Information...Remote workMedicalFull timeFlexible hours
- ...A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for... ...Candidates should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and...Remote workMedical
- ...A healthcare staffing agency is seeking a Certified Medical Coder to work remotely. This role involves reviewing medical records and coding diagnoses... ...should have extensive experience in inpatient and DRG auditing, knowledge of medical coding systems, and effective...Remote workMedical
- ...training and quality auditing programs. The role primarily offers remote work with some travel to New York expected annually. Candidates should have a valid clinical license and experience in DRG and Medical Record Audits. This full-time position focuses on training,...Remote workMedicalFull time
- ...insurance provider based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient... ..., including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes significantly...Remote workMedicalFlexible hours
$90k - $99k
...It takes great medical minds to create powerful solutions... ...individual for a DRG Nurse Reviewer Appeals... ...conjunction with the Medical Director. Assists management... ...knowledge of clinical policies, procedures, rules, and... ...should expect in this role Remote (Work from Home) Up to...Remote workMedicalFull timeWork from homeRelocation packageFlexible hours- ...A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement...Remote workMedicalFull time
$184.1k - $341.9k
...Opportunity The Therapeutic Area Policy team is seeking a strategic, forward-thinking Policy Director to shape the product-level... ...seamlessly across Commercial, Medical, and Government Affairs teams to... ...up to 20% of the time (more if remote or not near SSF or DC offices)...Remote workMedicalLocal areaRelocation package- ...company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits... ...accurate provider reimbursements. This remote position requires certifications such as... ...RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft...Remote workMedicalWork at officeFlexible hours
- ...A company is looking for a DRG Coder IV- PRN who must reside in Colorado. Key Responsibilities Review medical record documentation to abstract and assign diagnoses, procedures, and modifiers for coding and reimbursement Participate in coder and provider education, documentation...Remote workMedicalRelief
- ...Working remotely, the full-time Senior DRG Coder will review inpatient medical records, assign accurate diagnosis and procedure codes, and ensure compliance with coding regulations while collaborating with various healthcare teams to optimize reimbursement and support...Remote workMedicalFull time
$85k
...Job Description DRG Coding Reviewer - Auditor (Remote) Compensation and Benefits Salary: $85,000 Competitive benefits + 401(... ...to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a...Remote workMedicalFull timeShift work- ...join our team in Orlando, Florida. This role focuses on reviewing medical billing information and coding while ensuring accuracy and... ...processing of claims. Candidates must possess a CPC, AAPC, CMBS, or DRG coder certification and have experience in payment integrity or...Remote jobMedicalFlexible hours
$95k
...Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based... ...position is responsible for auditing inpatient medical records and generating high-quality recoverable...Remote workMedical$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for the... ...team! This role offers a fully remote work experience with possible... ...knowledge. Adhere to HIPAA and EXL policies and procedures to ensure data... ...the description for this job Medical insurance Vision insurance 401...Remote workMedicalFull timeWork experience placementReliefWork from homeHome officeRelocation package
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