Remote Complex Claims Auditor - MS-DRG & ICD-10 Expert
Santa Barbara Cottage Hospital
New York, NY
- Remote job
Vaya Health is seeking a Complex Claims Clinical Reviewer to conduct prepayment and post-payment audits of inpatient claims, ensuring accuracy of ICD-10-CM/PCS coding and MS-DRGs. The role requires extensive inpatient coding expertise and familiarity with reimbursement guidelines. The ideal candidate will generate clear rationales, maintain robust audit documentation, and contribute to fraud prevention by identifying aberrant utilization patterns. Remote work from selected states is offered. #J-18808-Ljbffr Santa Barbara Cottage Hospital
Vacancy posted 2 days ago
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