DRG Validation & Reimbursement Manager
Mount Sinai Morningside
Mount Sinai Morningside is seeking a DRG Validation Specialist to perform SMART focused reviews of inpatient records, ensuring accurate ICD-10-CM/PCS coding and correct DRG assignments pre-billing. You will identify missed diagnoses and propose physician queries to improve documentation quality. The role requires 3–5 years in acute care coding, strong MS-DRG knowledge, and proficiency with electronic health records, while upholding HIPAA standards. #J-18808-Ljbffr Mount Sinai Morningside
- ...experience to ensure diagnoses, procedures, revenue codes, and DRG assignments accurately reflect the documented care and billed charges... ...collaborate with payment integrity teams to uphold documentation integrity and compliant reimbursement. #J-18808-Ljbffr Molina HealthcareReimbursementRemote job
$162.9k - $271.5k
...Global sites. The incumbent will oversee, manage, and assure overall adherence to the... ...management of compliance functions (e.g., validation, documentation, and training) in... ...clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed...ReimbursementPermanent employmentFull timeTemporary workFor contractorsWork experience placementH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation packageShift workDay shift$79.72k - $128.12k
DescriptionThe purpose of DRG validation is to confirm that diagnostic, procedural information... ...and team messages from DRGV management.Communicates, cooperates and maintains... ...current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. ? Good working knowledge...ReimbursementTraineeshipWork experience placementLocal area$203k - $338.3k
Position Summary Regulatory & Financial Risk - Senior Manager - Model Validation Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect...Suggested$99k - $232k
...SectorNot ApplicableSpecialismData, Analytics & AIManagement LevelManagerJob Description & SummaryThe OpportunityAs a Data Validation Risk Manager, you will play a pivotal role within our Risk & Regulatory practice, focusing on the design and execution of innovative strategies...SuggestedFull timeH1b- ...high-quality products that resonate with clients. As a Product Manager in Payments Trust & Safety, you are an integral part of the... ...centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health support, financial coaching and more. Additional...
$103.45k - $169.96k
The Model Risk & Validation Lead position is a crucial role on the Model Risk Management team, which is a new and expanding unit at Guardian. As such, this person will have the opportunity to contribute to the strategy and execution of this developing team. The Model Risk...Full timeWork at officeVisa sponsorshipWork visaFlexible hours$192k - $240k
Manager I, Engineering - Onboarding GrowthThis Engineering Manager will lead the Onboarding team within the Shared Capabilities organization... ...benefits, a 401(k) plan and match, paid time off, fitness reimbursements, and a discounted employee stock purchase plan.The reasonably...ReimbursementWork at office$242.1k - $327.5k
...million times. We are looking for a Senior Software Development Manager to lead the Strands team, own the technical strategy, scale... ...Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave....ReimbursementWorldwideFlexible hoursDay shift$143k - $191k
...processes and tooling that configure and validate our server fleet. This team is the... ...lifecycle.We are seeking an Operations Manager for the Fleet Reliability Operations team... ...Spending AccountHealth Savings AccountTuition Reimbursement Ability to Participate in Employee...ReimbursementPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours$182k - $242k
...growing cloud environment.About the role:CoreWeave is seeking a Manager, Observability Engineering to lead a team responsible for... ...insurance Flexible Spending AccountHealth Savings AccountTuition Reimbursement Ability to Participate in Employee Stock Purchase Program (ESPP...ReimbursementPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours$192k - $240k
As Engineering Manager for Threat Detection, you will lead a high-performing team that powers Datadog's detection program. Threat... ...health benefits, a 401(k) plan and match, paid time off, fitness reimbursements, and a discounted employee stock purchase plan.The reasonably...ReimbursementWork at officeShift work$275k - $350k
...closely with business stakeholders, product managers, and operations teams to define... ...learning & development with our stipend and reimbursement programs. We offer holistic total rewards... ...directly from a CLEAR employee through valid CLEAR channels (e.g., a valid @clearme.com...ReimbursementFlexible hours- ...the third-party administrator's medical management policies to understand the impact against... ...ICD-10 coding, CPT codes, HCPCS codes, DRG coding, place of service, provider ids (... ...terminology, ICD/CPT coding, per diem and DRG reimbursement required. ~ Prior knowledge with...ReimbursementDaily paidWork experience placement
- ...Butterfly Network, a leader in ultrasound technology, seeks a Clinical Development and Validation Manager to drive clinical perspective across POCUS products. You will translate clinical needs into validated software and product solutions, coordinating testing and integration...
$192k - $240k
...and tools that help customers build and validate AI-native services in production. The... ...set it up for growth.As an Engineering Manager I in Applied AI, you will lead a team of... ...plan and match, paid time off, fitness reimbursements, and a discounted employee stock purchase...ReimbursementWork at office- ...and technical quality.Develop engineering managers and senior engineers, fostering a... ...learning & development with stipends and reimbursement programs. We offer holistic total rewards... ...directly from a CLEAR employee through valid CLEAR channels (e.g., a valid @clearme.com...ReimbursementCasual workWork at officeFlexible hours
$135k - $175k
...requiring intellectual agility, strong judgment, and the ability to manage multiple high‑impact projects simultaneously. \ \ \\... ...Medical and prescription drug coverage, 401(k) matching, wellness reimbursement, family‑building benefits, and charitable gift‑matching \\\...ReimbursementFull timeWork at office$198k - $264k
...identify gaps in process execution, design validation, construction coordination, turnover... ..., Electrical Engineering, Construction Management, or a related technical discipline.15+... ...Spending AccountHealth Savings AccountTuition Reimbursement Ability to Participate in Employee...ReimbursementPermanent employmentFull timeTemporary workFor contractorsCasual workWork at officeFlexible hours$165k - $242k
...across the cloud stack.About the RoleWe're seeking an Engineering Manager to lead a full-stack team building Go backend services and... ...insurance Flexible Spending AccountHealth Savings AccountTuition Reimbursement Ability to Participate in Employee Stock Purchase Program (...ReimbursementPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours$148.6k - $201k
...connecting it across Executive Recruiting, Executive Talent Management, Broad-Based Compensation, and business leadership. You will... ...Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave...ReimbursementFlexible hours- ...associates, and client and provider relationship managers to complete operational work accurately,... ...experience Familiarity with CPT and DRG surgical codes Medical billing... ...claims, coding-related information, or reimbursement details Total Rewards Individual compensation...ReimbursementRemote workFlexible hours
$183.1k - $340k
...enabled, automation-first operations, we're expanding our Service Management engineering leadership. AI Operations is our intelligence... ..., access to the Headspace app, retirement savings, tuition reimbursement, employee incentive programs, and resources for mental, physical...ReimbursementFull timeWork at officeLocal areaFlexible hours- ...previously fragmented: investor portals, AI-powered portfolio management, KPI collection, and more. With AI, context is king. And... ...distributions, investment wires, bill payments, intercompany payables/reimbursements, and management fee payments, ensuring that they are...ReimbursementFull timeBank staffLocal area
$136k - $253k
Engineering Manager — CoCounsel TaxWe're building the next generation of AI-powered software for tax and accounting professionals, and... ...off, access to the Headspace app, retirement savings, tuition reimbursement, employee incentive programs, and resources for mental,...ReimbursementFull timeWork at officeLocal areaFlexible hours$183.1k - $340k
...real production scale and sensitivity: Design encryption, key management, data residency, tenant isolation, and audit logging for... ...off, access to the Headspace app, retirement savings, tuition reimbursement, employee incentive programs, and resources for mental, physical...ReimbursementFull timeWork at officeLocal areaFlexible hours2 days per week3 days per week$70k - $90k
...day HR operations and work closely with our People Operations Manager, Talent, Finance, Legal, and Leadership teams. This is a hands... ...0/mo USM credit for your phone / family / friends etc ~ Gym Reimbursement ~ Flexible PTO ~ Medical, Dental, and Vision Plans $70...ReimbursementFull timeLocal areaFlexible hours$182k - $242k
...5. Learn more at .What You'll DoWe are seeking an Engineering Manager to lead a team within our build, test, and deploy platform organization... ...Flexible Spending AccountHealth Savings AccountTuition Reimbursement Ability to Participate in Employee Stock Purchase Program (...ReimbursementPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours$198k - $264k
...governance, planning processes, operational cadence, portfolio management, and delivery standards that enable the organization to... ...health benefits, a 401(k) plan and match, paid time off, fitness reimbursements, and a discounted employee stock purchase plan.The reasonably...ReimbursementWork at office$121.32k - $194.22k
...the highest quality standards. Supports the Lead and team by managing scoping, client finances, and establishing processes and ways... ...adoptionEmployee Assistance Programs and Health/Wellness/Comfort reimbursements to help you invest in your future and work/life...ReimbursementTemporary workFreelanceWork at officeLocal areaWorldwideFlexible hours
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