Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

DRG Downgrade CDI Specialist: Revenue Integrity & Appeals

Med-Metrix

Med-Metrix is seeking a Clinical Documentation Integrity DRG Downgrade Specialist in Parsippany-Troy Hills, NJ. The role involves reviewing payer DRG downgrade notifications, conducting medical record reviews, and writing persuasive appeal letters to ensure accurate DRG assignments and revenue integrity. Applicants should have a Bachelor's degree in Nursing, a minimum of 3 years in clinical documentation improvement, and relevant RN certifications. This position requires strong analytical and communication skills while working in compliance with regulatory standards. #J-18808-Ljbffr Med-Metrix

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the DRG Downgrade CDI Specialist: Revenue Integrity & Appeals in Parsippany, NJ vacancy
  •  ...Clinical Documentation Integrity DRG Downgrade Specialist The Clinical Documentation...  ...accurate DRG assignment, protects revenue integrity, and supports...  ...through detailed review, appeal preparation, and performance...  ...processes to support ongoing CDI improvement Ensure all... 
    Suggested
    Remote job
    Work at office
    Local area

    Med-Metrix

    Parsippany, NJ
    5 days ago
  •  ...Clinical Documentation Integrity Specialist The Clinical Documentation Integrity Specialist focuses...  ...to all patients at the Hospital for DRG based payers through concurrent interactions...  ...requirements, as requested by CDI manager Utilizes data analytics to identify... 
    Suggested
    Remote job
    Work at office
    Local area

    Med-Metrix

    Parsippany, NJ
    5 days ago
  •  ...divh2Revenue Cycle Specialist - Pharmacy Biller/h2pInfuCare Rx is a leading home infusion...  ...cultivates achievement and success./ppAs a Revenue Cycle Specialist - Pharmacy Biller,...  ...track record of filing claims, billing, appeals, reviews, customer service, problem resolution... 
    Suggested
    Work experience placement
    Work at office

    Infucare Rx Inc on behalf of itself and its subsidiaries

    Fairfield, Essex County, NJ
    1 day ago
  •  ...divh2Revenue Cycle Specialist/h2pInfuCare Rx is a leading home infusion provider accredited...  ...markets we serve./ppJob Summary:/ppAs a Revenue Cycle Specialist, youll take charge of multiple...  ...track record of filing claims, billing, appeals, reviews, customer service, problem... 
    Suggested
    Work at office
    Flexible hours

    Infucare Rx Inc on behalf of itself and its subsidiaries

    Fairfield, Essex County, NJ
    1 day ago
  • $115k - $125k

     ...perspectives, taking ownership, and leading with integrity. We’re defining the future of mobility...  ...a Conversion Rate Optimization (CRO) Specialist to drive continuous improvement in our...  ...improvements that increase conversion, revenue, and customer satisfaction. You will... 
    Suggested

    Avis Budget Group International

    Parsippany, NJ
    1 day ago
  • A specialized home infusion provider is seeking a Revenue Cycle Specialist in Fairfield, New Jersey. The role involves managing various facets of the pharmacy reimbursement process, ensuring accurate payments, and interacting with insurance companies and patients. Candidates... 

    InfuCare Rx®

    Fairfield, Essex County, NJ
    1 day ago
  • $50k

     ...Personal Solutions Specialist The Personal Risk Services (PRS) practice delivers tailored...  ...expected from account-rounding, integrated offering (IOU), existing COIs, and self-...  ...USI? With approximately $3 billion in revenue and over 10,500 associates across approximately... 
    Temporary work
    Local area
    Flexible hours

    USI Insurance Services

    Florham Park, NJ
    8 days ago
  • $21.64 per hour

     ...between the service office providers, insurance carriers, and revenue cycle management functions. A high level of customer service and...  ...authorization discrepancies or payor requirement changes. Submit appeals to insurance companies. Obtain denial letters from primary... 
    Work experience placement
    Work at office
    Local area
    Flexible hours

    BAYADA

    Parsippany, NJ
    4 days ago
  •  ...Management Analyst Specialist Inteplast offers an excellent array of benefits: two medical plans, HSA with employer contribution;...  ...to requirements, and facilitate dialog across teams System integration - Perform system testing, coordinate system/procedure integration... 
    Temporary work

    Inteplast Group

    Florham Park, NJ
    5 days ago
  •  ...PT-Stretch Specialists PT-Stretch Specialists are responsible for supporting all members in championing happier, and healthier lives...  ...member experience that is educational, supporting, and upholds the integrity of the Life Time Brand. Job Duties/Responsibilities... 
    Weekly pay
    Minimum wage
    Full time
    Contract work
    Temporary work
    Flexible hours

    Life Time Fitness

    Florham Park, NJ
    1 day ago
  • $21 - $25 per hour

     ...Shipping & Receiving Specialist I Elevate your career at Marotta Controls, a New Jersey Top Workplace three years running! Dedicated...  ...Marotta employees hold themselves to high standards of honesty and integrity, but they make certain others are held accountable to the same... 
    Full time
    Local area
    Monday to Friday
    Flexible hours

    Marotta Controls

    Montville, NJ
    3 days ago
  • $20 per hour

     ...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused...  ...associates, vendors, customers, and the Company. They must demonstrate integrity at all times, respond to asset protection and operational... 
    Local area

    Home Depot

    Parsippany, NJ
    3 days ago
  • $65.84k - $85.5k

     ...individuality is noticed and valued every day. Data Masking Specialist As a Data Masking Specialist with Conduent, you’ll have...  ...Understand database models & designs including referential integrity, application enforced integrity, data dependencies between applications... 
    Remote work
    Work from home
    Flexible hours

    Conduent

    Florham Park, NJ
    3 days ago
  •  ...Job Title: Veeva Specialist Location: Morristown, NJ (Remote) Duration: 12 Months (Possibility of extension) Work Schedule...  ...claims document for focus brands. • Responsibilities include integrating RC feedback, reformatting content for clarity and usability,... 
    Remote work

    eTeam

    Morristown, NJ
    4 days ago
  •  ...Job Description Cyber Security Awareness Specialist JOB SUMMARY The Cybersecurity Awareness Specialist supports the execution...  ...safeguard our clients' assets and people. Our core values - Integrity, Vigilance and Helpfulness - are represented by the three red... 
    Work experience placement
    Work at office
    Local area
    Remote work

    Securitas

    Parsippany, NJ
    3 days ago
  • $55k - $65k

     ...Nakupuna Services is seeking multiple Database Sustainment Specialists to support the DMLSS-FM Databases throughout CONUS Military Treatment...  ...following tasks using the Drawbase CAD software, which is integrated into the DMLSS-FM system: View drawings, zoom in/out, turn on... 
    Contract work
    For contractors
    Work at office
    Local area
    Remote work

    Na Ali'i Consulting & Sales, LLC.

    Denville, NJ
    4 days ago
  •  ...Role description Job Summary Seeking a Specialist with 5 to 7 years of experience in AI and Generative AI within the BlueverseAI...  ...generative models Collaborate with crossfunctional teams to integrate AI innovations into products and services Stay updated with the... 

    LTM

    Morristown, NJ
    4 days ago
  • $82.96k - $124.44k

     ...geographical region including the distributors, end customers, integrators and contractors within the east coast of the US. You will...  ...requests and pricing requests submitted to the Regional Proposal Specialist for help. Work with sales and channel (distributors) to... 
    For contractors
    Work at office
    Visa sponsorship
    Work visa
    Flexible hours

    Rockwell Automation

    Parsippany, NJ
    1 day ago
  •  ...and detail-oriented individual to join our team as a People Specialist. In this role, you will play a crucial part in ensuring the smooth...  ...support to new hires to ensure a seamless transition and integration into the organization. Coordinate and attend regular dedicated... 
    Weekly pay
    Flexible hours
    Shift work

    Metro One LPSG

    Morristown, NJ
    3 days ago
  • $22.5 - $25.89 per hour

     ...environment for our people. Job Summary The Community Specialist is responsible for executing the store's community strategy, which...  ...inclusive environment that values/celebrates differences Integrity: Behaves in an honest, fair, and ethical manner... 
    Minimum wage
    Part time
    Local area
    Shift work
    Night shift
    Weekend work
    Day shift
    Afternoon shift
    Early shift

    lululemon

    Denville, NJ
    5 days ago
  •  ...Creditlens Configuration & Administration Specialist Onsite in Manhattan NY Role Summary The CreditLens Configuration & Administration...  ...accuracy prior to production readiness Data Extracts & Integration Support Configure and maintain: One (1) standard... 

    RIT Solutions

    Parsippany, NJ
    5 days ago
  • $97k - $132k

     ...Senior Specialist, Ethics and Compliance Location: The actual location of this job is onsite at our Morristown, NJ office. The...  ...values of Collaboration, Accountability, Excellence, Passion and Integrity reflect who we are and how we work together. Everyone's ideas,... 
    Full time
    Temporary work
    Work at office

    Lonza

    Morristown, NJ
    2 days ago
  •  ...next? Join us! Explore opportunities at dnb.com/careers. The Specialist II is responsible for cultivating customer relationships,...  ...development and/or expanding existing accounts through maintaining revenue stream through successful renewal of existing business, and... 
    Worldwide
    Weekend work
    Afternoon shift

    Dun & Bradstreet

    Florham Park, NJ
    5 days ago
  • $96.5k

     ...YouTube. ( Job Description Purpose: The Senior Sourcing Specialist is responsible for executing source-to-contract procurement...  ...equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community... 
    Contract work
    Temporary work
    Work at office
    Local area

    AbbVie

    Florham Park, NJ
    5 days ago
  •  ...MQ and Apigee. ~ Strong design and development skills using IBM ACE, MQ applications. ~ Solid experience in supporting ESB Integrations with Java, SQL, FTP, SFTP, SOAP, and Rest APIs. ~ Experience with monitoring tools such as Avada Monitoring, Splunk. ~ Experience... 

    The Dignify Solutions, LLC

    Morristown, NJ
    5 days ago
  •  ...Integration Lead Locations: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS - Hybrid... 

    The Dignify Solutions, LLC

    Morristown, NJ
    10 days ago
  • $146k - $190k

     ...Veterinary Integration Lead - Therapeutic Diagnostics Location: Parsippany NJ, Hybrid - 50% The Veterinary Integration Lead - Therapeutic Diagnostics serves as a medical lead within Global Diagnostics Medical Affairs team, partnering closely with Product Management... 
    Full time
    Temporary work
    Work at office
    Local area
    Remote work

    Zoetis

    Parsippany, NJ
    5 days ago
  • $83k - $120k

     ...transmission. Audit Readiness & Compliance: Systematically audit clinical records (MARs/TARs/physician orders) to defend data integrity against ADRs, MAC/RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate interdisciplinary... 
    Full time
    Temporary work
    Part time
    Work at office
    Immediate start
    Flexible hours

    CareOne

    Whippany, NJ
    5 days ago
  • $15.49 - $55 per hour

     ...Membership Specialist The Membership Specialist (MS) will represent UFC GYM by providing...  ...must translate into exceeding personal revenue targets issued by management through both...  ...Metrics set forth by management. Ensure integrity of each sale by attaching supporting documents... 
    Hourly pay
    Full time
    Casual work
    Local area
    Trial period
    All shifts
    Weekend work

    UFC Gym

    Wayne, NJ
    3 days ago
  •  ...divh2EHS Specialist/h2pA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in... 
    Work experience placement
    Local area

    Careers Integrated Resources Inc

    Parsippany, NJ
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to DRG Downgrade CDI Specialist: Revenue Integrity & Appeals. Be the first to apply!