Payment Integrity: DRG Coding & Clinical Validation Analyst
Capital District Physicians Health Plan Inc
CDPHP in Albany, NY is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with deep ICD-10/DRG expertise to review acute inpatient records and validate DRG assignments. You will audit claims, ensure CMS guideline compliance, and mentor staff. The role supports data quality and payment integrity, with remote work possible case-by-case. Qualified candidates typically hold RHIA/RHIT or nursing degrees and have 3+ years in DRG/ICD-10 auditing, plus strong analytical skills and #J-18808-Ljbffr Capital District Physicians Health Plan Inc
Vacancy posted 2 days ago
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