Molina Healthcare is seeking a registered nurse with inpatient claim review experience to ensure diagnoses, procedures, revenue codes, and DRG assignments accurately reflect the documented care and billed charges.
You will apply ICD-10, DRG and revenue code guidelines, review complex scenarios, and collaborate with payment integrity teams to uphold documentation integrity and compliant reimbursement.
#J-18808-LjbffrRemote Clinical Validation Specialist: DRG & Coding Review in workfromhome at Unknown Company
This position is listed as full time and onsite.