Remote Clinical Claim Reviewer jobs

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DRG VALIDATION AND CLINICAL CLAIMS REVIEWERS

Perform comprehensive DRG and/or clinical validation reviews to determine accuracy of the DRG billed, based on industry standard using ICD10 coding and Clinical guidelines evidenced by supplied medical records. Based on the eviden...

CompanyRevcycle Xperts
AddressRemote
CategorySales/marketing
Salary$55 - $65 an hour
Job typePart-time | Contract
Date Posted 5 days ago See detail

DRG Validation and Clinical Claims Reviewers

Revcycle Xperts

Remote

$55 - $65 an hour

Perform comprehensive DRG and/or clinical validation reviews to determine accuracy of the DRG billed, based on industry standard using ICD10 coding and Clinical guidelines evidenced by supplied medical records. Based on the eviden...

Claims System Configuration Quality Review Senior Analyst - eviCore - Remote

The Cigna Group

Franklin, TN

Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes Collaborate with internal and...