DRG Reviewer

About the RoleThe DRG Manager is a key position at Apixio, responsible for developing and managing our clinical solutions, including MS and APR-DRG validation. This role requires expertise in healthcare payment methodologies and audit and review criteria to target key claims for review and recovery.Key Responsibilities:Inventory and team...

Job Title: DRG ManagerApixio is seeking a highly skilled DRG Manager to join our team. As a DRG Manager, you will be responsible for the development and management of our clinical solutions, including MS and APR-DRG validation.Key Responsibilities:Inventory and team managementImplementation supportClient supportResearch and managementRequirements:Bachelor's...

Job Title: DRG Payment ValidatorJob Summary:We are seeking a highly skilled DRG Payment Validator to join our team at Apixio. As a DRG Payment Validator, you will be responsible for performing DRG payment validation reviews of medical records and providing clinical/policy/regulatory support for payment determination.Key Responsibilities:- Audit patient...

Job OverviewCompany Background:Apixio operates at the crucial intersection of health plans and healthcare providers, striving to develop a premier Connected Care platform aimed at reducing reimbursement discrepancies while promoting high-quality patient care. Our mission is to facilitate the transition towards value-based reimbursement models through...

Job OverviewCompany Background:Apixio operates at the crucial junction of health plans and healthcare providers, innovating a premier Connected Care platform aimed at reducing reimbursement discrepancies while ensuring high-quality patient care. Our mission is to facilitate the transition towards value-based reimbursement models through a combination of...

Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, the Coder 2 will perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. The ideal candidate will have advanced-level knowledge of guidelines for the sequencing of diagnosis and procedure codes for appropriate...

About the RoleWe are seeking a highly skilled Clinical Content Lead to join our team at Apixio. As a Clinical Content Lead, you will be responsible for the development and management of our clinical solutions, including Readmissions, Place of Service, Level of Care, and APR-DRG validation clinical concepts.This role requires expertise in healthcare payment...

Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, the Medical Coding Specialist will perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. They will utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC...

Job OverviewApixio is seeking a highly skilled Clinical Solutions Manager to join our team. As a key member of our clinical solutions team, you will be responsible for the development and management of our clinical solutions, including MS and APR-DRG validation.This role requires expertise in healthcare payment methodologies and audit and review criteria to...

Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will:Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes.Utilize the encoder system to sequence the codes assigned and calculate...

Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 1 will:Key ResponsibilitiesPerform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes.Utilize the encoder system to sequence the codes...

Job Title: Clinical Content LeadApixio is seeking a highly skilled Clinical Content Lead to join our team. As a Clinical Content Lead, you will be responsible for developing and managing our clinical solutions, including Readmissions, Place of Service, Level of Care, and APR-DRG validation clinical concepts.Key Responsibilities:Develop innovative strategies...

Job Title: Clinical Content LeadAbout the Role:The Clinical Content Lead is a critical position at Apixio, responsible for developing and managing our clinical solutions. This includes Readmissions, Place of Service, Level of Care, and APR-DRG validation clinical concepts. The ideal candidate will have expertise in healthcare payment methodologies and audit...

Job Title: Licensed Vocational Nurse - Referral Management CenterEpic Government is seeking a skilled Licensed Vocational Nurse to join our team in the Referral Management Center. As a key member of our healthcare team, you will play a critical role in coordinating patient care and referrals.Job Summary:The Licensed Vocational Nurse - Referral Management...

Job Title: Licensed Vocational Nurse - Referral Management SpecialistEpic Government is seeking a highly skilled Licensed Vocational Nurse (LVN) to join our team as a Referral Management Specialist. In this role, you will play a critical part in the Referral Management Center, working closely with healthcare providers and patients to ensure seamless...

Job Summary Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will: Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. Utilize the encoder system to sequence the codes assigned...

Licensed Vocational Nurse (LVN/LPN) - Referral Management Center job in Tampa, Florida. Veterans and Military Spouses Encouraged to Apply Civilian position on MacDill Air Force Base Monday-Friday days Benefits: Health and Welfare Fringe Benefits Paid Time Off Paid Holidays Paid Sick Time Company-funded match and safe harbor 401(k) Medical, Dental and...