DRG Validation Expert
7 days ago
The Clinical Solutions Manager is a key position at Apixio, 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 target key claims for review and recovery.
Key Responsibilities- Inventory and Team Management: Oversee the development and implementation of clinical solutions, ensuring they meet the needs of our clients and stakeholders.
- Implementation Support: Provide guidance and support to clients and internal teams on the implementation of clinical solutions.
- Client Support: Serve as a primary point of contact for clients, addressing their questions and concerns related to clinical solutions.
- Research and Development: Conduct research and analysis to identify areas for improvement in clinical solutions and develop new solutions to meet emerging needs.
- Management and Leadership: Lead a team of clinical solutions specialists, providing guidance, coaching, and development opportunities to ensure their success.
- Education: Bachelor's degree in a relevant field, such as health administration, business, or nursing.
- Experience: 5+ years of experience in healthcare billing and coding, with a focus on claims auditing and recovery auditing.
- Certifications: Preferred coding certification and nursing license.
- Meaningful Work: Contribute to the development of innovative clinical solutions that improve healthcare outcomes and reduce costs.
- Competitive Compensation: Receive a competitive salary and benefits package, including medical, dental, and vision insurance, FSA, and 401(k) with company matching.
- Exceptional Benefits: Enjoy a generous vacation policy, remote-first work philosophy, and a hybrid work schedule.
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Lead Clinical Content Strategist
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Tampa, Florida, United States Apixio Full timeJob 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...
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Tampa, Florida, United States Apixio Full timePosition OverviewCompany Background:Apixio stands at the forefront of healthcare innovation, bridging the gap between health plans and providers. Our mission is to develop a premier Connected Care platform that addresses reimbursement discrepancies while ensuring high-quality patient care, aligning with the industry's shift towards value-based reimbursement...
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Clinical Solutions Manager
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Tampa, Florida, United States Apixio Full timeAbout the RoleThe Clinical Solutions Manager is a key position at Apixio, 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 target key claims for review and recovery.Key ResponsibilitiesInventory and...
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Tampa, Florida, United States Apixio Full timeAbout the RoleThe Clinical Solutions Manager is a key position at Apixio, 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 target key claims for review and recovery.Key ResponsibilitiesInventory and...
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