Molina Healthcare, Inc.

Remote DRG Clinical Validation Reviewer (Coding RN)

RemotePosted 3 weeks ago

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Job details

Work type
Remote
Posted
3 weeks ago
Apply on
hckd.fa.us2.oraclecloud.com

About this role

Active, unrestricted RN license; minimum 2 years inpatient payment-integrity claim review including DRG validation or itemized bill review; expertise with ICD-10, DRG methodologies, CPT/HCPCS, coding guidelines, clinical reference tools, and Microsoft Office.

What you'll do at Molina Healthcare, Inc.:

  • reviewing claims
  • validating drgs
  • documenting rationale

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About Molina Healthcare, Inc.

Molina Healthcare, Inc.