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DRG Reviewer Vipany Global Solutions

3.0 - 8.0 years

5 - 14 Lacs

Hyderabad

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Note: These resources should possess certification either in CIC or CCS (Mandatory) Job Description: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. Please share relevant profiles at the earlies...

Posted 4 months ago

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