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Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT,CCS, or CIC Certification Required)

Capital District Physicians Health Plan Inc · Dewitt, NY · $65346 per hour

Job Description:

Summary:

The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the

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