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Keywords: Medical Director, DRG Audit , Location: USA

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Medical Director, DRG Audit & AI Innovation

to join our team as Medical Director, DRG Audit & AI Innovation. This position combines the rigor of traditional DRG medical director.... About the Role We are seeking a board-certified physician with strong inpatient coding and DRG audit expertise...

Company: Machinify
Location: USA
Posted Date: 19 Oct 2025

DRG Clinical Registered Nurse Reviewer Manager - ( Must be Certified Professional Coder )

improvement opportunities and reporting these to the director of audit Responsible for maintaining and updating department... by director of audit and/or SVP of operations KNOWLEDGE & SKILLS: Proficient in Medicare, CMS guidelines and ICD-10 coding...

Location: Fort Worth, TX
Posted Date: 11 Oct 2025
Salary: $110000 - 120000 per year

Claims Audit Supervisor, FT Days

The Supervisor, Claims Audit is responsible for overseeing and managing claims auditors/trainers and ensuring.... Reports to the Director of Claims. Responsible for the day-to-day management of claims audits, and training of claims...

Company: PIH Health
Location: Whittier, CA
Posted Date: 17 Sep 2025

Coding Audit & Education Coordinator

and retrospective coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding... focused attention on audit findings. In addition, works in conjunction with network Coding Director to provide departmental...

Posted Date: 21 Aug 2025

Director | New Product R&D

. Machinify is seeking a Director, New Product Research & Development to serve as the Healthcare Payment Integrity Subject Matter.../normalization, rules/decisioning, model training/evaluation, reviewer workbench, explainability/audit, X12/EDI integrations). Use...

Company: Machinify
Location: Palo Alto, CA
Posted Date: 05 Nov 2025

Director, Global Pricing Analytics

Job Description General Summary: The Director, Global Pricing Analytics, Global Value & Access Strategy (GVAS) role... role reports to Sr. Director, Global Pricing Analytics. Key Duties and Responsibilities: Support development...

Location: Boston, MA
Posted Date: 20 Oct 2025

Revenue Integrity Director

Description : Bargaining Unit: Non Represented - Director Rate of Pay: DOE Summary The Revenue Integrity/HIM... Director is a critical leadership role responsible for optimizing the organization's revenue cycle through strategic oversight...

Posted Date: 08 Oct 2025

Director of Payment Integrity

functions, Including: DRG and medical bill audit, Credit Balance Audit, Retrospective clinical reviews, COB Subrogation...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...

Location: Bloomington, MN
Posted Date: 07 Sep 2025

Director of Payment Integrity

functions, Including: DRG and medical bill audit, Credit Balance Audit, Retrospective clinical reviews, COB Subrogation...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...

Location: Bloomington, MN
Posted Date: 07 Sep 2025

Director of Payment Integrity

functions, Including: DRG and medical bill audit, Credit Balance Audit, Retrospective clinical reviews, COB Subrogation...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...

Location: Bloomington, MN
Posted Date: 07 Sep 2025

Revenue Integrity Administrator

Medical Director, and clinical departments. This position will also ensure the availability and interpretation of reporting... and Medical Director of Revenue Integrity to meet organizational goals and metrics relative to charging and coding of accounts...

Posted Date: 26 Sep 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: Atascocita, TX
Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: USA
Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: Pasadena, TX
Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: Stafford, TX
Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: Sugar Land, TX
Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: Humble, TX
Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: Houston, TX
Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Posted Date: 03 Nov 2025

Regional Manager Clinical Documentation Integrity (Remote)

’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...

Company: Memorial Hermann
Location: Bellaire, TX
Posted Date: 03 Nov 2025