to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area.... Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes...
quality and compliance. Your responsibilities will include: Performing validation reviews of Diagnosis Related Groups (DRG... methodology to identify cases for validation review and conducting validation reviews. Creating comprehensive monthly/quarterly...
for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly.../quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings...