Drg Validation Reviewer jobs - Albuquerque, NM

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Nov 09 LPN NURSE AUDITOR-HCC/PMG - Full-Time 1.0 Presbyterian Healthcare Services Albuquerque, NM

- Performs clinical validation audits and interpretation of medical documentation to ... appropriate change management when clinical validation audits and interpretation of... more

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Apr 09 PRV NTWK MNGMNT REL EXEC Presbyterian Health Services Albuquerque, NM

reimbursement methodologies i.e. capitation, DRG, Relative Value Systems, etc. Must ... through a comprehensive review and validation of provider directory data.•Responsible... more

Apr 09 UTILIZATION MGMT NURSE SPEC - Days Presbyterian Health Services Albuquerque, NM

completion of medical record validation and other retrospective audits, compiles detailed findings and relevant supporting documentation for review by the HealthCare Cost... more

Apr 08 UTILIZATION MGMT NURSE SPEC - Days Presbyterian Healthcare Services Albuquerque, NM

of medical record validation and other retrospective audits, compiles detailed findings and relevant supporting documentation for review by the HealthCare Cost Management team. more

Mar 26 PRV NTWK MNGMNT REL EXEC Presbyterian Healthcare Services Albuquerque, NM

reimbursement methodologies i.e. capitation, DRG, Relative Value Systems, etc. Must ... a comprehensive review and validation of provider directory data. • Responsible for... more

Jan 09 RN NURSE AUDITOR–HCC/PMG – Full–Time 1.0 Presbyterian Healthcare Services Albuquerque, NM

of ICD–9 CM, CPT, DRG and HCPCS coding systems is required to be completed within 6 ... – Performs other functions as required.Performs clinical audit/validation processes to ens... more

Jan 09 UTILIZATION MGMT NURSE SPEC – Days Presbyterian Healthcare Services Albuquerque, NM

of medical record validation and other retrospective audits, compiles detailed findings and relevant supporting documentation for review by the HealthCare Cost Management team. more

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