Drg Clinical Dispute Reviewer

Zelis

Atlanta, GA, USA
Base: $95,000.00 - $127,000.00; bonus/equity: not ...
Hybrid
Drg coding and clinical validation
Strong coding and industry knowledge
Excellent analytical skills
Zelis is modernizing the healthcare financial experience across payers, providers, and consumers

Job Summary

  • Zelis is modernizing the healthcare financial experience across payers, providers, and consumers.
  • The DRG Clinical Dispute Reviewer is responsible for resolving facility and provider disputes related to DRG validation.
  • The role offers a competitive salary and benefits package, including a 401k plan with employer match.

Matching Summary

Zelis is modernizing the healthcare financial experience across payers, providers, and consumers.

Salary

Base: $95,000.00 - $127,000.00; Bonus/Equity: Not specified; Benefits: Competitive benefits package

Skills & Requirements

Must-have

  • DRG Coding and Clinical Validation
  • Strong coding and industry knowledge
  • Excellent analytical skills

Nice-to-have

  • Creative problem-solving skills
  • Strong organization and project management
  • Excellent communication skills

Key Requirements

  • 5+ years reviewing ICD-10 CM claims
  • Current Inpatient Coding Certification required
  • Bachelor’s Degree preferred in business or healthcare

Work Rights

Not specified

Tailored Resume

Cover Letter