Senior DRG Coding & Clinical Validation Analyst

Capital District Physicians Health Plan Inc

City of Binghamton (NY)

Hybrid

USD 68,000 - 140,000

Full time

14 days+
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Job summary

CDPHP is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with extensive inpatient coding experience to review medical records and support DRG assignments for accuracy.

The role involves performing audits across Level I–III accountabilities, ensuring compliance with coding guidelines, and collaborating with providers and cross-functional teams. Remote work may be available on a case-by-case basis.

Job description

CDPHP is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with extensive inpatient coding experience to review medical records and support DRG assignments for accuracy.

The role involves performing audits across Level I–III accountabilities, ensuring compliance with coding guidelines, and collaborating with providers and cross-functional teams. Remote work may be available on a case-by-case basis.

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