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Managed Resources, Inc.

Clinical DRG Appeals Specialist

Managed Resources, Inc., Long Beach, California, us, 90899

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A healthcare management firm in Long Beach, California, seeks a DRG Auditor for Clinical Appeals to conduct retrospective reviews of inpatient claims. This role is pivotal in ensuring accurate DRG assignments, compliance with CMS guidelines, and supporting clinical appeals by providing detailed audit findings. The ideal candidate will have at least 5 years of experience in coding or DRG auditing, hold relevant certification, and possess strong analytical and communication skills. Competitive salary and benefits are offered. #J-18808-Ljbffr