California Licensed DRG Manager - job 2 of 2

Job Summary

A company is looking for a DRG Manager responsible for the development and management of clinical solutions in healthcare payment methodologies.

Key Responsibilities

• Collaborate with a multi-disciplinary team to implement DRG processes
• Lead and manage the DRG team, ensuring compliance with regulations and policies
• Oversee clinical claims review processes and monitor team performance

Required Qualifications

• Bachelor's degree in health administration, business, or nursing
• 5+ years of experience in healthcare billing and coding
• 2+ years of experience in claims auditing and recovery auditing
• Preferred coding certification and/or nursing license
• Previous supervisory experience