Perform comprehensive clinical DRG audits on inpatient claims to validate diagnoses, procedures, and discharge status against clinical documentation. Collaborate with cross-functional teams to provide clinical insights that inform audit logic and AI-driven review models.
Perform comprehensive clinical DRG audits on inpatient claims to validate diagnoses, procedures, and documentation accuracy. Collaborate with cross-functional teams to provide clinical insights that inform audit logic and AI-driven review models.
