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Lead Clinical Coding RN - ICD​/DRG Audits; Hybrid

Job in Miami, Miami-Dade County, Florida, 33222, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-10-11
Job specializations:
  • Healthcare
    Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 90000 - 110000 USD Yearly USD 90000.00 110000.00 YEAR
Job Description & How to Apply Below
Position: Lead Clinical Coding RN - ICD-10/DRG Audits (Hybrid)

Blue Shield of California is seeking a Clinical Coding Analyst RN, Consultant to support the Facility Compliance Review (FCR) team. You will review post-service prepayment facility claims for contract compliance, medical necessity, DRG/EDC reviews, and outpatient coding for injection and infusion billing; lead a small coding team and train new hires.

The role requires a California RN license, 7 years of experience, 3 years inpatient coding, and one of CCS, CPC-CIC, RHIT, RHIA, CCDS or CDIP;

For the Lead Clinical Coding RN - ICD-10/DRG Audits (Hybrid) position at Blue Shield of CA, we are reviewing applications now.

Are you ready to take on the Lead Clinical Coding RN - ICD-10/DRG Audits (Hybrid) role at Blue Shield of CA?

We would love to welcome a new Lead Clinical Coding RN - ICD-10/DRG Audits (Hybrid) to our group in Miami, FL, United States.

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