Trend Health Partners

The primary responsibility is to review medical records and claim information to validate the accuracy of DRG assignments and/or medical necessity for inpatient care, applying coding and clinical principles based on industry standards. This involves utilizing coding guidelines to perform DRG validation, evaluating diagnoses and procedures, and assessing the medical necessity of inpatient stays.

Quality Assurance Specialist III developing and implementing QA policies at TREND Health Partners

Coder DRG Auditor reviewing medical records for accuracy with Trend Health Partners

Claims Analyst III analyzing claims for overpayments

Data Engineer II designing and managing data pipelines at TREND Health Partners

Claims Analyst identifying and recovering claim overpayments for health insurance clients

Credit Balance Analyst I analyzing accounts for health insurance companies

Identify, analyze, and recover provider credit balance accounts for health insurance clients. Manage AR collections, validate patient accounts, build provider relationships, meet productivity and quality targets, and escalate issues to management.