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Specializes in review of DRG coding via medical records and attending physician's statements provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced t

For RN Quality Reviewer only: * Provides clinical support in the Grievance and Appeals process.