DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ

Company

Capital Health System

Where

3131 Princeton Pike

Level

Mid

Pay stated

$20.1–$26.13 an hour

First seen

November 13, 2026

Listed via

Workday

What the posting says

40 Position Overview Responsible for administrative management, tracking, and resolution coordination of DRG downgrade denials across all payers and third-party audit firms. Ensures DRG downgrade cases are properly triaged, routed, documented, tracked, and submitted in accordance with payer and auditor requirements, while partnering with clinical resources to support successful appeal outcomes and denial prevention. MINIMUM REQUIREMENTS Education: High school diploma or equivalent required. Associate or bachelor’s degree in healthcare or business-related field preferred. Experience: Three…

Read more and apply on Capital Health System's site

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