Remote DRG Auditor II — Inpatient Validation Pro
R1 RCM, Inc.
- Remote job
R1 RCM, Inc. is seeking a DRGV Auditor II to audit inpatient cases for DRG validation and documentation improvement. You will review accounts in proprietary software and client EMR systems, with growth potential into Lead Auditor and Mentor roles. You will review inpatient charts, justify findings with clear evidence, and reference ICD-10 guidelines and AHIMA standards to ensure compliant coding practices. #J-18808-Ljbffr R1 RCM, Inc.
- ...delivering technology-driven solutions to transform the patient experience and healthcare revenue performance. As a DRG Validation Auditor I, you will audit inpatient cases for DRG validation and documentation improvement, reviewing accounts in proprietary software and client...Remote job
$85k - $110k
...Description As a key member of Secondwave’s Inpatient documentation review team, the Diagnostic Related Group (DRG) DRG Validation Auditor partners with a Medical Director (... ..., Teams) Self-directed and adaptable to remote or on-site work environments Job Benefits...Remote workWork at office$69.4k - $104.1k
...compensation will be determined based on experience. The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute... ...improve patient and client experiences. ~ This is a remote position; however, candidates must be willing and able...Remote workFull timeTemporary workWork at officeLocal area- R1 RCM Inc. seeks a DRG Validation Auditor I to review inpatient records for DRG validation and documentation improvement. You will use proprietary software and client EMR systems to validate accounts and provide rationale with supporting evidence from AHIMA guidelines...Suggested
- ...PSI, HCC and Quality Indicator validation. Uses knowledge of coding and... .... Reviews and responds to inpatient denials as needed. Performs Inpatient... ...and ICD-PCS codes as well as DRG assignment.Essential... ...denials. Participates in on site, remote and/or external training...Remote workWork at officeLocal area
$43 - $46 per hour
...Inpatient Coding Auditor (DRG Validation) Pride Health is hiring an Inpatient Coding Auditor (DRG Validation) to support our client's healthcare facility... ...hours between 6:00 AM–6:00 PM CST. Location: Fully Remote (Oklahoma, Kansas, Missouri, Texas, and Arkansas) Float...Remote workContract workLocal areaMonday to FridayFlexible hours- ...Schedule: Monday-Friday Day Shift Hours Candidate must have Inpatient Facility Coding and DRG Validation experience Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment...Remote workTemporary workWork from homeMonday to FridayFlexible hoursDay shift
- R1 RCM Inc. in the United States is seeking a DRGV Auditor II to validate inpatient DRG assignments and document improvements. You will review inpatient records in proprietary auditing software and client EMR systems, building a concise rationale for findings and supporting...Full time
- OU Health is seeking an Inpatient Coding Auditor to work from home, focusing on complex inpatient coding quality reviews across the HIM Coders department. The role supports DRG validation, pre-bill reviews, and ongoing training integration within the auditing team. The...Remote jobWork from home
$95.17k - $149.56k
...Inpatient DRG Validator (Acute Care) Inpatient DRG Validator (Acute Care) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...Remote workFull timeWork experience placementLocal area- ...your success is our success. JOB SUMMARY: DRG Revenue Integrity Auditor (DRG-A) Remote | Full-Time Join a Team of Industry-... ...comprehensive Diagnostic Related Group (DRG) validation and quality audits on inpatient medical records to ensure accurate representation...Remote workFull timeWork at officeLocal areaImmediate startFlexible hours
- ...Summary Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation... ...identifies risks, ensures consistency in DRG assignment, and provides actionable... ...Employment Tracks Work Model: 100% remote, independent, quality-focused work...Remote workFull timePart timeReliefFlexible hoursShift workWeekend workAfternoon shift
$70k - $85k
...with a strong understanding of inpatient care and a passion for... ...right? Join EXL as a Clinical Validation Auditor and help ensure medical claims... ...and fairly. This is a fully remote position where you’ll use... ...medical records, validate billed DRG codes, and help identify...Remote work$48.13k - $81.23k
Remote, USA Full time R260000006916 We are a leading provider of technology-driven solutions that... ...satisfaction and improves financial performance. As our DRG Validation Auditor I , your primary role will be auditing inpatient cases for DRG validation and/or documentation...Remote workFull timeLocal area$76.3k - $131.55k
...Senior Coding Compliance Auditor will assist with the... ...leaders to develop and validate Management Action Plans... ...related field ~ ICD-10, DRG, CPT & HCPCs coding... ...include Acute Outpatient and Inpatient experience ~ Revenue... ...~ This is a remote position; however, candidates...Remote workFull timeTemporary workWork at officeLocal areaImmediate startLong distance- ...Summary The Quality Assurance (QA) Auditor II will be engaged in supporting all Good... ...management that GLP, Clinical, and Method Validation studies are conducted in a manner that conforms... ...supplier qualifications, either via remote or off-site inspections. May assist...Remote workWork at office
$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG & APR-DRG) Virtual: This role enables associates to work virtually... ...Clinical Validation Auditor - RN is responsible for auditing inpatient medical records to ensure clinical documentation...Full timeWork experience placementWork at officeLocal area$85k - $110k
...This is a remote office opportunity. The Quality Analyst... ...performed by the Clinical CVA auditors to ensure that EXL’s... ...Apply clinical judgment for DRG audits to ensure accuracy of inpatient DRG coding ~... ...experience working with clinical validation audits Knowledge and...Remote workFull timeWork at office- Location: Florida, New York, United StatesCompany: Elevance HealthPosted: 2026-10-07Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-DRG/AP-DRG assignments across all lines of business. The role focuses on generating...Remote workRelocation
- ...medical records and other documentation to validate issues of claims coding accuracy, medical... ...expertise and a strong understanding of DRG validation, medical necessity, and... ...Registered Nurse required. 2+ years with inpatient claims, preferably NICU and maternity required...Remote jobTemporary workCasual workWork at office
- ...seeking an experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical... ...extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC credentials... ...for training, advancement, and remote work within the U.S.#J-18808-LjbffrRemote workContract work
- ...TechnologiesPosted: Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform accurate... ...diagnoses and procedures, supported by DRG assignments and regulatory guidelines,... ..., and ongoing CEU maintenance. Remote within the U.S. with growth...Remote work
- ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible for performing Diagnostic Related Group (DRG) validation and quality audits on inpatient charts. This role ensures that all reviewed charts accurately reflect...Remote work
- ...resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs.... ...diploma or GED, required Licenses/Certifications : Inpatient - Registered Health Information Technician (RHIT), Registered...Remote workRelocation
- ...StatesCompany: Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued. Belong.At Emory Healthcare... ......and more!Job DescriptionWe are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the...
$69.3k - $78k
...Medical Review Nurse II - Clinical Validation At Performant, we’re... ...experienced medical auditors and coders performing... ...Payers. You will work remotely in a fast paced and dynamic... ...provided in both inpatient and outpatient... ...coding, HCPCS/CPT coding, DRG and medical billing experience...Remote workFor contractorsWork at officeWork from homeHome officeShift work- ...for improving the quality, completeness, and clinical accuracy of inpatient documentation and DRG assignment through targeted concurrent DRG validation. The Clinical Documentation Integrity Specialist II - DRG Validator reviews selected inpatient accounts generally more...Remote workFull timeLive inLocal area
- ...FROEDTERT HOSPITAL facility. This job is REMOTE. FTE: 1.000000 Standard Hours: 40.0... ...: Not required Job Summary: The Inpatient Auditor supports the quality and development of... ...focus on auditing coding accuracy, DRG assignment, and compliance while providing...Remote workTemporary workShift workWeekend work
$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...$27 - $37 per hour
...RESUME This position is remote work eligible for candidates... ...TN VA. Overview The Inpatient Coder II is responsible for analyzing... ...accurate Diagnosis Related Group (DRG) assignment and works... ...Identifies the need for clinical validation and works with the Clinical...Remote workHourly payFull timeWork at office
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