Remote RN Coding Auditor - DRG & CDI Compliance Specialist
Northwell
- Remote job
Northwell Health seeks an experienced Registered Nurse with HCS-D and COS-C OASIS certification to validate acute inpatient charts and DRG assignments from documentation in the medical record. This is a remote position based in New York. You will review CDI suggestions, audit Medicare and non-Medicare charts, apply coding rules, and communicate DRG changes to the coding and CDI teams. NY RN license required with preferred CHHA experience. #J-18808-Ljbffr Northwell
- Northwell in New York is seeking a Registered Nurse with CDI expertise to validate acute inpatient charts and ensure documentation supports accurate DRG coding. The role requires strong clinical nursing skills, knowledge of coding guidelines, and the ability to perform...Suggested
- Not Disclosed is seeking a remote DRG Auditor to validate inpatient DRG codes and identify coding discrepancies. The role requires an active RN license and 5+ years in acute care, with DRG auditing or clinical coding validation experience preferred. Strong Excel, written...Remote job
- Optum in the United States is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding expertise to inpatient claims. You will validate ICD-10 coding, DRG assignments, and discharge statuses, producing clear rationales and supporting audit findings. You can telecommute...Remote job
- Optum is seeking a Clinical DRG RN auditor who will validate ICD-10-CM/PCS codes and DRG assignments for inpatient claims. You will write clear rationales and... ...to accurate reimbursements. The role supports remote work from anywhere in the U.S. and requires strong coding...Remote job
$35 - $63 per hour
...this position as a Clinical DRG RN auditor , you will apply your expert... ...knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology... ...knowledge of and compliance with changes and updates to... ...to work independently in a remote environment and deliver exceptional...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area- ...is seeking a Registered Nurse with CDI expertise to validate Acute Inpatient coded charts, ensuring the documentation... ...diagnostic information and DRG assignments. The role requires NY... ...non-Medicare charts for regulatory compliance, and communicating DRG changes to...
- 3B Staffing LLC is seeking a remote Coding Compliance Auditor to support a Medical Center contract role. You will design chart reviews, test billing/documentation, and work closely with the CDI team to reconcile and improve coding compliance. Required are coding credentials...Remote jobContract work
$90k - $145k
...Acute Inpatient coded charts to ensure... ...Record. Seeking RN candidates with... ...Care Coding Specialist-Diagnosis, COS-C... ...Specialist-Clinical. Remote position in New... ...and validate DRG code assignment.... ....Full review of CDI suggested code... ...are maintained in compliance with Federal and...Remote workHourly payFull time- ...DRG Revenue Integrity Auditor (DRG - A) Our purpose is to help clients... ...picture from the codes assigned by the facility's coders in compliance with federal laws. The... ...coding guidelines and CDI best practices, as endorsed... ...Documentation Specialist (CDS). CCS required...Remote workWork experience placementWork at office
$95k
...Overview This DRG Validation Auditor role is focused on our Cross... ...strong inpatient HIM/coding background and an... ...environment. Coding/CDI Certification (at... ...and other regulatory compliance guidelines and mandates... ...is selected. #LI-Remote #LI-JB1 #senior...Remote workHourly payFull timeReliefWork at officeImmediate startShift workNight shiftWeekend workAfternoon shift- ...experienced Clinical DRG Auditor to join our... ...documentation standards, and coding guidelines to... ...is ideal for an RN or LPN with hands-... ...inpatient auditing, or CDI-adjacent review... ...as needed. Compliance & Policy Adherence... ...independently in a remote environment and manage...Remote workVisa sponsorshipWork visaFlexible hours
- ...Documentation Integrity (CDI) Auditor Location: Fort Worth,... ...Arrangement: Hybrid Remote Assignment: 13-Week Contract... ...Registered Nurse (RN) - Clinical... ...documentation review, and billing compliance. The ideal candidate... ..., ICD-10 and CPT coding, and regulatory compliance...Remote workContract workWork at officeMonday to Friday
- Elevance Health is seeking a DRG Coding Auditor to ensure accurate, compliant inpatient reimbursement... ...-health care for our members. In this remote role, you will perform detailed... ...collaborate with coders, clinicians, and compliance teams, prepare clear audit reports,...Remote work
$73k - $98.7k
...a passionate and experienced DRG Auditor looking for an opportunity to... ...team! This role offers a fully remote work experience with... ...onsite engagements.) A brief coding/auditing assessment may be included... ...trends, coding updates, and compliance regulations to maintain...Remote workFull timeWork experience placementWork from homeHome office- Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims and ensure correct DRG assignments for proper reimbursement. The role... ...and clear communication with internal teams. Remote/work-at-home arrangement with occasional travel...Remote jobWork from home
- EXL is seeking a qualified Clinical Validation Auditor to review inpatient records, validate DRG codes, and help prevent improper payments in a fully remote role based in the U.S. As a Registered Nurse with 5+ years in acute care, you’ll apply clinical and coding knowledge...Remote job
$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for... ...role offers a fully remote work experience with possible... ...MS-DRG and APR-DRG coding reviews to ensure... ..., coding updates, and compliance regulations to maintain... ...States . Remote Coding Specialists, Outpatient Surgery...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package- UChicago Medicine is seeking a remote OP/ED/OBS Coding Auditor to join the HIM Coding/CDI team. You will review inpatient and outpatient records for coding accuracy and provide quality metrics to the Coding Manager. You will educate medical staff on coding questions, stay...Remote job
- ...seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and accurate DRG assignments. This role emphasizes MS-DRG coding... ..., and cost-conscious payer processes in a remote work setting. Ideal candidates will hold...Remote job
- ...experienced Inpatient Medical Coding Auditor to review inpatient hospital claims... ...accurate reimbursements. This remote role requires RHIA/RHIT/CCS certification and MS-DRG auditing experience. You will... ...claims, maintain HIPAA/compliance, and collaborate with internal...Remote job
- ...seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for... ...disputes in a results-driven setting. This remote role may require occasional travel to... ...auditor analyzes records to ensure accurate DRG assignments and cost-effective payments....Remote job
$78.91k - $110k
...procedural and diagnostic coding and payment of... ...facilities are in compliance with industry... ...Education: # RN Licensure required,... ...coordinator and/or auditor. # Certified Professional... ...-related group (DRG) validation,... ...required to support remote or hybrid work. Must...Remote workHourly payFull timeWork at officeWork from homeAfternoon shift- ...Integrity Are you a passionate coding and revenue integrity... ...available** What You'll Do The DRG Revenue Integrity Auditor (DRG-A) performs... ...Adhere to coding guidelines and CDI best practices endorsed by... ...or Clinical Documentation Specialist (CDS). CCS required, CCDS or...Remote workWork experience placementLocal areaRelocation packageFlexible hours
- Nurse Auditor Coder (RN + CRC or CIC) | Clinical Claim Review | Weekdays | 100% Remote 100% Remote, U.S.-based | 1099 Independent... ...on medical necessity, coding and billing accuracy, regulatory compliance, and claims-handling... ...10-CM, CPT/HCPCS, and DRG assignments against...Remote jobHourly payContract workFor contractorsMonday to FridayShift workNight shiftWeekend workAfternoon shiftWeekday work
$85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual... ...performing DRG validation (clinical/coding) reviews of medical records and/or... ...and complete required CEUs to maintain RN license and coding certification. Attend...Remote jobFull timeContract workFlexible hours- ...is seeking an experienced Registered Nurse (RN) - Clinical Documentation Integrity (CDI) Auditor for a 13-week contract in Fort Worth, Texas... ...to ensure accurate billing and regulatory compliance, including ICD-10 and CPT coding, for medical and behavioral health records....Contract work
- ...is seeking an experienced Registered Nurse (RN) - Clinical Documentation Integrity (CDI) Auditor for a 13-week contract in Fort Worth, Texas.... ...health documentation to support accurate billing, coding, and regulatory compliance. The ideal candidate will have hands-on...Contract work
- Machinify is seeking a DRG Reviewer to join its Complex Payment Solutions Team. You will conduct thorough DRG payment validation reviews, including clinical and coding assessments of medical records, to ensure accurate payment determinations and compliant documentation...Remote job
$41 - $56.38 per hour
...This position is remote work eligible for... ...Documentation Improvement (CDI) Auditor will facilitate... .... Ensures coding compliance; applies all... ...of new coding and DRG guidelines and regulations... ...Nurse (RN) - State Department... ...Clinical Document Specialist (CD) - Association...Remote workFull timeWork at office$78k - $102k
...CDI Quality Auditor, RN We are seeking a CDI Quality Auditor... ...experienced CDI specialist who has outgrown... ...Review coded claims against clinical... ...documentation to identify MS-DRG discrepancies and... ...physician query compliance against AHIMA and... ...of onsite and remote days ~ Monday...Remote workHourly payFull timeMonday to Friday
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