DRG Coder
Astrana Health
DRG Coder
The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.
Astrana HealthVacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the DRG Coder in Orange, CA vacancy
$28 - $32 per hour
...Job Description Job Description Description The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment...SuggestedWork at officeRemote workHome office- ...Junior Quality Improvement Coder Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility...Suggested
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...requirements required. Preferred Qualifications Experience working with MS-DRG, APR-DRG and Medi-Cal coding assignments as well as Medi-Cal... ...Specialist Physician-based (CCS-P) or Certified Professional Coder (CPC) Certification by AHIMA or AAPC is required. Knowledge &...SuggestedTemporary workWork at officeRemote workFlexible hoursWeekend workAfternoon shift- ...clean and safe work environment. Follow all company policies and procedures. Maintain a professional appearance. BENEFITS DRG Cares Grant Program: Grants to assist employees with life challenges and financial assistance. DRG Savings Marketplace: Exclusive...SuggestedLocal areaShift work
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Orange, CA7 days ago - ...recruitment efforts, consistent training and providing quality food. This role is crucial for creating company culture that is aligned with DRG’s values. MAJOR RESPONSIBILITIES: • Team Development: Identify, train and mentor a team of high-potential individuals,...SuggestedLocal areaFlexible hoursNight shiftWeekend work
Taco Bell
Orange, CA20 days ago $172.36k - $258.55k
...facilities, and integrated delivery networks (IDNs).Negotiate highly complex agreements with hospital executives, including fee-for-service, DRG-based, case rate, bundled payment, and value-based/risk arrangements.Drive alignment of hospital contracts with organizational...Full timeContract workWork at office- .... Education and Experience Minimum of three to five years in business office or billing systems in a healthcare setting. Certified Coder required. Minimum of one year of supervisory experience. Experience using eClinicalWorks software and degree preferred. Language Skills...Work at office
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$92.88k - $160.22k
...HealthPosted: 2026-08-20Anticipated End Date:2026-08-31Position Title:DRG Coding Auditor - MS-DRG and APR-DRGJob Description:DRG Coding... ..., CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS).Requires 5...Full timeTemporary workWork experience placementLocal area1 day per week- ...risk adjustment data validation, chart reviews, and process improvements.Required: 3+ years Medicare Risk Adjustment coding, certified coder (CCS/CCS-P/CPC/CRC/RHIT/RHIA), and proficiency with MS Office and leading EHR systems. This is a remote position with competitive...Remote work
- ...restaurant’s financial goals. Communication: Keep upper leadership informed about any issues that arise at the restaurant. BENEFITS: DRG Cares Grant Program – Grants to assist employees with life challenges and financial assistance DRG Savings Marketplace – Exclusive...Local areaAll shiftsShift work
- ...clean and safe work environment. Follow all company policies and procedures. Maintain a professional appearance. BENEFITS DRG Cares Grant Program: Grants to assist employees with life challenges and financial assistance. DRG Savings Marketplace: Exclusive...Local areaShift work
- Location: Costa Mesa, California, United StatesCompany: Elevance HealthPosted: 2026-08-20Elevance Health is seeking a DRG Coding Auditor to review inpatient records and ensure accurate DRG assignments. You will conduct clinical reviews, leverage ICD-10 coding expertise,...Remote work
$70k - $85k
...staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding...Work at officeRemote workWork from homeHome office- ...satisfaction is a top priority. General Manager Support: Assist the GM in the management of restaurant operations. Benefits DRG Cares Grant Program – Financial assistance for employees facing life challenges. DRG Savings Marketplace – Exclusive discounts for...Local areaAll shiftsFlexible hoursShift workNight shiftWeekend work
$70k - $85k
...staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding...Work at office$20 - $26 per hour
...Team What You'll Do Contact and collect medical records onsite from Provider’s offices or via EMR access documentation for coders/audits/sweeps retrieval Collect and summarize meeting minutes from the meeting. Coordinate office activities (such as scheduling...Hourly payFull timeTemporary workWork at officeWork from home- ...guidelines. Performs other duties as assigned. Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise... ..., secondary conditions and surgical procedures. Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired...
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- ...Specialty Rocc Coder III UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health...Monday to Friday
$60 per hour
Clinical Lab Scientist Per Diem Location: Fountain Valley Department: Clinical Lab - NonPatient Status: Per Diem Shift: Nights Pay Range*: $60.00/hr. *Every other weekend (Friday and Saturday) rotations. CLS generalist to rotate in all areas of the laboratory...Daily paidShift workNight shiftWeekend work$33.79 - $49 per hour
...Specialty Physician Coder - General Surgery Location: Fountain Valley, CA (Predominately Remote / Must be located in California) Pay Range*: $33.79/hr - $49.00/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning...Work at officeRemote workShift work- ...Service Policy. • Check guest’s identification and confirm they meet the legal drinking age, prior to serving. BENEFITS: • DRG Cares Grant Program - Grants to assist employees with life challenges and financial assistance • DRG Savings Marketplace- Exclusive...Local areaFlexible hoursShift work
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Newport Beach, CA7 days ago - ...queries prior to patient’s discharge to ensure accurate quality data and appropriate reimbursement whilst maintaining up to date DRG. Assists coders in follow-up on queries and clarifications to physicians done retrospectively post patient discharge. Coordinates the daily...Full timeLocal area
NOR Healthcare Systems
Tustin, CA22 days ago - ...reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to...Full timeContract work
$24 - $28 per hour
...reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to...Hourly payContract workMonday to FridayShift workDay shift- ...organizational skills. Ability to work with program members in basic training opportunities when necessary. Experience in a Federally Qualified Health Center (FQHC) or community health setting preferred. Professional Coder Certification, preferred. #J-18808-Ljbffr Hurtt ClinicFull timeImmediate startRemote workMonday to FridayFlexible hours
$24 - $28 per hour
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