Remote DRG Coding Auditor — MS-DRG & APR-DRG
Elevancehealth
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 high-quality recoverable claims and performing clinical reviews to assess coding accuracy.The position supports virtual work with required in-person training, and relocation within reasonable commuting distance may be considered.#J-18808-Ljbffr
Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Remote DRG Coding Auditor — MS-DRG & APR-DRG in New York, NY vacancy
$500 per month
...-10-05Sign On Bonus: $1,500; paid in two installments:$500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training...SuggestedFull timeWork experience placementWork at officeLocal areaElevancehealth
Chicago, IL1 day ago$500 per month
...Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per weekElevance Health
Chicago, IL7 days ago- Ex offers a DRG Manager role that leads planning, coordination, and execution of DRG audit activities... ...goals are met. This role directs a team of auditors responsible for MS-DRG and APR-DRG reviews to assure accurate coding and reimbursement outcomes. Ideal candidates demonstrate...Remote job
$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 full... ...and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the...SuggestedFull timeTemporary workWork experience placementWork at officeLocal area1 day per weekElevance Health
Indianapolis, IN3 days ago$85k - $110k
...Diagnostic Related Group (DRG) DRG Validation Auditor partners with a Medical Director... ...diagnosis and procedure codes and updating coding as... ...~ Strong knowledge of MS-DRG and APR-DRG reimbursement methodologies... ...directed and adaptable to remote or on-site work...Remote workWork at office- ...CorroHealth seeks a DRG Revenue Integrity Auditor to validate inpatient DRGs and ensure coding accuracy. You will review charts, assess POA indicators, SOI, ROM, CMI, and HCC capture, applying ICD-10-CM/PCS and guidelines from CMS, NCDs, LCDs, and payer policies. Ideal...Remote workRelocation package
Careerwebsite
Brooklyn, NY1 day ago - ...Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued. Belong.At... ...an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring... ...of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses...
Emory Healthcare
Atlanta, GA3 days ago $103.64k - $161.54k
...Description The Director, CERIS DRG Audit Program is a... ...improvement of coding accuracy, clinical documentation... ...of clinical and coding auditors while collaborating... ...Extensive knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS,... ...complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX26 days ago- ...Job Description Job Description DRG Auditor We’re seeking an experienced DRG Revenue Integrity Auditor to review inpatient hospital records and confirm coding accurately reflects the care provided. This role is a fit for a coding professional who can work independently...Remote job
$86.56k - $129.84k
...required by law. The Patient Safety DRG Clinical Validation Auditor is responsible for auditing... ...claims by integrating medical chart coding principles, clinical guidelines,... ...experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...Now Hiring: Remote DRG Validator 100% Remote Multiple Openings Available Are you an experienced inpatient coding professional with a passion for accuracy, compliance, and revenue... .... What You'll Do: ✔ Perform MS-DRG and APR-DRG validation reviews for inpatient...Remote workWork at officeImmediate start
HealthSearch Group
United States1 day ago - ...Boca Raton seeks a Clinical Documentation Integrity DRG Validator—REMOTE, FT—to improve inpatient documentation quality... ...years of inpatient experience, and deep knowledge of MS-DRG and APR-DRG. You will collaborate with coding teams and support the Epic CDI transition slated...Remote job
$90k - $110k
...a talented individual for a DRG Quality Advisor Nurse who is... ...validation, and DRG clinical/coding audits of medical records... ...payment methodologies, including MS-DRG, AP-DRG, and APR-DRG, outpatient coding (APC/... ..., coders, or clinical DRG auditors. Maintain current...Remote workFull timeContract workWork from homeFlexible hoursGainwell Technologies LLC
Missouri10 days ago- ExL Service seeks a senior leader to manage a team of DRG quality analysts responsible for reviewing auditor-completed MS-DRG and APR-DRG work, validating audit accuracy, and ensuring accurate coding and reimbursement outcomes. The role may supervise additional quality...Remote job
- ...an experienced Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding for MS-DRG/APR-DRG, handle three-day rule edits, denials, and related tasks ensuring accurate documentation...Remote job
$90k - $110k
...Job Title: DRG Revenue Integrity Auditor (Inpatient Coding Auditor) Employment Type: Full-Time, Permanent Salary Range: $90,000 – $110,000 per year Schedule: Monday–Friday, regular business hours (flexible scheduling can be discussed during interviews) Position Overview...Permanent employmentFull timeLocal areaMonday to FridayFlexible hours360X Staffing
Chicago, IL2 days ago- ...deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review... ..., compliant content and supports DRG Coding and Clinical Validation (MS/APR) efforts across multiple projects; in-office and hybrid/remote options #J-18808-Ljbffr 3M HEALTHCARERemote jobWork at office
$85k - $95k
...MedReview is seeking an experienced DRG Reviewer to join our Payment... ...and claims to validate coding accuracy, ensure appropriate... ...in a fast-paced remote environment. This is a fully... ...Ensure accurate application of MS-DRG and APR-DRG methodologies. Evaluate...Remote workWork at officeFlexible hours$85k - $90k
...integrity solutions, including DRG Validation, Cost Outlier, and... ...inpatient claims to ensure coding accuracy and appropriate DRG... ...coded diagnoses. This is a fully remote position. Candidates must be... ...least 3 years’ experience in MS-DRG and APR-DRG validation in acute care...Remote work- CERIS, a division of CorVel Corporation, is seeking a DRG Clinical Auditor in Fort Worth, TX to perform DRG validation and coding reviews of medical records. You will determine correct DRG/coding per review methodologies and support clinical/policy/regulatory decisions,...
- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG... ...level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible... ...note: There may be opportunity for remote work within all jobs posted by the...Remote workWork experience placement
$86.8k - $115k
...experienced and innovative DRG Clinical & Coding Educator who is responsible... ...inpatient/outpatient coding auditors. This role serves as the... ...expert for DRG validation, APR-DRG, MS-DRG, assignment, ICD-10-CM/... ...should expect in this role Remote within the U.S. Full-...Remote workFull timeFlexible hoursGainwell Technologies LLC
Texas11 days ago$100k - $110k
...By combining deep clinical and coding expertise with advanced... ...improvements that support accurate MS-DRG assignment and appropriate reimbursement... ...initiatives. This is a fully remote position requiring strong... ...denials Experience with APR, 30-day readmission, mortality...Remote workLocal areaMonday to Friday$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...- ...Inc.Posted: 2026-10-02Universal Health Services, Inc. is seeking an experienced inpatient coder to perform all services of IP coding, ensuring DRG accuracy and timely coding.The role involves working with the CDI team and other departments to improve utilization and...Remote work
Universal Health Services
Edinburg, TX3 days ago - ...part of UnitedHealth Group, is seeking a skilled Medical Coder to support inpatient hospital coding and DRG assignments from Eden Prairie, MN. This full-time role offers remote work within the U.S. and a comprehensive benefits package.You will assign ICD-10-CM/PCS codes...Remote workFull time
UnitedHealth Group
Eden Prairie, MN14 hours ago - A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including...Remote workMonday to Friday
Medix
United States1 day ago - ...agency is seeking a Certified Medical Coder to work remotely. This role involves reviewing medical records and coding diagnoses and procedures using ICD-9-CM and CPT-4... ...should have extensive experience in inpatient and DRG auditing, knowledge of medical coding systems, and...Remote work
nTech Workforce
Baltimore, MD4 days ago $28 - $32 per hour
...DRG Coder The DRG Coder is responsible for reviewing inpatient... ...diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS... ...Determine the appropriate MS-DRG or APR-DRG assignment based on coding... ...Conditions This position is remotely based in the U.S. The home office...Remote workHourly payWork at officeHome office- ...experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical... ...requires extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC... ...opportunities for training, advancement, and remote work within the U.S.#J-18808-LjbffrRemote workContract work
Gainwell
New York, NY2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote DRG Coding Auditor — MS-DRG & APR-DRG. Be the first to apply!
