Remote DRG Clinical Reviewer for Validation & Coding
Med Review Inc
A healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical validation and utilization review to ensure accurate DRG assignment and support healthcare quality. Candidates must possess an MD/DO with an active U.S. license and board certification, along with 5+ years in clinical practice. This influential position offers a structured workflow and diverse cases, aiming to enhance healthcare outcomes. #J-18808-Ljbffr
- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding & Clinical... ...systems. This position is responsible for reviewing medical records for appropriate... ...Please note: The opportunity for remote work may be possible for all jobs posted...Remote workWork experience placement
- ...A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement...Remote workFull time
- ...Overview The Coding Senior will apply ICD‑10‑CM/PCS... ...codes, determine MS‑DRG and APR‑DRG assignments... ...required modifiers. Validate charges by comparing them... ...Communicate effectively with clinical staff, physicians,... ...with concurrent coding reviews. Knowledge of...Remote workWork experience placementWork at officeShift work
$33 - $38 per hour
...$38.00/hr Hiring: Senior Clinical Inpatient Coders – Remote (USA, Contract-to-Hire) Location... ...in inpatient facility coding and DRG assignment to join our... ..., providers, peer reviewers, Claims Administration, Program... ...subcontractor as needed. Assign and validate appropriate DRGs based on...Remote workFull timeContract workPart timeFor subcontractor- ...Job Description The Coding Senior will be responsible... ...and determining the MS-DRG and APR-DRG assignment... ...required modifiers. Validates charges by comparing... ...Communicates effectively with clinical staff, physicians and... ...with concurrent coding reviews. Knowledge of...Remote workWork experience placementWork at officeLocal areaShift work
- ...diagnosis and procedures codes, MS-DRGs and APCs... ...all required modifiers. Validates charges by comparing charges... ...effectively with clinical staff, physicians and office... ...coding and MS-DRG or APC grouping and components... ...with concurrent coding reviews. Knowledge of privacy and...Remote workWork experience placementWork at officeLocal areaShift work
- ...healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training... .... The role primarily offers remote work with some travel to New York... ...annually. Candidates should have a valid clinical license and experience in DRG and Medical Record Audits. This...Remote workFull time
$69.4k - $104.1k
...Ensemble Health Partners is hiring an Inpatient/DRG Validation Coding Auditor in Blue Ash, Ohio. This remote role conducts coding audits for acute inpatient services, ensuring compliance with coding standards and optimizing reimbursement. Requires 5+ years of coding experience...Remote work- ...Boston is seeking a Quality Assurance Specialist to perform inpatient DRG validation audits. The role requires at least 5 years of experience in reviewing ICD-10 claims and an understanding of coding standards. Responsibilities include conducting quality assurance reviews...Remote workFull time
- ...LOCATION Remote – This is a home based, virtual position that... ...and post-payment audits of DRG coding and clinical documentation. The ideal candidate... ...recoverable claims by reviewing medical records and other... ...inpatient hospital claims, validating the appropriateness of billed...Remote workLive inWork from homeMonday to Friday
- ...RemoteFetch is seeking a Medical Coding Specialist to review and analyze patient medical records for accurate coding and reimbursement. The role... ...and coding systems. Attention to detail and familiarity with MS-DRG is essential for success in this role. #J-18808-LjbffrRemote work
- ...Empower AI: As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform... ...based on Insurance coverage, coding, and utilization of services and practice... ...source input for claims review. Make clinical judgment decisions based on clinical...Remote workFor contractorsCasual workWork at officeLocal area
- ...organization is seeking a Senior HB Coder for a remote position. The candidate will focus on ICD-10-CM/PCS coding, and must have at least 3 years of experience. Responsibilities... ...include navigating health records, validating coding, and ensuring compliance with regulations...Remote work
- ...Optum in Eden Prairie, MN, seeks a full-time coder to manage ICD-10 CM and DRG coding. This role offers a chance to enhance health outcomes while working from home. You will be responsible for adhering to coding standards and ensuring quality performance. The ideal candidate...Remote workHourly payFull timeWork from home
- ...Summary: Health information coding is the transformation of... ...designations. The coding process reviews and analyzes health records to... ...reimbursement. Assigns the appropriate DRG. Assigns codes based on... ...coding guidelines, Coding Clinic directives, federal...Remote workFull timePart timeWork experience placementWork at officeWork from homeShift work
- ...Hospital Inpatient Coder to ensure accurate coding of hospital inpatient services. The ideal... ...include assigning ICD-10 and DRG codes, ensuring compliance with guidelines... ...accuracy rates. The position offers a full-time remote work schedule and comprehensive health benefits...Remote workFull time
- ...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
- ...A healthcare coding company is seeking an experienced Medical Coding Specialist to work remotely. The ideal candidate will have a minimum of... ...Responsibilities include abstracting clinical information, assigning... ...for facilitating accurate DRG-based reimbursement and...Remote work
- ...Texas Health Institute is looking for a full-time coding professional to perform inpatient DRG Coding, ensuring adherence to coding guidelines. The role offers flexibility for telecommuting from anywhere in the U.S. Ideal candidates should have over 3 years of experience...Remote workFull time
$23.41 - $41.83 per hour
...growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new... ...appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services... ...additional data elements during the chart review process when coding, as needed Adhere...Remote workHourly payMinimum wageFull timeWork experience placementLive inLocal areaMonday to FridayWeekend work- ...Stryker Corporation in Eden Prairie, MN, seeks a full-time coding specialist to manage ICD-10 CM and DRG coding for facility services. You'll work 40 hours per week from any location within the U.S., contributing to revenue management in healthcare. With at least 3 years...Remote workFull time
- ...plan WHAT YOU'LL DO: The DRG Validator ensures the accurate assignment of Diagnosis... ...a thorough understanding of medical coding guidelines, clinical documentation, and reimbursement... ...than a career - it's a calling. Reviews medical records and clinical...Remote workFull time
$85k - $95k
...accuracy, accountability, and clinical excellence to healthcare... ...solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking a... ...validation to work within our coding department. Candidate... ...applications at the same time Remote Work Requirements High...Remote workFull timeMonday to Friday- ...seeking a Hospital Inpatient Coder to accurately assign ICD-10 and DRG codes for inpatient services. Responsibilities include interpreting... ..., retirement plans, and tuition reimbursement. This position offers a remote work shift from Monday to Friday. #J-18808-Ljbffr...Remote workMonday to FridayShift work
$95.17k - $149.56k
...Inpatient DRG Validator (Acute Care) Inpatient DRG Validator (Acute Care) Virtual: This role... ...clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes...Remote workFull timeLocal area- ...A leading healthcare consulting firm is seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing while delivering staff training... ...least 1 year of clinical experience. This primarily remote position offers competitive benefits and workplace flexibility...Remote work
$80k
...Job Description The DRG Validation position requires an... ...background in inpatient DRG coding with a deep... ...concurrent and retrospective clinically based and MS-DRG and APR DRG validation reviews in compliance with... ...shift Work setting:Remote Experience: ICD coding...Remote workFull timeFlexible hoursShift work- ...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
$115.02k - $207.22k
...Position Title: Manager of DRG Coding & Clinical Validation Audit Locations: Virginia, Indiana, Georgia, Ohio, Maryland, New Jersey, New York, Texas. Hybrid work model: in‑office 3 days per week; remote for candidates within reasonable commuting distance. Job Summary The...Remote workWork at officeLocal areaShift work3 days per week- ...Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when... ...Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding...Remote workWorldwide
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