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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote DRG Clinical Reviewer for Validation & Coding in New York, NY vacancy
$65.35k - $117.62k
Excellus BCBS is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst in Albany, NY to ensure accurate coding, manage audits, and mentor... ...from $65,346 to $117,622, depending on experience. Remote work options may be available based on circumstances. #J...Remote work- ...Description Summary The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive... .... This position is responsible for reviewing medical records for appropriate... ...note: There may be opportunity for remote work within all jobs posted by the CDPHP...Remote workWork experience placement
- HCA Healthcare is seeking a DRG Validation Auditor to perform internal quality assessments on coding staff to ensure compliance with coding guidelines and policies. This work-from-home position allows for productivity and accuracy standards to be maintained while improving...Remote jobWork from home
- 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 jobFull time
- ...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 jobFull time
- UnitedHealth Group is seeking a Clinical DRG RN auditor to apply MS... ...APR-DRG knowledge, validate ICD-10 diagnoses and... ...CMS guidelines, AHA Coding Clinic guidance, and... .... You will work remotely from anywhere in the U... ...performing high-volume coding reviews with emphasis on...Remote job
$35 - $62.5 per hour
Optum is seeking a Clinical DRG RN auditor to apply expert knowledge in auditing inpatient claims. The position offers flexibility to... ...benefits including a sign-on bonus. As part of this role, you will validate coding and DRG assignments while ensuring compliance with coding...Remote jobHourly payRelocation package- ...regional healthcare provider is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst in New York. This role involves auditing claims... .... The position offers competitive pay with potential for remote work. #J-18808-Ljbffr Capital District Physicians Health...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 jobFull time
- ...Auditor to verify inpatient documentation and assign ICD-10/PCS, CPT, and HCPCS codes accurately. The senior role leads DRG validation and supports CDS and medical staff to enhance clinical documentation. Candidates should have CCS and at least 1 year of acute care experience...Full timeDay shift
- 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
Wausau, WI3 days ago $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 FridaySanta Barbara Cottage Hospital
New York, NY1 day ago$23.7 - $46.35 per hour
...being met.This is a virtual, remote, position that requires candidates... ...- 10 - CM and ICD - 10 - PCS Codes for inpatient services... ...understand their impact on the DRG with reference to CC / MCC, while... ...data elements during the Chart Review process when coding, as needed...Remote workHourly payDaily paidMinimum wageFull timePart timeWork experience placementLocal areaRelocation packageMonday to FridayUnitedHealth Group
Concord, CA4 days ago$45 - $50 per hour
...Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented Clinical... ...and is located in US(Remote). Pay Range: $45 - $5... ...retrospective inpatient chart reviews Review provider... ...Experience with 3M CDI and coding applications. ICU,...Remote workContract workImmediate start- ...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, MD3 days ago $23.41 - $41.83 per hour
Stryker Corporation in Eden Prairie is seeking a skilled coder to perform inpatient DRG coding and maintain coding standards. The ideal candidate should have 3+ years of experience, a relevant professional certification, and proficiency in coding systems. The role offers...Remote jobHourly pay$23.41 - $41.83 per hour
...Association Inc is seeking a skilled coder to perform inpatient DRG coding while adhering to ethical standards and guidelines. Candidates... ...years of experience in an acute care setting. This role supports remote work, requiring a dedicated work area with secure internet...Remote jobHourly pay$40 - $50 per hour
Adecco US, Inc. is seeking a Remote Inpatient Coding Specialist to ensure coding... .... Responsibilities include reviewing inpatient records,... ...codes, and collaborating with Clinical Documentation Specialists.... ...experience, and knowledge of MS-DRG/APR-DRG coding. Join our dynamic...Remote jobHourly pay$23.41 - $41.83 per hour
The Texas Health Institute is seeking a professional coder for inpatient DRG coding in Eden Prairie, Minnesota. The role involves adhering to coding guidelines and maintaining performance standards. Candidates should possess a High School Diploma, professional coder certification...Remote jobHourly pay- EXL Service Holdings, Inc. is looking for a remote RHIT and RHIA Certified DRG Trainer. This position focuses on delivering onboarding and refresher... ...and developing comprehensive training content on medical coding. Key responsibilities include evaluating training effectiveness...Remote job
- ...DRG Validation Specialist The DRG Validation Specialist... ...experience in inpatient DRG coding and a thorough... ...the accuracy of coding, clinical documentation, and DRG... ...and APR-DRG validation reviews in accordance with UHDDS... ...Full-time Remote Standard 8-hour workday...Remote workFull timeWork at officeLocal area
$90k - $110k
...Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical... ...and other documentation to validate issues of claims coding accuracy, medical necessity, and the... ...expertise and a strong understanding of DRG validation, medical necessity, and...Remote jobTemporary workCasual workWork at officeProgenyHealth LLC
Plymouth Meeting, PA8 days ago- ...Inpatient Medical Coder DRG Specialist - Remote In this role, we will look to you to analyze and interpret complex records in order to identify... ...will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when...Remote job
- ...from home. Location Remote – Texas Work... ...Primary Purpose The Clinical Documentation Integrity... ...performs patient record reviews to establish... ...experience working with the coding classification... ...RN license or valid temporary permit with... ...MS-DRGs and or APR-DRG for at least 85% of...Remote workFull timeTemporary workWork from homeMonday to FridayFlexible hours
Parkland Health
Dallas, TX6 hours ago - Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and APR-DRG coding methodologies. In this role, you will audit inpatient claims, utilizing... ...for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while...Remote job
- ...seeking a Senior Medical Coding Professional (Inpatient)... ...payment integrity by reviewing inpatient claims for coding accuracy and DRG assignment. You report to... ...Integrity and collaborate with clinical reviewers and data... ...knowledge and CDI/SOI concepts. Remote/hybrid work options are...Remote job
$69 per hour
...Job Summary The Clinical Documentation Integrity Specialist (CDIS) facilitates... ...appropriate assignment of MS-DRG/APR-DRG, severity of illness (... ...principles of clinical validation and ensures all queries comply... .../ACDIS guidelines and the CDI Code of Ethics. Minimum Education...Remote workDaily paidWork at officeSanta Barbara Cottage Hospital
New York, NY17 hours ago$85k - $95k
A leading healthcare provider is seeking a Registered Nurse with a strong background in clinical validation to join their coding department. This full-time position offers telecommute flexibility within the United States. Candidates must have at least two years of clinical...Remote jobFull time- ...Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in MS-DRG and APR-DRG coding to audit inpatient claims, ensuring accuracy... ...with coding guidelines. You will enjoy remote work flexibility and be part of a culture...Remote job
- UnitedHealth Group is seeking a Clinical DRG RN auditor to leverage expert coding knowledge in auditing inpatient claims. This remote role allows for flexibility within the U.S., focusing... ...overpayments. Responsibilities include reviewing code assignments, providing rationale...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote DRG Clinical Reviewer for Validation & Coding. Be the first to apply!
Related searches
- medical records clerk New York, NY
- medical reviewer New York, NY
- medical records reviewer New York, NY
- clinical documentation specialist New York, NY
- medical record assistant New York, NY
- clinical reviewer New York, NY
- clinical medical assistant New York, NY
- medical records clerk part time New York, NY
- medical records administrator New York, NY
- remote clinical documentation specialist New York, NY