Remote RN DRG Auditor — Clinical Validation & Coding
Cura, Inc.
- Remote job
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 your expertise in ICD-10 guidelines and provide clear rationales for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing to improving health outcomes. Candidates should possess at least an Associate's degree and an unrestricted RN license. This position also offers comprehensive benefits and a competitive salary. #J-18808-Ljbffr Cura, Inc.
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum... ...of the MS-DRG and APR-DRG coding/reimbursement methodology... ...proprietary tools, you will validate ICD-10 diagnosis and procedure... ...to work independently in a remote environment and deliver...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- ...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
$82.23k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN, responsible for auditing claims while working virtually. The... ...analyzing claims to ensure compliance with medical coding standards and identifying documentation errors. Candidates...Remote job- Texas Health Institute is seeking a Clinical DRG RN auditor who will leverage expertise in MS-DRG and APR-DRG coding to audit inpatient claims. This role entails validating ICD-10 codes and DRG assignments while working remotely from anywhere in the U.S. The ideal candidate...Remote jobRelocation package
$70k - $80k
...analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with... ...skills, attention to detail, and experience in DRG audits. Competitive salary range is $70k -...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 on accurate DRG assignment to help improve health outcomes and manage overpayments...Remote job
$82.23k - $155.81k
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to ensure clinical documentation accuracy for inpatient records... ...license with substantial experience in claims auditing and ICD coding. Elevance Health provides a comprehensive benefits package...Remote job$82.23k - $155.81k
...looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to conduct thorough audits of medical... .... This position primarily allows remote work while maintaining high standards... ...should have strong expertise in ICD-10 coding and be skilled in identifying coding...Remote job- Optum is hiring a Clinical DRG RN auditor to verify DRG coding accuracy and reimbursements while telecommuting from anywhere in the U.S. In this role, you'll use your ICD-10 coding expertise to audit inpatient claims, identify overpayments, and support your findings with...Remote job
$82.23k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full... ...Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in...Full timeWork at officeLocal area$86.56k - $155.81k
...Date: 2026-07-10 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis... ...Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the...Full timeContract workTemporary workWork experience placementLocal area1 day per week$86.56k - $129.84k
...Elevance Health Companies, Inc. is seeking a Patient Safety DRG Clinical Validation Auditor to work virtually full-time, facilitating in-person... ...documentation accuracy. Candidates must possess a current RN license and have at least 10 years of experience in claims...Remote jobFull time- Stryker Corporation is seeking a Clinical DRG RN Auditor who will work remotely to validate DRG assignments and reimbursements. This role requires deep expertise in ICD-10 coding and offers flexibility to telecommute from anywhere in the U.S. The ideal candidate will have...Remote jobRelocation package
$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position Type... ...auditing role will focus on Coding & Clinical Chart Validation... ...), Pharmacy and/or Inpatient DRG claims. Draws on advanced coding...Remote workHourly payFull timeContract workWork at officeImmediate start$85k - $95k
..., accountability, and clinical excellence to healthcare... ...solutions including DRG Validation, Cost Outlier and Readmission... ...to work within our coding department. Candidate... ...Nurse with active RN licensure required CCS... ...applications at the same time Remote Work Requirements High...Remote workFull timeMonday to Friday$82.23k - $155.81k
Title Diagnosis Related Group Clinical Validation Auditor‑RN (CDI, MS‑DRG, AP‑DRG and 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...Full timeWork at officeLocal area$85k - $90k
..., and more. The Nurse Coder DRG Auditor’s primary responsibility is... ...associated claim information to validate accuracy of DRG assignments... ...care. This role will apply coding and clinical principles based on industry... ...Qualifications An active RN professional license in good...Remote workWork at office- ...seeking experienced DRG Auditors to join a remote healthcare organization... ...Related Group (DRG) validation and quality audits on... ...charts to ensure accurate coding and compliance with... ...the patient’s clinical picture. Utilize ICD... ...a CDI/Coding auditor RN background. We are...Remote work
- ...completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service... ...Services Building Workplace Set Up Remote City SALT LAKE CITY State UT...Remote workFull timeTemporary workWork at officeMonday to FridayShift work
- ...Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have... ...facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of... ...-10) Registered Nurse RN (must be inpatient) WITH...Remote work
$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess a nursing degree or... ...Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The...Remote jobFlexible hours- ...DRG Validation Auditor Are you passionate about the patient experience? At HCA Healthcare, we are... ...As a work from home Inpatient Coding Auditor, you will be responsible for performing... ...Company policies and procedures, and clinical/medical resources to assure coding...Temporary workWork from homeFlexible hours
$85k - $90k
...accuracy, accountability, and clinical excellence to healthcare. As... ...solutions including DRG Validation, Cost Outlier and Readmission... ...of inpatient claims for both coding accuracy as well as perform screening... ...different tasks easily. Remote Work Requirements: High...Remote work$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon... ...work in a hybrid model (remote and office). The ideal... ...expense spending. The DRG Coding Auditor... ...Coding Guidelines, Coding Clinics, and the ICD-10 Alphabetic... ...findings letters. Validates accuracy and quality standards...Remote workDaily paidWork at officeLocal area1 day per week- Walker Healthforce, LLC is seeking an RN Inpatient Hospital Auditor for a remote 6-month contract in New Jersey. The ideal candidate should possess a valid RN license, CCS ORRHIT/RHIA... ...and providing guidance on billing and coding practices. The position offers a competitive...Remote jobContract work
- ...Performs focused clinical reviews of inpatient and... ...claims to verify that coded diagnoses, procedures,... ...Diagnostic Related Groups (DRG) assignments accurately... ...documentation. Performs DRG validation reviews by verifying... ...Registered Nurse (RN). License must be active...Remote workWork at office
- ...leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be... ...have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work independently...Remote workWork from home
- ...detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months of hire.... ...Responsibilities include performing comprehensive DRG validation and readmission reviews while documenting...Remote work
- ...seeking an experienced Inpatient Medical Coding Auditor to work remotely. Responsibilities include reviewing... ...claims for reimbursement, extracting clinical information, and assigning medical... ...certification is required, along with MS-DRG coding experience. The position...Remote work
$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,000.00 per... ...travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license Valid/Current CPC or CIC... ...equivalent experience ~4+ years of DRG and/or Medical Record Audit...Remote work
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