Nurse Coder DRG Auditor - Inpatient Coding Specialist
$85k - $90kTrend Health Partners
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 candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr Trend Health Partners
- Nurse Auditor Coder (RN + CRC or CIC) | Clinical Claim Review | Weekdays | 1... ...Adjustment Coder) or CIC (Certified Inpatient Coder) credential in good... ...on medical necessity, coding and billing accuracy, regulatory... ...ICD-10-CM, CPT/HCPCS, and DRG assignments against the...SuggestedRemote jobHourly payContract workFor contractorsMonday to FridayShift workNight shiftWeekend workAfternoon shiftWeekday work
- Not Disclosed is seeking a remote DRG Auditor to validate inpatient DRG codes and identify coding discrepancies. The role requires an active RN license and 5+ years in acute care, with DRG auditing or clinical coding validation experience preferred. Strong Excel, written...SuggestedRemote job
- TEKsystems is seeking a Remote Inpatient Medical Coder II for a 3+ month contract. This fully remote role requires 1+ year of inpatient coding experience and 3 years of hospital inpatient coding expertise, with preference for experience at an academic medical center. You...SuggestedRemote jobContract work
$33.05 - $49.6 per hour
...Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time... ...bodies: American Academy of Coders (AAPC), or American Health... ...Quality teams, to ensure a match in the DRG and reconciles each Medicare case with...SuggestedDaily paidFull timeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hoursShift work- R1 RCM Inc. seeks a DRG Validation Auditor I to review inpatient records for DRG validation and documentation improvement. You will use proprietary software... ...supporting evidence from AHIMA guidelines and AHA Coding Clinics. Requirements include AHIMA credentials (RHIA,...Suggested
- Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims, assign DRGs, and ensure accurate reimbursements... ...remote role requires RHIA/RHIT/CCS certification and MS-DRG auditing experience. You will analyze claims, maintain HIPAA...Remote job
- Humana Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and accurate DRG assignments. This role emphasizes MS-DRG coding, auditing, and cost-conscious payer processes in a remote work setting....Remote job
- ...the United States seeks an experienced inpatient coder to review medical records, assign ICD-10... ...ICD-10-PCS procedures, and determine MS-DRG/APR-DRG groupings to support accurate reimbursement... ...A CCS certification and prior hospital coding experience are required, with ongoing...Remote job
- SSM Health is seeking a Coding Specialist to perform inpatient coding and abstraction in a fast-paced hospital setting. The role emphasizes adherence to coding guidelines and collaboration with clinical documentation teams. The position supports a Day Shift and involves...Remote jobDay shift
- AuraOne, Inc. is seeking an Inpatient Coder reviewer on a remote contractor track to evaluate AI outputs across inpatient coder operations workflows. You will grade workflow accuracy, policy adherence, and stakeholder fit using a structured rubric, flag operational risk...Remote jobFor contractors10 hours per week
- Cook Children's Medical Center is seeking a DRG Denials Coordinator to manage denial correspondence and data. You will review denial... ...CDI Director for review. The position requires three years of inpatient coding experience with ICD-10-CM/PCS, or five years of acute care/...Remote job
- Virtual Vocations Inc. is seeking a fully remote Clinical Coding Coordinator (Lead Coder) for Hospital Inpatient Coding. You will serve as the primary subject matter expert, focusing on auditing, education, and guidance for complex inpatient coding cases to ensure accuracy...Remote job
- Savista, LLC in Georgia is seeking a Coding Specialist III to manage up to two concurrent client assignments, coding inpatient and physician visits, validating MS‑DRG/APC calculations, and abstracting clinical data. You will ensure accuracy and collaborate with client staff...
$38 per hour
Remote Inpatient/Outpatient Coding Auditor VISN 7 Health Information Management Services - Remote United States... ...accuracy, documentation sufficiency, DRG and modifier use, compliance, and... ...understand English. Must satisfy the coder education and credential requirements...Remote jobHourly payFull timeContract workPart timeLocal areaShift work- The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group... ...and quality audits on inpatient charts. The DRG - A... ...clinical picture from the codes assigned by the facility’s coders in compliance with... ...Clinical Documentation Specialist. Prior experience as...Full timeWork experience placementRemote workRelocation package
- Medical Review Nurse - Commercial DME Auditor Remote - US Machinify is a... ...medical auditors and coders performing retrospective... ...provided in both inpatient and outpatient settings... ...-10, CPT-4 or HCPCS coding. Knowledge of insurance... ..., HCPS/CPT coding, DRG and medical billing...For contractorsWork at officeRemote work
$35 - $42 per hour
Now Hiring for a Remote Inpatient Medical Coder!! This opportunity is fully remote... ...HAVE 1+ years of INPATIENT coding experience to be qualified!... ...the most appropriate DRG assignment, coders partner... ...documentation improvement specialists with the goal of obtaining...Contract workTemporary workImmediate startRemote work- Alaffia Health is seeking an experienced Clinical DRG Auditor to join our Payment Integrity team. In this role, you will perform inpatient DRG validation audits and clinical reviews of medical records and claims, leveraging your clinical expertise to identify unsupported...
- ...Veterans Health Administration seeks a Medical Records Technician (Coder) at the Captain James A. Lovell FHCC in North Chicago, IL. You... ...and abstract data from patient records and assign ICD/CPT codes to ensure accurate documentation. Qualified candidates have experience...
- Senior Consultant: Inpatient Auditor Quality & Education Remote Join Our Award... ...Inpatient Facility Coding Auditor to join our Quality Management... ...and reviews of internal coders and auditors to promote coding... ...discharge disposition, and MS-DRG and APR-DRG assignment, including...Remote workWork from home
- Advanced Inpatient Coder Specialist (REMOTE) - 151005 Georgia:Augusta | Business and Administrative | Full Time Description BayCare is currently... ...3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Responsibilities...Remote jobFull timeMonday to FridayShift work
- Virtual Vocations Inc. is seeking an Inpatient Coder II licensed in Illinois to work remotely. The role involves assigning ICD-10-CM and ICD-10-PCS codes for complex inpatient discharges, ensuring compliance with coding guidelines and quality metrics. Collaboration with...Remote job
- LMH Health is seeking a remote Coder II to accurately code and abstract medical records, review documentation, and support data quality across inpatient and outpatient settings. You will stay current with coding guidelines and participate in department quality initiatives...Remote job
$39.88 per hour
Responsible for the review and coding of inpatient and/or ambulatory surgery... ...use of automated coding and DRG/AOC grouping software. Licensing... ...) Name: Certified Coding Specialist (CCS) Issuing Agency: American Academy of Professional Coders (AAPC) Collective bargaining...Remote jobHourly pay- BayCare is seeking an Advanced Inpatient Coding Specialist to ensure accuracy of inpatient records across multiple service lines. This... ...encounters, manage queries, and mentor junior coders while aligning with MS-DRG assignments and PSI/HAC reviews. Requires CCS and 5+...Remote job
- ...Responsible for the review and coding of inpatient and/or ambulatory... ...automated coding and DRG/AOC grouping software.... ...: Certified Coding Specialist (CCS) Issuing Agency:... ...Academy of Professional Coders (AAPC) Collective... ...300 labs, a school of nursing, and a leading school...Remote jobHourly payTraineeshipLocal area
$71.1k - $97.8k
Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns... ...claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds...Bi-weekly payWeekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$36 per hour
...Overview GeBBS Healthcare Solutions is seeking an experienced Inpatient Coding Compliance Auditor to join our remote team! In this role, you'll conduct... ..., payer-specific, and client requirements. Validate MS-DRG assignments, principal and secondary diagnoses,...Hourly payPart timeRemote workWeekday work- ...Integrity Are you a passionate coding and revenue integrity... ...available** What You'll Do The DRG Revenue Integrity Auditor (DRG-A) performs... ...validation and quality audits on inpatient medical records to ensure... ...or Clinical Documentation Specialist (CDS). CCS required, CCDS...Work experience placementLocal areaRemote workRelocation packageFlexible hours
- Fidelity Partners, a remote inpatient/outpatient coding auditor, seeks qualified professionals to review facility coding for VISN 7 across the United... ...The role emphasizes accuracy, documentation sufficiency, DRG use, compliance, and financial impact, with education provided...Remote job
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