Remote DRG Audit RN — MS-DRG/APR-DRG Expert
University of Minnesota School of Nursing
- Remote job
UnitedHealth Group is seeking a Clinical DRG RN auditor to audit MS-DRG and APR-DRG coding for inpatient claims, ensuring correct DRG assignments and reimbursement while identifying overpayments. The role emphasizes coding accuracy, guideline adherence, and detailed rationales for audit findings. Remote work within the United States is supported. Qualified candidates will hold an RN license, an associate degree or higher, and CCS/CIC or willingness to obtain within 6 months, with 2+ years of MS #J-18808-Ljbffr University of Minnesota School of Nursing
- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote job
- Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable... ...accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD... ...teams. The role offers hybrid/remote work with required in-person training...Remote job
$86.56k - $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... ...Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation...SuggestedFull timeWork at officeLocal area- ...a part of UnitedHealth Group, seeks a Clinical DRG RN auditor to review MS-DRG and APR-DRG coding for inpatient claims and identify overpayments... ...rationales, and maintaining high-quality audit outputs. You will work remotely from anywhere in the U.S. and use proprietary...Remote jobRelocation package
- UnitedHealth Group is seeking a Clinical DRG RN auditor to apply expert MS-DRG/APR-DRG coding knowledge and ICD-10 guidelines in inpatient claims audits. This remote role allows telecommuting from anywhere in the U.S. with a sign-on bonus for external applicants. Responsibilities...Remote jobRelocation package
- ...codes and POA indicators to inpatient accounts, ensuring accurate DRG/APR-DRG assignment and documentation alignment. Collaborate with... ..., and help reduce denials. AHIMA/APAC certs and 1 year experience required; remote work options available. #J-18808-Ljbffr UI HealthRemote job
- UnitedHealth Group is hiring a Clinical DRG RN auditor to apply MS-DRG/APR-DRG knowledge, ICD-10 guidelines, and AHA Coding Clinic guidance in inpatient claim audits. You will validate codes, DRG assignments, and discharge status to identify overpayments and compose rationales...Remote job
- ...Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) to review inpatient records and... ...promoting flexibility and autonomy; remote work may be supported regionally.... ...and guidelines knowledge will drive audit findings and quality improvements. #J...Remote jobFull time
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL... ..., you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology... ...Clinic Guidelines in the auditing of inpatient claims.... ...to work independently in a remote environment and deliver...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- ...Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct CCIs, MUE edits, and medical necessity edits while applying ICD-10-PCS and DRG rules to inpatient records. You will query providers, analyze records...Remote job
- ...organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct... .... Candidates should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive...Remote work
- ...hospital claims for proper reimbursement and requires strong qualifications, including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes significantly to cost reduction and accuracy in provider...Remote workFlexible hours
- Zubi Talent Group is hiring a remote Coding Quality Review (CQR) Specialist responsible for conducting audits of medical coding. The role requires strong experience in MS-DRG coding and a commitment to accuracy and compliance. Minimum qualifications include RHIA, RHIT,...Remote job
- ...provider is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims for reimbursement accuracy, conducting coding audits, and ensuring proper assignment of medical codes. Applicants should have relevant...Remote work
- ...records, determining principal and secondary diagnoses, principal and secondary procedures, and related indicators for accurate MS-DRG/APR DRG assignments. The role requires identifying POA, SOI and ROM indicators to ensure proper hospital reimbursement, while adhering...
- ...company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring... ..., or CCS certification with substantial experience in coding audits. Strong attention to detail, excellent communication skills,...Remote work
- ...claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and requires certification in RHIA, RHIT, or CCS, along with experience in coding audits. The successful candidate will play a crucial role in minimizing...Remote workContract workFlexible hours
$71.1k - $97.8k
...company is seeking an Inpatient Medical Coding Auditor to analyze clinical data and ensure accurate coding for reimbursement. This remote position involves reviewing inpatient hospital claims, requiring RHIA, RHIT, or CCS certification. Ideal candidates will have experience...Remote work- ...seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records, ensuring clinical documentation supports... ...reimbursed. The role emphasizes ICD-10 coding expertise and DRG validation across multiple DRG types. Hybrid role with in-person...Remote job
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have at least... ...electronic medical record systems. ~ Familiarity with MS word, MS Excel, MS Outlook, etc. ~ MUST have a CCS or...Remote workImmediate startWork from home- ...Payment Integrity team. This vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing accuracy in claims. Ideal... ...the CCS credential, and superior coding knowledge. This fully remote position supports a dynamic environment and offers impressive...Remote job
$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor for one... ...specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high...Remote work- ...an experienced IP Coder to perform inpatient coding, including DRG assignment and validation. You will work with the CDI team, Coding... ..., and strong knowledge of medical terminology and anatomy. Remote work is available with secure, high-speed internet requirements....Remote work
- ...Specialist to apply ICD-10-CM/PCS codes and POA indicators to inpatient accounts, and to assign DRGs/APR-DRGs while collaborating with CDI to ensure accurate documentation. This remote role requires knowledge of coding guidelines and ongoing education. The position emphasizes...Remote job
- Enjoin is seeking a DRG Integrity Analyst (DIA) for a PRN, remote role. You will serve as the first level of clinical and coding review for inpatient encounters, identifying DRG opportunities, risks, and documentation gaps. You’ll screen cases to determine high-value opportunities...Remote jobReliefFlexible hours
- ...Coding Appeals Specialist to review and write appeals for inpatient DRG denials, applying ICD-10-CM/PCS, HCPCS, NCCI, CMS and CMG coding... ...and a willingness to travel to client sites as needed; remote work options available. A high school diploma is required along...Remote job
- 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
- Gainwell Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental... ...States. The position focuses on QA audits, DRG validation, coding audits, and... ...coding guidelines. You will leverage RN licensure, MS-DRG/APR-DRG knowledge, and ICD-10-CM/PCS...Remote job
- CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews on medical records... ...ICD-10 coding and have a strong clinical knowledge. This remote role involves auditing, ensuring accurate billing, and working with clinical...Remote job
$34.23 - $61.15 per hour
About This Role As a Clinical DRG RN Auditor at UnitedHealth Group, you will leverage your expertise in MS-DRG and APR-DRG coding methodologies to audit inpatient claims, ensuring accuracy and... ...assignment and reimbursement. Utilize expert knowledge to identify ICD-10-CM/PCS...Hourly payFull timeTemporary workRelocation packageDay shift
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