Remote DRG Validation Auditor — Healthcare Coding Expert
HCA Healthcare
- Remote job
Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits ( Note: Eligibility for benefits may vary by location. Come join our team as a Coding Quality Audit Reviewer. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs Assists in ensuring HSC coding staff adherence with coding guidelines and policy Demonstrates and applies expert level knowledge of medical coding practices and concepts Participates on special reviews or projects Maintains or exceeds 95% productivity standards Maintains or exceeds 95% accuracy Meets all educational requirements as stated in current Company policy Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current What qualifications you will need: High school diploma and/or GED preferred Undergraduate degree in HIM/HIT preferred Minimum of 3 years acute care inpatient/outpatient coding experience preferred Minimum of 3 years coding auditing/monitoring experience strongly preferred RHIA, RHIT and/or CCS preferred Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding ( Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
- The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
- A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible for reviewing and coding... ...background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the...Remote workWork from home
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS... ...will apply your expert knowledge of the... ...-DRG and APR-DRG coding/reimbursement methodology... ...tools, you will validate ICD-10 diagnosis... ...data entry Healthcare claims experience... ...independently in a remote environment and...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package$107.6k - $147.95k
...Solventum. Solventum is a new healthcare company with a long legacy... ...ll Make in this Role As an Auditor / DRG validator - RN, you will have the... ...by: Collaborating with the coding and clinical team members and... ...prerequisites to entry. Work location: Remote USA Travel: May include up...Remote workFull timeH1bWork at officeRelocation packageFlexible hours- CGI Njoyn is seeking a Remote MSDRG Auditor to review medical records for accuracy in coding and reimbursement. The ideal candidate will have at least five years of... ...expertise in ICD-10-CM/PCS and strong clinical validation skills. This role requires effective communication...Remote job
$35 - $45 per hour
...A healthcare data collaboration platform is seeking an Inpatient Auditing Specialist to perform coding audits and provide education to coders. The role requires strong organizational... ...certifications like CCS. This fully remote role allows for a flexible schedule with...Remote workFlexible hours- ...A major healthcare services provider is seeking an Inpatient Medical Coding Auditor to review hospital claims for reimbursement accuracy. This remote role requires strong attention to detail and certifications (RHIA, RHIT, CCS). Candidates should have experience in medical...Remote work
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement from the comfort of your home. This crucial role involves extracting clinical information from medical records, assigning...Remote work
- ...A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely, reviewing inpatient hospital claims for proper reimbursement and ensuring accurate coding. Responsibilities include analyzing medical records and contributing to...Remote workWork at office
$71.1k - $97.8k
...A leading healthcare 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...Remote work- A leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement processes. This role... ...communication skills. The position is remote, but may require occasional travel for training...Remote work
- ...A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider...Remote work
- NACBA is seeking a Clinical DRG RN auditor who will utilize expertise in MS-DRG and APR-DRG coding to audits inpatient claims. The role requires strong knowledge of... ...commitment to quality work. Join NACBA and make a significant impact in healthcare! #J-18808-Ljbffr NACBARemote job
$34.23 - $61.15 per hour
Stryker Corporation is hiring a Clinical DRG RN auditor to work remotely within the U.S. This role requires expert knowledge in MS-DRG/APR-DRG coding and responsibilities include auditing inpatient claims and validating ICD-10 codes. Ideal candidates will possess a valid...Remote jobHourly pay- ...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 certification... ...protocols, and providing guidance on billing and coding practices. The position offers a...Remote jobContract work
- A healthcare organization is seeking a DRG Revenue Integrity Auditor to perform validation and quality audits on inpatient charts. Responsibilities... ...reviews, ensuring accurate coding, and training new hires.... .... This position allows for remote work, maintaining...Remote work
$28 - $33 per hour
...A leading healthcare service provider is seeking a Coding Specialist III to code diagnoses and procedures for inpatient... .... Responsibilities include validating MS-DRG assignments, managing clinical... ...coding conventions. The position is remote with a salary range of $28.00 -...Remote workHourly pay- A leading healthcare organization in Boston is seeking a detailed-oriented... ...to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months... ...performing comprehensive DRG validation and readmission reviews while...Remote job
$35 - $45 per hour
...data exchange company is seeking a Remote Inpatient Auditing Specialist. The... ...a minimum of 5 years of inpatient coding experience and is proficient with MS-DRG and APR-DRG. Responsibilities... ...opportunity to contribute significantly to healthcare decisions. The pay range is...Remote workHourly pay$90k - $115k
...A leading healthcare intelligence company is seeking a DRG Reviewer to conduct thorough audits of medical records for payment validation. This role requires expertise in coding, clinical guidelines, and compliance with payment standards. The ideal candidate should have...Remote workFlexible hours$85k - $90k
...ultimately improving access to healthcare. We achieve this by aligning... ..., and more. The Nurse Coder DRG Auditor’s primary responsibility is... ...claim information to validate accuracy of DRG assignments... ...care. This role will apply coding and clinical principles based...Remote workWork at office- ...seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing... ...documentation, and utilizing advanced coding expertise. Candidates must hold an active... ...competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance...Remote jobFlexible hours
$34.23 - $61.15 per hour
UnitedHealth Group is seeking a Clinical DRG RN auditor to enhance health outcomes by utilizing expert coding knowledge. The role offers the flexibility to telecommute and involves conducting MS-DRG and APR-DRG coding reviews in a high-volume production environment. The...Remote jobHourly pay- Crains Cleveland is seeking a Clinical DRG RN auditor to apply expert knowledge of MS-DRG coding methodologies in auditing inpatient claims. This role offers telecommuting opportunities from anywhere in the U.S. and requires strong analytical skills and clinical expertise...Remote job
$81.85k - $155.09k
...Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description... ...claims by integrating medical chart coding principles, clinical guidelines, and... ...lives and communities - and making healthcare simpler. We are a Fortune 25 company...Full timeTemporary workWork experience placementLocal area1 day per week- ...A healthcare services company is seeking an Inpatient Facility Coding Auditor. This remote position requires expertise in DRG-based auditing and a minimum of 5 years coding experience, including inpatient coding and auditing. Responsibilities include reviewing health records...Remote work
- ...A healthcare data solutions company seeks an Inpatient Auditing Specialist to conduct coding audits and provide educational support. This fully remote role requires 3+ years of coding experience, a related... ...will review medical records, validate DRGs, and ensure compliance...Remote workRelocation package
- ...A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement... ...have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses...Remote work
- ...A prominent healthcare consulting firm is seeking a Remote MSDRG Auditor to review medical records for coding accuracy and reimbursement compliance. This position requires a minimum... .... Responsibilities will include validating ICD-10 codes and ensuring compliance with...Remote workFull time
- ...A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote work
$71.1k - $97.8k
...A leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to join their team. This remote position involves reviewing and auditing inpatient hospital claims, ensuring proper reimbursement, and maintaining accurate coding standards....Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote DRG Validation Auditor — Healthcare Coding Expert. Be the first to apply!

