Remote DRG Quality Auditor - Clinical Records Review
$68.57k - $104.84kCorVel Corporation
- Remote job
CorVel Corporation is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews in Fort Worth, TX. The ideal candidate will have a strong clinical knowledge base, excellent communication skills, and a minimum of 2 years of experience in DRG quality auditing, along with necessary coding certifications. This remote position offers a competitive pay range of $68,566 to $104,841 and a comprehensive benefits package for full-time employees. #J-18808-Ljbffr CorVel Corporation
- ...work. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT... ...within the body of the medical record to support code assignments which... ...policies and procedures, and clinical/medical resources to assure coding...Remote workFull timeWork experience placement
- ...Firm is seeking a Coding Quality Review Specialist for a top... ...in Nashville, TN (remote position). The CQR Specialist... ...and outpatient records. This role ensures adherence... ...compliance with MS-DRG and national standards... ...certification required IP Coding Auditor certification for MS-...Remote workShift workWeekend work
$95k - $110k
...DRG Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create... ...using approved clinical and coding guidelines... ...goals and quality standards. Prepares... ...Professional Medical Auditor (CPMA) required 5+... ...or 5+ years medical record coding experience preferred...Remote workFull timeWork from homeRelocation packageFlexible hours- ...Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine... ...is the expert in clinical documentation and... ...integrity of Health Records through best... ...adjustment, mortality review, hospital... ...opportunities. Assess DRG, primary...Remote workFull timeLocal areaRelocation package
$47 - $56 per hour
...Senior Auditor Quality - CCCR Job Locations US-Remote ID 2026-18251 Category Audit -... ...independent audit claims review. Displays... ...Responsibilities Performs clinical quality assurance... ...may review medical records and apply in-depth... ...auditing...ideally in a DRG / Clinical...Remote workFull timeWork at officeImmediate startFlexible hours$42.28 per hour
...About the job Coding Quality Review Specialist Whats in it for you? Competitive... ...of experience. Full-time, remote work flexibility. Opportunity... ..., guidelines, policies, and clinical resources. What will you need... ...). 3+ years of hands‑on MS‑DRG auditing in a hospital setting...Remote workFull timePart timeWork at officeFlexible hours- ...healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical... ...accurate DRG assignment and support healthcare quality. Candidates must possess an MD/DO with an active U.S...Remote job
- ...Purpose Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive... ...Coordinates HIPAA and legal records requests for all areas of... .... Location This is a remote position, Monday - Friday... ...Certified Professional Medical Auditor (CPMA) OR active,...Remote workContract workFor contractorsWork experience placementSecond jobLocal areaMonday to Friday
$29.11 - $48.51 per hour
...location, along with a review of current... ...development! This is a Quality position, not a day... ...have experience with DRG and PCS coding/... ...training.Location: REMOTE, Banner provides equipmentIdeal... ...interpretation of clinical documentation... ...for the health record(s) and for quality...Remote workFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...a Respiratory Therapist to conduct expert clinical reviews for the U.S. Department of Veterans Affairs. This remote role involves evaluating charts, completing quality reviews, and maintaining strict confidentiality of records. Candidates should possess a Registered Respiratory...Remote work
$36 per hour
...PM. Certified Coding Specialist or RN. A typical day includes DRG reviews and audits; performs validation reviews of Diagnosis Related Groups... ...in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department...Contract workTemporary workWork experience placementMonday to Friday$95k - $120.65k
...pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase... ...they compare with medical records utilizing ICD-10 Official Coding... ...Guidelines, AHA Coding Clinic evidence based clinical criteria... .... We foster a hybrid and remote friendly culture, and all...Remote workFull timeWork at officeLocal areaVisa sponsorshipFlexible hours- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
$90k - $99k
...Santa Barbara Cottage Hospital is seeking a DRG Nurse Reviewer Appeals and Hearings. The role involves coordinating and... ...certifications like CPC, and ideally 5+ years of clinical experience. This position allows remote work with minimal travel and offers a pay range of...Remote workFlexible hours- The University of Miami is hiring a Concurrent Medical Code Reviewer for a remote position. This role involves reviewing electronic medical records to ensure accurate coding of diagnoses and procedures following national guidelines. The ideal candidate must possess a Bachelor...Remote work
- ...Job Title: Quality Officer ILocation: 2 Crescent... ..., NJ 07757 (Remote). Candidates must be... ...-CM/PCS coding and DRG assignment for inpatient... ...state regulations, clinical coding guidelines,... ...inpatient medical record to apply appropriate... ...RWJBarnabas facilities; review flagged records....Remote workFull timeFlexible hours
$83.16k - $117.46k
...Quality Officer III Req #: 0000245... ...CM/PCS coding and DRG assignment for inpatient... ...Medicare records is required with a... ...anatomy and physiology, clinical indicators associated... ...0 hours a week Remote position, must... ...RWJBarnabas facilities. Reviews ICD-10-CM/PCS...Remote workFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work$269.5k - $425.5k
...A leading healthcare organization is seeking a Medical Director to oversee Clinical Review efforts. This role involves providing expertise in DRG coding and collaborating with diverse teams to improve health outcomes. Candidates must possess an MD or DO, board certification...Remote workFull time- ...as hybrid, onsite or remote. While the majority... ...OF THE JOB The Quality Assurance Coder/Auditor will develop a risk... ...completion of medical record documentation, and... .... This includes the review, analysis, and recommended... ...on medical and clinical diagnoses, procedures...Remote workFull timeWork experience placementWork at office1 day per week
$79k - $99.75k
...comprehensive inpatient DRG reviews based on industry... ...rules, evidence based clinical criteria plan, and policy... ...compare with medical records ICD-10 Official Coding... ...department productivity and quality standards* Recommend... ...foster a hybrid and remote friendly culture, and...Remote workFull timeWork at officeLocal areaVisa sponsorshipFlexible hours- ...Dane Street, LLC is seeking a Quality Analyst to manage the medical file review process. The successful candidate will review reports, ensure they meet client standards, communicate with clients and physicians, and handle various quality audits. An Associate's or Bachelor...Remote work
- Mcs360 is looking to hire a Quality Review Specialist for the Resolution Team. This role involves the quality review of data and operational support throughout real estate transactions. The ideal candidate will ensure information is error-free while following established...Remote job
- Stewart Information Services Corp. is seeking a Quality Review Specialist for its Resolution Team in Tennessee. This role focuses on ensuring the quality and accuracy of data in client files throughout the real estate transaction process. Ideal candidates will have a high...Remote job
- Huntington National Bank is seeking a Quality Review Specialist to ensure compliance with credit policies and oversee quality assurance across... ...allows for flexible work arrangements, combining in-office and remote work as needed. #J-18808-Ljbffr Huntington National BankRemote workWork at officeFlexible hours
- Days M-F, Remote This position exists to support... ...Cycle Services' Total Quality Management team. This... ...performing various quality reviews, preparing and... ...and completeness of clinical medical record documentation and clinical... ..., physicians, auditors and other external individuals...Remote workWork at office
$35 per hour
...A digital feedback platform is seeking a Freelance QA Review Assistant to explore and test mobile apps. This fully remote, entry-level role allows you to share your experiences and opinions to improve app quality. Ideal candidates should have a smartphone or tablet and...Remote workHourly payFreelanceFlexible hours- Overview The Quality Improvement Specialist plays a key... ..., national measures of clinical care quality. The role... ...of data from clinical records, identifies opportunities... ..., managing, and data review process for assuring accuracy... ...hours. Primarily remote with occasional team meetings...Remote workFull timeWork at officeMonday to Friday
$73.45k - $132.78k
...currently has an opening for a Quality Auditor - Unlicensed DC to work on... ...non-medical counseling case records, as outlined in the Quality... ...Management Plan. Gathers, reviews, consolidates, and evaluates... ...to your home.) when working remote. Using a hot spot from a mobile...Remote workWork at officeWorldwide- Maximus is seeking a Quality Control Analyst to join the Veterans Evaluation Services team. This remote position involves reviewing Medical Disability Examination reports and ensuring compliance with VA standards. Essential duties include reviewing documents for accuracy...Remote jobWork from home
- ...LOCATION Remote – This is a home based, virtual position that... ...and post-payment audits of DRG coding and clinical documentation. The ideal candidate... ...auditing inpatient medical records and generating high-quality recoverable claims by reviewing medical records and other...Remote workLive inWork from homeMonday to Friday
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