Remote DRG Validation Auditor
CGI Njoyn
- Remote job
CGI Njoyn is seeking a remote MSDRG Auditor in Atlanta, Georgia. This permanent full-time position involves reviewing medical records to ensure coding accuracy for clinical services for health plan beneficiaries. Applicants should possess AHIMA credentials and have at least five years of inpatient coding experience. Responsibilities include validating ICD-10 codes and ensuring compliance with audit processes. CGI offers a competitive salary and benefits package, including comprehensive insurance and paid time off. #J-18808-Ljbffr CGI Njoyn
$86.56k - $129.84k
The Elevance Health Companies, Inc. is seeking a Patient Safety DRG Clinical Validation Auditor to work virtually full-time, facilitating in-person training sessions as needed. The role includes auditing medical records and ensuring compliance with billing standards and...Remote jobFull time$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 over... ..., attention to detail, and experience in DRG audits. Competitive salary range is $70k - $80...Remote job$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global... ...and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG... ...Ability to work independently in a remote environment and deliver exceptional results...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- 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... ...clear rationales for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing to improving...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 position entails analyzing claims to ensure compliance with medical coding standards and identifying documentation errors...Remote job- ...University of Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in MS-DRG and APR-... ...and compliance with coding guidelines. You will enjoy remote work flexibility and be part of a culture that values inclusivity...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. This role offers flexibility through virtual work. The ideal candidate will analyze claims, maintain auditing standards,...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
- ...seeking a detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding... ...of hire. Responsibilities include performing comprehensive DRG validation and readmission reviews while documenting findings and managing...Remote work
- ...Insight Global is seeking experienced DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal...Remote work
- ...Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement...Remote work
- ...DRG Validation Auditor 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. Job Summary...Temporary workWork from homeFlexible hours
$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 equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical...Remote jobFlexible hours$85k - $90k
...a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of... ...independently and can multi-task or transition to different tasks easily. Remote Work Requirements: High speed internet (100 Mbps per person...Remote work$70k - $95k
...Auditors-DRG CVA Are you a nurse with a strong understanding of inpatient care and a passion... ...details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims... ...accurately and fairly. This is a fully remote position where you'll use your clinical...Remote workWork at office$85k - $90k
...01(k) plan with employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments and/or medical necessity for inpatient level of care...Remote workWork at office$85k - $100k
...Senior DRG Auditor (Disputes) We are seeking a Senior DRG Auditor, Disputes to join our dynamic... ...assessing complex clinical information, validating diagnosis code assignments, and... ...motivated and able to work independently in a remote environment while maintaining high...Remote workDaily paidFlexible hours$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position Type Full-Time Overview This auditing... ...(APC, PNPP), Pharmacy and/or Inpatient DRG claims. Draws on advanced coding expertise and...Remote workHourly payFull timeContract workWork at officeImmediate start$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration...Full timeWork experience placementWork at officeLocal area- 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
- 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
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have at least 5 years of recent experience. Pay Details: ~ Pay Range: $90,000 - 110,000 Work Setting: Remote...Remote workImmediate startWork from home- ...healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible... ...will have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work...Remote workWork from home
- ...CorroHealth Inc, based in Wisconsin, is seeking a DRG Revenue Integrity Auditor to perform audits on inpatient charts. This remote position will ensure compliance with federal laws and coding accuracy while providing training to new hires. The ideal candidate should have...Remote work
- ...company is seeking an experienced Inpatient Medical Coding Auditor to work remotely. Responsibilities include reviewing inpatient hospital claims... ...RHIA, RHIT, or CCS certification is required, along with MS-DRG coding experience. The position offers a competitive salary...Remote work
- ...based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for... ..., including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes significantly...Remote workFlexible hours
- ...leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for... ...should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive...Remote work
- ...seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft...Remote workWork at officeFlexible hours
$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‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. Alternate...Full timeWork at officeLocal area
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