Remote RN: DRG Clinical Validation Auditor (CDI)
Elevance Health
- Remote job
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient records and validate DRG coding. The role emphasizes strong ICD-10 coding skills and clinical documentation improvements in a hybrid-work environment. Requires an active RN license and 10+ years in claims auditing or related fields, with 5+ years in MS-DRG, AP-DRG, and APR-DRG. In-person training sessions and a flexible schedule support work-life balance. #J-18808-Ljbffr Elevance Health
- Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) to review inpatient records and ensure... ...-person training, promoting flexibility and autonomy; remote work may be supported regionally. Strong ICD-10 coding...Remote jobFull time
$86.56k - $155.81k
...Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Anticipated End Date : 08/24/2026 Virtual: This role enables associates to work virtually full-time, with the exception of required inperson training sessions, providing...SuggestedFull timeTemporary workWork experience placementWork at officeLocal area1 day per week$45 - $50 per hour
...Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented Clinical Documentation Consultant... ...potential and is located in US(Remote). Pay Range: $45 - $50/hour.... ...Requirements and Technology Experience: RN, BSN, MSN, MD or Foreign Medical...Remote workContract workLocal areaImmediate start- Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records, ensuring clinical documentation... .... The role emphasizes ICD-10 coding expertise and DRG validation across multiple DRG types. Hybrid role with in-...Remote job
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization... ...and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes,... ...Ability to work independently in a remote environment and deliver exceptional...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation 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
$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 identifying overpayments. This role is ideal for those with strong analytical...Hourly payFull timeTemporary workRelocation packageDay shift- 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
$31.25 - $38.46 per hour
...This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal... ...coding and billing perspective: Inpatient DRG/APR-DRG and/or episode of care. This... ...active /unrestricted license). Coding/CDI Certification (at least one of the following...Hourly payWork at office$90k - $105k
...a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical... ...required CEUs to maintain RN license and coding certification... ...should expect in this role Remote within the U.S. May be required...Remote workFull timeContract workFlexible hours$70.8k - $123.8k
Clinical Nurse Auditor Position Description CGI is one... ...necessity, validate clinical services,... ...This position is remote within the United... ...Clinical Validation and DRG validation activities... ...Registered Nurse (RN) license in your... ...documentation improvement (CDI), DRG validation,...Remote workWork at officeLocal area- Optum, 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... ...and maintaining high-quality audit outputs. You will work remotely from anywhere in the U.S. and use proprietary tools to...Remote jobRelocation package
$85k - $95k
...accuracy, accountability, and clinical excellence to healthcare. As... ...integrity solutions including DRG Validation, Cost Outlier and Readmission... ...Registered Nurse with active RN licensure required CCS (... ...applications at the same time Remote Work Requirements High...Remote workFull timeMonday to Friday- ...Focusing on Coding & Clinical Chart Validation, the full-time Clinical Coding Auditor will analyze and audit inpatient claims, ensuring coding... ...of experience with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG Certification in coding/CDI (e.g., RHIA, RHIT, CPC, CCS, CIC, CDIP...Remote workFull time
- ...Number 194633 Job Description Validates Acute Inpatient coded... ...Medical Record. Seeking RN candidates with a HCS-D -... ...Certificate for OASIS Specialist-Clinical. Remote position in New York.... ...to identify and validate DRG code assignment. Full review of CDI suggested code changes De...Remote work
- ...Job Title Validates Acute Inpatient coded charts to ensure... ...Record. Seeking RN candidates with a HCS-D... ...Certificate for OASIS Specialist-Clinical. Remote position in New York.... ...identify and validate DRG code assignment. 2. Full review of CDI suggested code changes....Remote workHourly payFull time
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity... ...Adherence to all coding guidelines and CDI best practices, as endorsed by... ...of reviews and make sure the true clinical picture is captured, along with ensuring...Remote workImmediate startWork from home$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,000.00 per... ...travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license Valid/Current CPC or CIC... ...equivalent experience ~4+ years of DRG and/or Medical Record Audit...Remote work$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor for one of our clients to work 100% remote. The salary... ...extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level...Remote work$68.57k - $104.84k
...Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related... ...responsible for performing DRG validation (clinical/coding) reviews... ...rules. This is a remote position. ESSENTIAL FUNCTIONS... ...EXPERIENCE: LVN or RN license in the state of...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- Molina Healthcare is seeking an RN with a US license in good standing to join the Medicaid Team as a Clinical Auditor. The role may offer remote work flexibility, but the candidate must reside in Michigan and operate within Michigan-based guidelines. The incumbent will...Remote job
$55.1k - $99k
...About the job Clinical Coding Auditor & Trainer We are looking for... ...position is primarily remote with a small travel... ...Diagnosis Related Group (DRG) and Medical Record... ...a hospital setting RN, PA, MD, APRN, DO or MBBS... .../ Certification Valid/Current CPC or CIC Certification...Remote workFull timePart timeWork at officeFlexible hours$85k - $95k
RCM Healthcare Services is seeking a DRG Coding Reviewer to support inpatient coding validation and payment integrity initiatives. This remote, full-time role offers a salary of $85,... ...and DRG assignments, perform coding and clinical validation reviews, and collaborate...Remote jobFull time- Optum Insight is seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative... ..., and collaboration with a team of auditors to document findings and input data... ...is full-time (40 hours/week) with remote work options in Massachusetts and potential...Remote jobFull timeLocal area
$55.1k - $99k
Job Overview Clinical Coding Auditor & Trainer - Remote, NY, US. The position is primarily remote... ...Required Qualifications RN, PA, MD, APRN, DO, or MBBS... ...experience 4+ years of DRG and/or Medical Record Audit... ...experience in a hospital setting Valid/Current CPC or CIC...Remote workPermanent employmentFull time$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... ...Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The...Remote jobFlexible hours- ...connection. We empower 99,000+ associates to reimagine healthcare, together, in an inclusive and supportive environment. In this Clinical Documentation Integrity role, you’ll assess accuracy and consistency of reviews, conduct audits of queries and EHR entries, evaluate...Remote job
- Optum is seeking a Utilization Management & Clinical Validation RN to review medical records, extract pertinent details, and craft defensible appeal letters. The role involves coding knowledge, literature references, and HIPAA compliance, with a telecommute option from...Remote job
- UnitedHealth Group's Optum is seeking an experienced RN for Utilization Management & Clinical Validation. You will review patient records, extract pertinent... ...evidence-based literature and coding guidelines. This remote role supports telecommuting from anywhere in the U.S...Remote jobFlexible hours
$68.57k - $104.84k
...DRG Quality Control/Clinical Auditor CERIS in Fort Worth, TX is seeking a DRG Quality... ...responsible for performing DRG validation (clinical/coding) reviews... ...rules. This is a remote position. Essential Functions... ...& Experience: LVN or RN license in the state of...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours
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