DRG Coder
Astrana Health
Senior DRG Coder
The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.
Astrana HealthVacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the DRG Coder in Orange, CA vacancy
- ...Junior Quality Improvement Coder Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility...Suggested
$58.21k - $90.22k
...requirements required. Preferred Qualifications Experience working with MS-DRG, APR-DRG and Medi-Cal coding assignments as well as Medi-Cal... ...Specialist Physician-based (CCS-P) or Certified Professional Coder (CPC) Certification by AHIMA or AAPC is required. Knowledge &...SuggestedTemporary workWork at officeRemote workFlexible hoursWeekend workAfternoon shift$172.36k - $258.55k
...facilities, and integrated delivery networks (IDNs).Negotiate highly complex agreements with hospital executives, including fee-for-service, DRG-based, case rate, bundled payment, and value-based/risk arrangements.Drive alignment of hospital contracts with organizational...SuggestedFull timeContract workWork at office- ...and identify documentation gaps Initiate and manage physician queries to clarify documentation Collaborate with physicians, coders, and clinical teams Ensure documentation reflects severity of illness and risk of mortality Educate providers on documentation...SuggestedMonday to FridayShift workWeekend workDay shift
- ...clean and safe work environment. Follow all company policies and procedures. Maintain a professional appearance. BENEFITS DRG Cares Grant Program: Grants to assist employees with life challenges and financial assistance. DRG Savings Marketplace: Exclusive...SuggestedLocal areaShift work
- ...satisfaction is a top priority. General Manager Support: Assist the GM in the management of restaurant operations. Benefits DRG Cares Grant Program – Financial assistance for employees facing life challenges. DRG Savings Marketplace – Exclusive discounts for...Local areaAll shiftsFlexible hoursShift workNight shiftWeekend work
Taco Bell
Orange, CA10 days ago $70k - $85k
...staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding...Work at officeRemote workWork from homeHome office- ...risk adjustment data validation, chart reviews, and process improvements.Required: 3+ years Medicare Risk Adjustment coding, certified coder (CCS/CCS-P/CPC/CRC/RHIT/RHIA), and proficiency with MS Office and leading EHR systems. This is a remote position with competitive...Remote work
- ...restaurant’s financial goals. Communication: Keep upper leadership informed about any issues that arise at the restaurant. BENEFITS: DRG Cares Grant Program – Grants to assist employees with life challenges and financial assistance DRG Savings Marketplace – Exclusive...Local areaAll shiftsShift work
- ...recruitment efforts, consistent training and providing quality food. This role is crucial for creating company culture that is aligned with DRG’s values. MAJOR RESPONSIBILITIES: • Team Development: Identify, train and mentor a team of high-potential individuals,...Local areaFlexible hoursNight shiftWeekend work
$20 - $26 per hour
...Team What You'll Do Contact and collect medical records onsite from Provider’s offices or via EMR access documentation for coders/audits/sweeps retrieval Collect and summarize meeting minutes from the meeting. Coordinate office activities (such as scheduling...Hourly payFull timeTemporary workWork at officeWork from home- ...clean and safe work environment. Follow all company policies and procedures. Maintain a professional appearance. BENEFITS DRG Cares Grant Program: Grants to assist employees with life challenges and financial assistance. DRG Savings Marketplace: Exclusive...Local areaShift work
$70k - $85k
...staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding...Work at office- ...medical records, ensuring clinical documentation supports DRGs billed and reimbursed. The role emphasizes ICD-10 coding expertise and DRG validation across multiple DRG types. Hybrid role with in-person trainings; California-based locations are included. Requires...Remote job
- ...guidelines. Performs other duties as assigned. Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise... ..., secondary conditions and surgical procedures. Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired...
- ...Specialty Physician Coder Our client, a healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location. Responsibilities: Achievement of productivity standards as established by management. Achievement of quality standards...Work at office
- Position Summary: The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing ...For contractorsWork at officeRemote work
Apidel Technologies
Costa Mesa, CA6 hours ago $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... ...Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Experience...Full timeWork at officeLocal area- Location: Irvine, California, United StatesCompany: UCI HealthPosted: 2026-08-11UCI Health is seeking a Specialty ROCC Coder III in Irvine, California. This role involves abstracting and coding IR/Vascular and Radiation Oncology accounts while ensuring compliance with regulatory...
- ...Specialty Physician Coder | Remote (Southern California) Contract 3-6+ Months Have your specialty coding skills, but tired of feeling like a number? We're looking for an experienced Specialty Physician Coder to join a growing Coding Compliance team, remote, with real...Contract workWork at officeRemote work
- ...County through excellence in patient care, research and medical education.Your Role on the TeamPosition Summary: The Specialty ROCC Coder III performs abstracting and coding, using ICD-10 CM and CPT, on all IR,/Vascular accounts or Radiation Oncology accounts at UCI Medical...Monday to Friday
- ...United StatesCompany: University of California, IrvinePosted: 2026-08-11The University of California, Irvine is seeking a Specialty ROCC Coder III. This role involves abstracting and coding for IR/Vascular or Radiation Oncology accounts, requiring coding expertise with ICD-1...
$35.46 - $51.46 per hour
Overview Title: Sr. Specialty Physician Coder - Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe...Full timeContract workWork experience placementWork at officeRemote workShift work- ...documentation. Validate DRGs, identify documentation gaps, and issue physician queries as needed. Collaborate with providers, coders, and care teams to support documentation accuracy and reimbursement. Ensure documentation accurately reflects severity of illness...Permanent employmentContract workTemporary workRemote workShift workWeekend work
ATD Technology LLC
Orange, CA2 days ago - ...queries prior to patient’s discharge to ensure accurate quality data and appropriate reimbursement whilst maintaining up to date DRG. Assists coders in follow-up on queries and clarifications to physicians done retrospectively post patient discharge. Coordinates the daily...Full timeLocal area
NOR Healthcare Systems
Tustin, CA12 days ago - ...reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to...Full timeContract work
$24 - $28 per hour
...reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to...Hourly payContract workMonday to FridayShift workDay shift- ...processes including appeals, denials, concurrent reviews, and retrospective reviews Familiarity with CMS guidelines, CPT coding, DRG, HEDIS measures, HIPAA guidelines, ICD 10 coding, and NCQA standards Description: We are seeking a Case Manager and Utilization Review...Temporary workLocumLocal areaShift workWeekend work
$24 - $28 per hour
...28.00 1 week ago MEDICAL BILLING SPECIALIST - REVENUE CYCLE OPERATIONS Huntington Beach, CA $24.00-$28.00 6 days ago Medical Biller/Coder/ Authorization Assistant Medical Billing/Accounts Receivable Specialist Team Lead Medical Biller - Skilled Nursing Facility (SNF) INSURANCE...Full timeWork at office$112.1k - $225.5k
...revenue integrity leadership experience with Hospitals or large Physician groups, ideally in a consulting capacityCertified Professional Coder (CPC) or American Academy of Professional Coders (AAPC) certification preferredExperience designing best practices and managing...Full timeWork experience placementInternshipLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to DRG Coder. Be the first to apply!
