Remote DRG Coding Auditor - MS/APR-DRG Specialist
Elevance Health
- Remote job
Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable claims across lines of business, ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-10 guidelines and clinical documentation principles in medical record reviews, supporting high-quality recoveries and audit findings while collaborating with hospitals and internal teams. The role offers hybrid/remote work with required in-person training. #J-18808-Ljbffr Elevance Health
$92.88k - $160.22k
...- $160,218Company: Elevance HealthPosted: 2026-08-10DRG Coding Auditor - MS-DRG and APR-DRGVirtual: This role enables associates to work virtually... ...Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote job
- UnitedHealth Group invites a Clinical DRG RN auditor to join our telecommuting team from anywhere in the United States. The role focuses on MS-DRG and APR-DRG coding audits, validating ICD-10-CM/PCS code assignments, and producing clear rationales. You will use CMS guidelines...Remote job
$86.56k - $155.81k
...Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates... ...by integrating medical chart coding principles, clinical guidelines,... ..., Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement...SuggestedFull timeWork at officeLocal area- ...leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims... ...Candidates should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and...Remote work
- ...provider based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims... ..., including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes...Remote workFlexible hours
- UI Health in Chicago seeks an Inpatient Reimbursement Coding Specialist to apply ICD-10-CM/PCS codes and POA indicators to inpatient accounts... ...accurate coding. You will work with CAC software to assign DRG/APR-DRG, analyze denials, and maintain confidentiality of patient...Remote job
- ...an experienced Inpatient Reimbursement Coding Specialist to join Health Information Management.... ...inpatient accounts, ensuring accurate DRG/APR-DRG assignment and documentation alignment... ...certs and 1 year experience required; remote work options available. #J-18808-Ljbffr...Remote job
- ...Corporation is seeking a Senior Inpatient Auditor to enhance our Payment Integrity team.... ...This vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing accuracy... ...superior coding knowledge. This fully remote position supports a dynamic...Remote job
- ...DRG Validation Auditor Insight Global is seeking a DRG Validation Auditor... ...our clients to sit 100% remote. This person should have an... ...documentation, and/or inpatient coding and has a high level of... ...an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This...Remote work
$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor for one... ...clinical documentation, and/or inpatient coding and has a high level of... ...specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position...Remote work- UnitedHealth Group's Optum is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding and CMS guidelines to inpatient claims. Remote work is available nationwide; you will identify overpayments and document audit rationales to support findings. Requirements include...Remote job
- 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
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global... ...apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems,... ...Ability to work independently in a remote environment and deliver exceptional results...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG... ...: Adherence to all coding guidelines and CDI best practices... ...Clinical Documentation Specialist (CDS). ~ Prior... ...systems. ~ Familiarity with MS word, MS Excel, MS...Remote workImmediate startWork from home- UnitedHealth Group seeks a Clinical DRG RN auditor to verify MS-DRG/APR-DRG coding and CMS guidelines, identify overpayments, and document audit rationales... ...reimbursement integrity. This telecommuter position allows remote work from anywhere in the United States, with...Remote job
$45 - $50 per hour
...Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a... ...potential and is located in US(Remote). Pay Range: $45 - $50/... ...accuracy Assign and validate MS-DRGs Develop compliant... ...Experience with 3M CDI and coding applications. ICU, Critical...Remote workContract workLocal areaImmediate start- ...Chicago, IL seeks an Inpatient Reimbursement Coding Specialist to apply ICD-10-CM/PCS codes and POA... ...to inpatient accounts, and to assign DRGs/APR-DRGs while collaborating with CDI to ensure accurate documentation. This remote role requires knowledge of coding guidelines...Remote job
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should...Remote work
- A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant...Remote workFlexible hours
- 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
- ...national healthcare organization is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and requires certification in RHIA, RHIT,...Remote workContract workFlexible 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 $85,000 to $95,000 plus competitive benefits, 401(k) match, and PTO. You will review inpatient...Remote jobFull time- Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews... ...records. You will apply ICD-10-CM/PCS coding guidelines to ensure accurate classifications... ...and compliant documentation. This remote role offers a salaried schedule,...Remote job
$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...- ...Universal Health Services is seeking an Inpatient Coder to ensure DRG accuracy and timely coding of inpatient records. You will use ICD-10-CM/PCS and the 3... ...Coding Manager, Business Office and Case Management.This remote role requires strong medical terminology knowledge,...Remote workWork at office
$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- Ensemble Health Partners is seeking an Acute Coding Appeals Specialist to review and write appeals for inpatient DRG denials, applying ICD-10-CM/PCS, HCPCS, NCCI, CMS... ...willingness to travel to client sites as needed; remote work options available. A high school diploma...Remote job
- ...HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued... ...Inpatient DRG Coding Auditor to extract data from patient... ...between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG.... ...and grouping methodologies (MS DRG's and AP DRG's); in...
$28.76 - $48.96 per hour
...Inpatient Coding Specialist II General Summary of Position The Inpatient Coding Specialist II analyzes and interprets clinical documentation... ...Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups). Exhibits knowledge of the...
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