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
- 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
$500 per month
...time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually... ...Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week$86.56k - $155.81k
...Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Anticipated Job Posting End Date... ...by integrating medical chart coding principles, clinical guidelines, and... ..., Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week- ...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
$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$90k - $105k
...individual for a Clinical DRG Auditor who is responsible for... ...performing DRG validation (clinical/coding) reviews of medical records... ...methodologies including MS-DRG, AP-DRG and APR-DRG. Your role in our... ...should expect in this role Remote within the U.S. May be...Remote workFull timeContract workFlexible hours$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$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- ...Summary: As a valued member of the DRG Review Team, the DRG Integrity... ...review of medical records and code assignment using knowledge of... ...in DRG reimbursement (i.e., MS-DRG, APR-DRG) Licensure and/or... ...focused individual able to work remotely or on-site Physical Requirements...Remote workWork at officeShift work
- ...A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least...Remote workContract work
- A leading healthcare company is seeking an Inpatient Medical Coding Auditor to join their team remotely. The role involves reviewing inpatient hospital claims for proper reimbursement, analyzing medical data, and ensuring accuracy in coding. Candidates should have relevant...Remote work
- ...leading healthcare organization in Boston is seeking a detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months of hire. Responsibilities include performing comprehensive DRG...Remote work
$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...$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates... ...medical chart coding principles, clinical guidelines... ...with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination... ...Clinical Documentation Specialist (CCDS), Certified Documentation...Full timeWork at officeLocal area- ...Group is seeking a medical coder to assign ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, ensuring adherence to official coding guidelines and client guidelines. This role supports DRG outcomes with CC/MCC consideration and requires abstracting data elements...Remote job
- UnitedHealth Group is seeking a seasoned medical coding and DRG specialist to review and validate DRG assignments, applying ICD-10 principles and... ...Medical Directors to identify and prevent overpayments. Remote-friendly, full-time role with comprehensive benefits. The position...Remote jobFull time
- ...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...- ...PCS and DRGs for facility services. You will query physicians, maintain coding accuracy, and support coding quality initiatives across the team. Requires AHIMA/AAPC credentials, 3+ years inpatient DRG coding, and strong Excel/EMR skills. Telecommuting from anywhere in...Remote job
$122.24k - $183.36k
...required by law. The DRG Clinical Auditor Principal is responsible... ...Specializes in review of DRG coding via medical record and... ...that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology... ...CCS as a Certified Coding Specialist, CIC as a Certified Inpatient...Daily paidFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...DRG Quality Advisor Nurse- Remote Date: Jul 29, 2026 Location: Any city... ...validation, and DRG clinical/coding audits of medical... ...methodologies, including MS-DRG, AP-DRG, and APR-DRG, outpatient coding (... ...coders, or clinical DRG auditors. Maintain current knowledge...Remote workContract workTemporary workWork from homeFlexible hours
- ...a senior leader to supervise the Coding & Clinical Review team within Payment Integrity, ensuring accurate DRG assignments and audit outcomes. This remote role drives quality, efficiency, and... ...The ideal candidate has 6+ years MS-DRG/APR-DRG coding and 3+ years DRG review...Remote job
$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review... ...inpatient level of care. This role will apply coding and clinical principles based on industry... ...Skills Appeals experience a plus APR-DRG experience a plus Client communication...Work at office- ...The Senior Content Ideation Specialist will develop and deliver... ...Itemized Bill Review and DRG Validation within the Expert... ...content and supports DRG Coding and Clinical Validation (MS/APR) efforts across multiple projects... ...; in-office and hybrid/remote options #J-18808-Ljbffr...Remote workWork at office
- ...Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct... ...edits while applying ICD-10-PCS and DRG rules to inpatient records. You will query... ...management with a focus on high-quality coding and compliant billing practices. #J-1880...Remote job
- Gainwell Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental United... ...focuses on QA audits, DRG validation, coding audits, and ensuring compliance... ...guidelines. You will leverage RN licensure, MS-DRG/APR-DRG knowledge, and ICD-10-CM/PCS...Remote job
- ...Insight Global is seeking a DRG Validation Auditor to sit 100% remote. You will audit inpatient records, ensure DRG... ...quality recoverable claims, drawing on MS-DRG/AP-DRG/APR-DRG knowledge. 5–7+ years in ICD-9/10CM and related coding, with RN coding credentials or RHIM/...Remote work
- ...Inpatient Coding Auditor Responsible for reviewing inpatient coding to... ...risks, ensures consistency in DRG assignment, and provides... ...0-CM/PCS code assignment and MS-DRG/APR-DRG accuracy. Follow and adhere... ...Work Model: 100% remote, independent, quality-focused...Remote workFull timePart timeReliefFlexible hoursWeekend workAfternoon shift
$71.1k - $97.8k
...The Inpatient Medical Coding Auditor extracts clinical information... ...related group (DRG) assignments. Analyzes,... ...an impact WORK STYLE: Remote/work at home. While this... ...qualifications for 4 years) MS-DRG coding/auditing... ...Qualifications Experience in APR DRG coding/auditing...Remote workBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Consulting GroupPosted: 2026-08-17Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality.You will communicate findings via phone, email, and...
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