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
$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... ...Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical...SuggestedFull timeWork experience placementWork at officeLocal areaRelocation package$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$500 per month
...the time of hire and $1,000 after one year of service.DRG 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- ...seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for... ...provider disputes, and ensure accurate DRG assignments. The role requires analyzing... ...coding analyses from home. The position is remote with occasional travel to Humana offices...Remote work
- ...Diagnostic Related Group (DRG) DRG Validation Auditor partners with a... ...and procedure codes and updating coding... ...with physicians, CDI specialists, and internal teams... ...Strong knowledge of MS-DRG and APR-DRG reimbursement methodologies... ...and adaptable to remote or on-site work...Remote workWork at office
$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- ...compliance, the part-time PRN DRG Revenue Integrity Auditor will perform... ...records, focusing on DRG coding accuracy and... ...regulations while working remotely. Key responsibilities... ...Clinical Documentation Specialist in an acute care... ...work Proficiency in MS Word, Excel, Outlook,...Remote workPart timeRelief
- ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor... ...clinical picture, based on codes assigned by facility coders... ...or Clinical Documentation Specialist (CDS). ~ Prior experience... ...systems. Proficiency in MS Word, Excel, Outlook, Teams...Remote work
$103.64k - $161.54k
...Description The Director, CERIS DRG Audit Program is a... ...improvement of coding accuracy, clinical documentation... ...of clinical and coding auditors while collaborating... ...Extensive knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS,... ...complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Datavant is seeking an Inpatient Auditing Specialist to address coding quality, compliance reviews, and external payer audits. This fully remote role offers a flexible schedule and the... ...audit inpatient facility codes using MS DRG/APR DRGs, provide clear rationales, stay...Remote workReliefFlexible hours
$71.1k - $97.8k
...The Inpatient Medical Coding Auditor extracts clinical information... ...related group (DRG) assignments. Analyzes,... ...Impact Work Style: Remote/work at home. While this... ...qualifications for 4 years) MS-DRG coding/auditing... ...Experience in APR DRG coding/auditing...Remote workBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$29.01 - $34.13 per hour
...Illinois Full Remote Near OSF location... ...POSITION SUMMARY: The Coding Auditor is responsible for performing... ...coding audits and DRG billing denials,... ...CCS (Certified Coding Specialist) CMA (Certified Medical... ...understanding of both MS and APR DRG methodologies....Remote workHourly payWork at office$43 - $46 per hour
...Inpatient Coding Auditor (DRG Validation) Pride Health is hiring an Inpatient Coding Auditor... ...6:00 AM–6:00 PM CST. Location: Fully Remote (Oklahoma, Kansas, Missouri, Texas,... ...standards. Use Epic, Solventum/3M 360, MS-DRGs, and APR-DRGs. Requirements:...Remote workContract workLocal areaMonday to FridayFlexible hours$68.57k - $104.84k
...Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related... ...DRG validation (clinical/coding) reviews of medical records... ...necessity rules. This is a remote position. ESSENTIAL... ...Office Proficient in both MS and APR DRG methodology preferred...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Description Job Description Description: The DRG Denial Specialist is responsible for reviewing DRG-related... ...by the clinical documentation and coding guidelines. Using expert-level knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG classification systems, and Official Coding...Work at office
$35 - $45 per hour
...Outpatient Coding Auditor Hourly Rate: $35.00 – $45.00 per hour Location: Remote Position Summary As an Outpatient Coding Auditor, you will support healthcare... ...Assign and sequence ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG (when applicable), and CPT/HCPCS codes...Remote workHourly payDaily paidFull timeContract workTemporary workFlexible hoursShift work- ...Responsible for reviewing inpatient coding to validate accuracy,... ...risks, ensures consistency in DRG assignment, and provides actionable... ...10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy. Follow and... ...Employment Tracks Work Model: 100% remote, independent, quality-focused...Remote workFull timePart timeReliefFlexible hoursShift workWeekend workAfternoon shift
$85k - $90k
...DRG Reviewer At MedReview, our mission is to... ...inpatient claims to ensure coding accuracy and... ...diagnoses. This is a fully remote position. Candidates must... ...). Certified Coding Specialist (CCS), Certified Inpatient... ...years' experience in MS-DRG and APR-DRG validation in...Remote work$100k - $120k
...role directly manages a team of DRG quality analysts responsible for reviewing auditor-completed MS-DRG and APR-DRG work, validating audit... ...accuracy, and ensuring accurate coding and reimbursement outcomes.... .... Location: 100% Remote, U.S.-based. Travel: Limited...Remote workFull timeWork at office- ...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...
- ...facility. This job is REMOTE. FTE: 1.000000... ...Summary: The Inpatient Auditor supports the quality and... ...of the inpatient coding team through coding audits... ...auditing coding accuracy, DRG assignment, and compliance... ...inpatient coding with MS-DRG assignment required....Remote workTemporary workShift workWeekend work
- ...experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical... ...requires extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC... ...opportunities for training, advancement, and remote work within the U.S.#J-18808-LjbffrRemote workContract work
$22.08 - $34.69 per hour
..., you'll play an important role in ensuring accurate, compliant coding that supports our clients' financial and clinical data needs. You... ..., assign accurate ICD-10-CM and ICD-10-PCS codes, validate MS-DRG assignments, and help identify and resolve coding-related claim...Remote workHourly payLocal area- ...Inpatient Experience Required - Remote work for TX, AR, WI and FL ONLY Primary Purpose The primary purpose of the Coding Specialist III is to code and verify data necessary to... ...ICD-10-CM/PCS coding and abstracting, MS-DRG classification and reimbursement structures...Remote workContract workLocal area
- ..., United StatesCompany: County of RiversidePosted: 2026-09-21Riverside University Health System (RUHS) seeks two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department at Riverside. Responsibilities include...
- A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including...Remote workMonday to Friday
- ...Services. Work Location-Remote Fully Virtual... ...Purpose As a part of our Coding Quality team, our... ...RHIA) Certified Coding Specialist (CCS) Certified Coding... ...applications including MS Office.... ...including review for APC/MS-DRG options, according to ICD...Remote workLive in
- ...agency is seeking a Certified Medical Coder to work remotely. This role involves reviewing medical records and coding diagnoses and procedures using ICD-9-CM and CPT-4... ...should have extensive experience in inpatient and DRG auditing, knowledge of medical coding systems, and...Remote work
$100k - $110k
...anticipated future Clinical Coding Analyst opportunities.... ...that support accurate MS-DRG assignment and... ...initiatives. This is a fully remote position requiring strong... ...Experience with APR, 30-day readmission, mortality... ...a Talent Acquisition Specialist Video interview with...Remote workFull timeLocal areaImmediate startMonday to Friday- ...Documentation Integrity Specialist (Pediatric CDIS)... ...advanced practice providers, coding professionals, and... ...supports compliant code and DRG assignment Develop... ...Coding Guidelines, MS-DRG and APR-DRG methodology,... ...work independently in a remote environment while managing...Remote workFull timePart timeTraineeship
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