Remote DRG Audit RN — Clinical Validation & Coding Expert
Texas Health Institute
- Remote job
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 for audit findings. The role offers telecommuting flexibility within the U.S. and a comprehensive benefits package. Strong coding expertise and CMS guideline knowledge are required. #J-18808-Ljbffr Texas Health Institute
- Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records, ensuring clinical... ...billed and reimbursed. The role emphasizes ICD-10 coding expertise and DRG validation across multiple DRG types. Hybrid role with...Remote job
- ...seeking a Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) to... ...flexibility and autonomy; remote work may be supported regionally. Strong ICD-10 coding expertise and guidelines knowledge will drive audit findings and quality improvements...Remote jobFull time
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR... ...will apply your expert knowledge of the... ...-DRG and APR-DRG coding/reimbursement methodology... ...in the auditing of inpatient claims... ...tools, you will validate ICD-10 diagnosis... ...independently in a remote environment and deliver...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- 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... ...documenting rationales, and maintaining high-quality audit outputs. You will work remotely from anywhere in the U.S. and use...Remote jobRelocation 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
- .... is seeking a Senior Medical Coding Professional, Inpatient to support... ...claims for coding accuracy, DRG assignment, and guideline... ...Integrity. The role involves auditing inpatient records, applying ICD... ...guidelines, and collaborating with clinical reviewers to ensure accurate...Remote work
- .... is seeking a Senior Medical Coding Professional (Inpatient) to support... ...for coding accuracy and DRG assignment. You report to the... ...Integrity and collaborate with clinical reviewers and data analysts.The... ...knowledge and CDI/SOI concepts. Remote/hybrid work options are...Remote work
- UnitedHealth Group is seeking a Clinical DRG RN auditor to audit MS-DRG and APR-DRG coding for inpatient claims, ensuring correct DRG assignments and reimbursement... ..., and detailed rationales for audit findings. Remote work within the United States is supported. Qualified...Remote job
$45 - $50 per hour
...Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented Clinical... ...and is located in US(Remote). Pay Range: $45 - $5... ...Technology Experience: RN, BSN, MSN, MD or Foreign... ...with 3M CDI and coding applications. ICU, Critical...Remote workContract workLocal areaImmediate start- ...seeking an experienced IP Coder to perform inpatient coding, including DRG assignment and validation. You will work with the CDI team, Coding Manager, and... ...strong knowledge of medical terminology and anatomy. Remote work is available with secure, high-speed internet requirements...Remote work
$85k - $95k
...accountability, and clinical excellence to... ...solutions including DRG Validation, Cost Outlier and... ...to work within our coding department. Candidate... ...inpatient claims auditing experience or case... ...Nurse with active RN licensure required... ...same time Remote Work Requirements...Remote workFull timeMonday to Friday$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables... ...Auditor-RN is responsible for auditing inpatient medical records to ensure... ...claims by integrating medical chart coding principles, clinical guidelines, and...Full timeWork at officeLocal area- ...healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training and quality auditing programs. The role primarily offers remote work with some travel to... ...Candidates should have a valid clinical license and experience in DRG and Medical Record Audits....Remote workFull time
- ...medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is... ...~ Experience with inpatient coding and DRG validation, including accuracy review, compliance... ...system. ~3+ years working remotely with various technology...Remote workFor contractorsLocal area
$69.3k - $78k
...Review Nurse II - Clinical Validation At Performant, we’... ...performs medical claims audit reviews. As a MR... .... You will work remotely in a fast paced... ...0, CPT-4 or HCPCS coding. Knowledge of insurance... ...unrestricted RN license in good standing... ...HCPCS/CPT coding, DRG and medical...Remote workFor contractorsWork at officeWork from homeHome officeShift work- A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement...Remote jobFull time
- ...TitleValidates Acute Inpatient coded charts to ensure the... ...Record.Seeking RN candidates with a HCS-... ...for OASIS Specialist-Clinical. Remote position in New York.Job... ...to identify and validate DRG code assignment.2. Full... ...principals; performs coding audits for optimization.4....Remote workHourly payFull time
- ...Minnesota, United StatesCompany: UnitedHealth GroupPosted: 2026-08-11UnitedHealth Group is seeking an experienced Inpatient DRG Coder to join the remote coding team. You will assign ICD-10-CM/PCS and DRG codes for facility services, adhering to official coding guidelines and...Remote work
- ...Number 194633 Job Description Validates Acute Inpatient coded charts to ensure the... ...the 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...Remote work
- ...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
$69.3k - $78k
...seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial... .... The position requires an active RN license and a minimum of five years... ...and documenting findings, all in a remote work environment. This role offers...Remote job$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... ...and reimbursement. Utilize expert knowledge to identify ICD-10-CM/...Hourly payFull timeTemporary workRelocation packageDay shift- ...part of UnitedHealth Group, is seeking a skilled Medical Coder to support inpatient hospital coding and DRG assignments from Eden Prairie, MN. This full-time role offers remote work within the U.S. and a comprehensive benefits package.You will assign ICD-10-CM/PCS codes...Remote workFull time
$23.7 - $46.35 per hour
...processes are being met.This is a virtual, remote, position that requires candidates to be... ...assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a... ...setting and understand their impact on the DRG with reference to CC / MCC, while adhering...Remote workHourly payDaily paidMinimum wageFull timePart timeWork experience placementLocal areaRelocation packageMonday to Friday- 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
- ...Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when... ...:Coding concepts for facility diagnosis and procedure coding and DRG assignmentLegal and policy directives pertinent to codingBe...Remote workWorldwide
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity... ...Responsibilities: Adherence to all coding guidelines and CDI best practices,... ...of reviews and make sure the true clinical picture is captured, along with...Remote workImmediate startWork from home- Optum Frontier Therapies, part of UnitedHealth Group, seeks a skilled clinical coder to support inpatient DRG coding and ICD-10 coding tasks from a remote US location. You will follow official guidelines, maintain high accuracy, and collaborate with QM leadership to ensure...Remote job
$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 is recruiting an experienced inpatient DRG coder to support facility coding across a telecommuting model. You will assign ICD-10-CM/PCS, DRG, and abstraction per guidelines, while maintaining coding quality and productivity targets. Responsibilities include querying...Remote job
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