Remote DRG Clinical Auditor Principal
The Elevance Health Companies, Inc.
- Remote job
Elevance Health is seeking a DRG Clinical Auditor Principal to audit inpatient medical records and DRG-based claims across lines of business. You will handle very complex coding cases and generate actionable audit findings for recoveries. The role requires extensive ICD-9/10CM and DRG experience, advanced auditing capability, and autonomy, with hybrid work arrangements and in-person training as needed. #J-18808-Ljbffr The Elevance Health Companies, Inc.
- ...DRG Clinical Auditor Principal (US) Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration,...PrincipalDaily paidFull timeWork at office
$122.24k - $183.36k
...posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The DRG Clinical Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology...PrincipalDaily paidFull timeTemporary workWork experience placementWork at officeLocal area1 day per week$90k - $105k
...seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG... ...documentation to determine the accuracy of principal and secondary diagnosis (including MCC... ...you should expect in this role Remote within the U.S. May be required to...Remote workFull timeContract workFlexible hours$45 - $50 per hour
...Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented Clinical Documentation Consultant (CDI) DRG Validation / Auditor... ...opportunity with long-term potential and is located in US(Remote). Pay Range: $45 - $50/hour. Traveler benefits...Remote workContract workLocal areaImmediate start$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... ...Maintain quality of reviews and make sure the true clinical picture is captured, along with ensuring chart review...Remote workImmediate startWork from home$80k - $95k
...Job Description Insight Global is seeking a Remote DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization... ...an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level...Remote work- ...reimbursement and compliance, the part-time PRN DRG Revenue Integrity Auditor will perform validation and quality... ...to federal regulations while working remotely. Key responsibilities: Conduct DRG... ...of experience as a DRG Auditor or Clinical Documentation Specialist in an acute...Remote workPart timeRelief
$68.57k - $104.84k
...CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible... ...and knowledge of medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group (DRG)... ...join our team! This role offers a fully remote work experience with possible 10% travel... ...supported audit findings , backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package$55.1k - $99k
Job Overview Clinical Coding Auditor & Trainer - Remote, NY, US. The position is primarily remote with a small travel expectation (twice a year to New York... ...in Nursing or equivalent experience 4+ years of DRG and/or Medical Record Audit experience 1 year of clinical...Remote workPermanent employmentFull time$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position Type Full-Time Overview This auditing... ...(APC, PNPP), Pharmacy and/or Inpatient DRG claims. Draws on advanced coding expertise and...Remote workHourly payFull timeContract workWork at officeImmediate start- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for... ...and ensure accurate DRG assignments. Responsibilities include clinical reviews of medical records, documenting audit findings, and...Remote job
- Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable... .... You will apply ICD-10 guidelines and clinical documentation principles in medical... ...internal teams. The role offers hybrid/remote work with required in-person training....Remote job
$55.1k - $99k
...Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor & Trainer position that is primarily remote with a small travel expectation on an annual basis. Candidates must be... ...programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs...Remote workFull timePart timeWork at officeFlexible hours$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration...Full timeWork at officeLocal area- CERIS, a division of CorVel Corporation, is seeking a DRG Clinical Auditor in Fort Worth, TX to perform DRG validation and coding reviews of medical records. You will determine correct DRG/coding per review methodologies and support clinical/policy/regulatory decisions...
- CERIS, a division of CorVel, seeks a DRG Clinical Auditor to perform DRG validation reviews, determine correct coding, and document findings. The role requires ICD-10-CM/PCS proficiency, clinical knowledge, and familiarity with medical necessity rules. The position emphasizes...
- CorVel Corporation seeks a DRG Clinical Supervisor to lead clinical auditors in validating DRG coding for inpatient records. This remote role emphasizes diagnostic accuracy, policy support, and regulatory compliance, ensuring clinically supported determinations. Ideal candidates...Remote job
$130k - $155k
A leading recruitment platform is seeking a Principal Data Manager for a remote position focused on overseeing data management throughout clinical trials. This role involves ensuring compliance, leading data management activities, and effectively communicating with stakeholders...Remote workPrincipalFlexible hours$130k - $155k
...Principal Clinical Data Manager – REMOTE This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Principal Data Manager. In this role, you will play a crucial part in managing clinical trial data processes, ensuring compliance...Remote workPrincipalWork from homeFlexible hours$65 - $80 per hour
...level, technically proficient Senior or Principal CRA to oversee complex monitoring... ...hands-on" expert who possesses the deep clinical intuition and technical skills that only... ...Associate (Medical Device) Location: Remote (Midwest or Central Time Zone preferred)...Remote workPrincipalContract work- ...Providing data management leadership in a remote environment, the full-time Principal Clinical Data Manager will oversee the design, implementation, and integrity of clinical data collection studies while mentoring staff and collaborating with cross-functional teams....Remote workPrincipalFull time
- ...A 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
- Our client, a leading CRO, is seeking a Principal Clinical Quality Assurance Specialist to join the team in Bethesda, MD. The role focuses on GCP audits, regulatory inspections, and strengthening QA systems while collaborating closely with the VP of Quality Assurance....Remote jobPrincipal
- ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible for performing Diagnostic Related... ...reviewed charts accurately reflect the patient's true clinical picture, based on codes assigned by facility coders, and...Remote work
$70.8k - $123.8k
Clinical Nurse Auditor Position Description CGI is one of the world's largest independent IT and... ...audit best practices. This position is remote within the United States, and... ...determinations Support Clinical Validation and DRG validation activities by documenting...Remote workWork at officeLocal area$120k - $165k
...the Danaher Business System which makes everything possible.Principal Clinical Scientist. This role is responsible for clinical trial strategies... ...Diagnostics, Beckman Coulter Inc. organization and will be remote based (can also be onsite in Chaska, MN). At Danaher...Remote workPrincipalFull timeImmediate startWork from homeFlexible hours- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and... ...files for potential recovery or referrals. This is a remote role with NYC/Tempe office options. #J-18808-Ljbffr Oscar Health...Remote jobWork at office
- Thermo Fisher Scientific invites applications for a Principal Biostatistician to work fully remote on the East Coast in the United States. The role requires 10+ years of clinical trial leadership, PhD or MS in Biostatistics, and expert SAS programming. Join our Clinical...Remote jobPrincipal
$60k - $90k
...Office Job Description Join the PPD™ clinical research business of Thermo Fisher... ...About the Role As a GCP Clinical Auditor II , you will lead and perform complex internal... ...Required travel (25-50%). Location: Remote United States. Relocation assistance is NOT...Remote workFull timeWork at officeWork from homeRelocation package
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