Nurse Coder DRG Auditor I [Remote]
Full-time
Trend-Health-Partners
Remote
- Remote job
At Trend Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows.
Joining Trend Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.
The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments, APC assignments and/or medical necessity for inpatient level of care. This role will apply coding and clinical principles based on industry standards and company/client guidelines.Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Nurse Coder DRG Auditor I [Remote] in Remote vacancy
- Nurse Auditor Coder (RN + CRC or CIC) | Clinical Claim Review | Weekdays | 100% Remote 100% Remote, U.S.-based | 1099 Independent Contractor... ...omissions and consolidations. Validate ICD-10-CM, CPT/HCPCS, and DRG assignments against the documentation and applicable coding...SuggestedRemote jobHourly payContract workFor contractorsMonday to FridayShift workNight shiftWeekend workAfternoon shiftWeekday work
- Michael Hill, MD and Associates (MHMDAA) is seeking a Nurse Auditor Coder (RN + CRC or CIC) for a 100% remote, U.S.-based engagement as a 1099... ...the original records, and applying ICD-10-CM, CPT/HCPCS, and DRG guidelines. #J-18808-Ljbffr Michael Hill, MD and AssociatesSuggestedRemote jobFor contractorsMonday to Friday
$76k - $99k
...particular focus on reducing inappropriate medical spend. As an DRG Validation Auditor at Clover Health, you will play a key role ensuring that... ...when they are identified. The Associate - Inpatient Coder coordinates the identification of provider DRG denials and upcoding...SuggestedFull timeWork experience placementWork at officeRemote workFlexible hours- ...DRG Revenue Integrity Auditor (DRG - A) Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our... ...clinical picture from the codes assigned by the facility's coders in compliance with federal laws. The DRG - A will utilize...SuggestedWork experience placementWork at officeRemote work
CorroHealth
United States1 day ago $85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) We are seeking... ...established by management. Assist management with training new Coders or Clinical DRG Auditors, including daily monitoring,...SuggestedRemote jobFull timeContract workFlexible hours- ...application for the opportunity below: DRG Validation Auditor Schedule: Monday-Friday Day Shift... ...Information Management Service Center (HSC) coders to ensure compliance with national... ...and a partnership with Galen College of Nursing Additional benefits for fertility and...Temporary workWork from homeMonday to FridayFlexible hoursDay shift
- Not Disclosed is seeking a remote DRG Auditor to validate inpatient DRG codes and identify coding discrepancies. The role requires an active RN license and 5+ years in acute care, with DRG auditing or clinical coding validation experience preferred. Strong Excel, written...Remote job
$35 - $63 per hour
...Connecting. Growing together. In this position as a Clinical DRG RN auditor , you will apply your expert knowledge of the MS-DRG and APR-DRG... ...: Associate's degree Unrestricted RN (Registered Nurse) license CCS/CIC or willing to obtain certification within 6 months...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote work- Medical Review Nurse - Commercial DME Auditor Remote - US Machinify is a leading healthcare intelligence company... ...of experienced medical auditors and coders performing retrospective and... ...ICD-9/ICD-10 coding, HCPS/CPT coding, DRG and medical billing experience for an...For contractorsWork at officeRemote work
- EXL is seeking a qualified Clinical Validation Auditor to review inpatient records, validate DRG codes, and help prevent improper payments in a fully remote role based in the U.S. As a Registered Nurse with 5+ years in acute care, you’ll apply clinical and coding knowledge...Remote job
- Optum in the United States is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding expertise to inpatient claims. You will validate ICD-10 coding, DRG assignments, and discharge statuses, producing clear rationales and supporting audit findings. You can telecommute...Remote job
- ...Nurse Auditor Full-time Company Description Healthcare Job Description Nurse Auditor Burlington, WA Exp 5-7 years... ...unrestricted RN license for medical care management). Certified Coder certified with the American Academy of Professional Coders (...Full timeWork at officeRemote work
Direct Staffing Inc
Burlington, WA2 days ago - ...Financial Solutions has an exciting career opportunity available as a Nurse Auditor . This position will be a remote based role. The Full Time... ...for denied services. Other Denial Reviews for Appeal: DRG Downgrades MAC & RAC Audits Payer Utilization Review Audits Experimental...Full timeRemote workMonday to Friday
Elevate Patient Financial Solutions®
New York, NY1 day ago - ...Nurse Auditor Remote We are seeking a detail-oriented Registered Nurse (RN) Auditor to support revenue integrity efforts with a focus... ...healthcare auditing, denials or utilization review. Familiarity with DRG concepts (MS-DRG or APR-DRG), audit or compliance programs....Temporary workRemote work
UASI
United States2 days ago - Optum is seeking a Clinical DRG RN auditor who will validate ICD-10-CM/PCS codes and DRG assignments for inpatient claims. You will write... ...knowledge, including MS-DRG/APR-DRG, ICD-10 guidelines, and CMS rules. #J-18808-Ljbffr University of Minnesota School of NursingRemote job
- Pre-Payment Clinical Auditor (RN/Medical Coder) | 5 Years of Experience | Remote | Contract Walker Healthforce is seeking a Pre-Payment Clinical... ...healthcare reimbursement functions. Active Registered Nurse (RN) license. Active, nationally recognized coding certification...Remote jobWeekly payContract workImmediate startMonday to Friday
$73k - $98.7k
...Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote work experience with possible 10% travel per...Full timeWork experience placementRemote workWork from homeHome office$95k
...Overview This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR). Auditors in this role will be doing DRG Validation... ...are required): Associate or bachelor’s degree in nursing (active /unrestricted license). Associate or bachelor’...Hourly payFull timeReliefWork at officeImmediate startRemote workShift workNight shiftWeekend workAfternoon shift$90k - $145k
...Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes... ...Job Qualification 1.Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, required, or equivalent...Hourly payFull timeRemote work- ...competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Nurse Coding Auditor is responsible for reviewing medical records, clinical documentation, itemized bills, and facility claims to validate...Remote jobFull time
$64.29k - $106.08k
...contributes to a legacy of service built on collaboration and shared purpose. Job Summary and Responsibilities As our Auditor Coder Specialist , you will be a critical guardian of compliance and financial integrity, optimizing operational efficiency across...Work experience placement$78.91k - $110k
.... Position Summary Register Nurse provides clinical and technical analysis... ...hospital billing coordinator and/or auditor. # Certified Professional Coder preferred. #2 years’ health... ...reviews such as diagnosis-related group (DRG) validation, appropriate level of...Hourly payFull timeWork at officeRemote workWork from homeAfternoon shiftModa Health
Portland, OR4 days ago- ...speed. This remote office opportunity oversees clinical CVA audits to ensure accuracy and quality. Responsibilities include DRG audit quality checks, mentoring auditors, process improvements, and clear communication with peers and management. #J-18808-Ljbffr Zim DirectoryRemote jobWork at office
- ...partnering with exceptional clients and colleagues, we'd love to hear from you. **Sign on bonus available** What You'll Do The DRG Revenue Integrity Auditor (DRG-A) performs comprehensive Diagnostic Related Group (DRG) validation and quality audits on inpatient medical records...Work experience placementLocal areaRemote workRelocation packageFlexible hours
- Humana Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handling... ...or meetings. The auditor analyzes records to ensure accurate DRG assignments and cost-effective payments. The position requires...Remote job
- ...Quality Analyst to oversee and perform clinical CVA audits ensuring accuracy in inpatient DRG coding. The role involves reviewing audits for consistency, coaching clinical DRG auditors, and driving quality improvements across processes. The position requires a current RN...Remote job
- Machinify is seeking a Medical Review Nurse II - Commercial DME to perform retrospective and prepayment medical claims audits for... ...This remote U.S. role joins a multi-location team of expert auditors and coders, delivering high-quality reviews in a fast-paced environment....Remote job
- Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims and ensure correct DRG assignments for proper reimbursement. The role supports cost reduction through accurate provider payments and clear communication with internal...Remote jobWork from home
- Humana Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and accurate DRG assignments. This role emphasizes MS-DRG coding, auditing, and cost-conscious payer processes in a remote work setting. Ideal...Remote job
- ...particular focus on reducing inappropriate medical spend. As an DRG Validation Auditor at Clover Health, you will play a key role ensuring that... ...overpayments when they are identified. The Associate - Inpatient Coder coordinates the identification of provider DRG denials and...Full timeRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Nurse Coder DRG Auditor I [Remote]. Be the first to apply!
