Remote DRG Auditor RN — Clinical Validation Expert
Registered Nurse
- Remote job
Optum is hiring a Clinical DRG RN auditor to verify DRG coding accuracy and reimbursements while telecommuting from anywhere in the U.S. In this role, you'll use your ICD-10 coding expertise to audit inpatient claims, identify overpayments, and support your findings with written rationales. The position offers competitive base pay, a comprehensive benefits package, and the opportunity to impact health outcomes on a global scale. #J-18808-Ljbffr Registered Nurse
$70k - $80k
...analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with... ...skills, attention to detail, and experience in DRG audits. Competitive salary range is $70k -...Remote job- Stryker Corporation is seeking a Clinical DRG RN Auditor who will work remotely to validate DRG assignments and reimbursements. This role requires deep expertise in ICD-10 coding and offers flexibility to telecommute from anywhere in the U.S. The ideal candidate will have...Remote jobRelocation package
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum... ..., you will apply your expert knowledge of the MS-DRG and... ...proprietary tools, you will validate ICD-10 diagnosis and procedure... ...to work independently in a remote environment and deliver...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- ...company in Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring... .... This position offers competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance HealthRemote jobFlexible hours
- Israelvcforum is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to audit inpatient medical records and ensure compliance with coding and documentation standards. This role allows for virtual full-time work, with required in-person training sessions...Remote jobFull time
- Texas Health Institute is seeking a Clinical DRG RN auditor who will leverage expertise in MS-DRG and APR-DRG coding... ...audit inpatient claims. This role entails validating ICD-10 codes and DRG assignments while working remotely from anywhere in the U.S. The ideal...Remote jobRelocation package
$82.23k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach...Full timeWork experience placementWork at officeLocal area$81.85k - $155.09k
Anticipated End Date: 2025-09-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables...Full timeTemporary workWork experience placementLocal area1 day per week- UnitedHealth Group is looking for a Clinical DRG RN Auditor. This role involves auditing inpatient claims using MS-DRG and APR-DRG coding methodologies... ...and demonstrate analytical skills while working in a remote environment. You'll enjoy benefits including paid time off,...Remote jobRelocation package
- Walker Healthforce, LLC is seeking an RN Inpatient Hospital Auditor for a remote 6-month contract in New Jersey. The ideal candidate should possess a valid RN license, CCS ORRHIT/RHIA certification, and have at least 3 years of experience in an acute care hospital. Responsibilities...Remote jobContract work
- ...healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records,... ...quality assurance guidelines. This role requires an active RN license and the ability to analyze claims data and regulations...Remote job
$90k - $120k
...Job Title: RN DRG Coding Validator / Auditor Location: Remote / Virtual (U.S. Based) Position Type: Full-Time,... ...with a passion for data integrity, clinical accuracy, and medical coding? We are seeking a dual-expert RN DRG Coding Validator to join our...Remote workFull timeTemporary workLocal areaImmediate startWork from homeHome officeFlexible hoursShift workWeekend work$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position Type... ...), Pharmacy and/or Inpatient DRG claims. Draws on advanced... ...guidelines and mandates. Requires expert coding knowledge - DRG, ICD-1...Remote workHourly payFull timeContract workWork at officeImmediate start- ...Clinical Validation Nurse At MedReview, our mission is to bring accuracy,... ...integrity solutions including DRG Validation, Cost Outlier and... ...Registered Nurse with active RN licensure required CCS (Certified... ...at the same time Remote Work Requirements: High speed...Remote workFull timeMonday to Friday
$80k - $90k
...0-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting... ...serves as a subject matter expert, providing supplemental... ...CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary.... ...ability to work independently in remote setting with minimum...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work$58k - $114.9k
A leading healthcare compliance firm is seeking a Remote MSDRG Auditor to validate medical records for coding and reimbursement accuracy. Candidates... .... The successful applicant will leverage their strong clinical validation and analytical skills while working remotely across...Remote job$85k - $90k
...leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is... ...claim information to validate accuracy of DRG assignments and... ...This role will apply coding and clinical principles based on industry... ...findings Qualifications An active RN professional license in good...Remote jobWork at office$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon... ...in a hybrid model (remote and office). The ideal... ...-expense spending. The DRG Coding Auditor Principal... ...Coding Guidelines, Coding Clinics, and the ICD-10... ...audit findings letters. Validates accuracy and quality standards...Remote workDaily paidWork at officeLocal area1 day per week$120 - $160 per hour
...opportunity for physicians experienced in primary care, clinical documentation, patient case review, EHR data... ...workflow analysis, and structured medical data validation. This role supports current and upcoming remote consulting opportunities focused on clinical data...Remote jobHourly payWeekly payJob sharingContract workPart timeFor contractorsFlexible hours$85k - $95k
A leading healthcare provider is seeking a Registered Nurse with a strong background in clinical validation to join their coding department. This full-time position offers telecommute flexibility within the United States. Candidates must have at least two years of clinical...Remote jobFull time$68.57k - $104.84k
...Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic... ...for performing DRG validation (clinical/coding) reviews... ...rules. This is a remote position.... ...KNOWLEDGE & SKILLS: Expert knowledge of application... ...EXPERIENCE: LVN or RN license in the state...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- Humana Inc is seeking an Inpatient Medical Coding Auditor to join their coding disputes team. This remote position involves reviewing DRG and ICD-10-CM coding for accuracy while collaborating with coding professionals to achieve compliant outcomes. The ideal candidate holds...Remote job
- ...leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider...Remote job
$38.92 - $60.33 per hour
...HOSPITAL facility. This job is REMOTE. FTE: 1.000000 Standard... ...weekends Job Summary: The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits... ...minimum of 3 years of experience in Clinical Documentation Integrity and/or inpatient...Remote workHourly payTemporary workShift workWeekend work- ...healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement processes.... ...and excellent communication skills. The position is remote, but may require occasional travel for training, offering...Remote job
- A healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical validation and utilization review to ensure accurate DRG assignment and support healthcare quality. Candidates...Remote job
$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,000.00 per... ...travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license Valid/Current CPC or CIC... ...equivalent experience ~4+ years of DRG and/or Medical Record Audit...Remote work- ...for a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and billing... .... The ideal candidate should have an RN license, coding certification, and at... ...Medicaid claims review experience. This remote position requires occasional travel within...Remote job
$55.1k - $99k
...Role: Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position... ...to New York twice a year RN, PA, MD, APRN, DO, or MBBS license Valid/Current CPC or CIC... ...equivalent experience ~4+ years of DRG and/or Medical Record Audit...Remote workPermanent employmentFull time$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess a nursing degree or... ...Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The...Remote jobFlexible hours
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