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- Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and APR-DRG coding methodologies. In this role, you will audit... ...rationales for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing to improving...Remote job
- The University of Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in MS-DRG and APR... ...and compliance with coding guidelines. You will enjoy remote work flexibility and be part of a culture that values inclusivity...Remote job
- UnitedHealth Group is seeking a Clinical DRG RN auditor to leverage expert coding knowledge in auditing inpatient claims. This remote role allows for flexibility within the U.S., focusing on accurate DRG assignment to help improve health outcomes and manage overpayments...Remote job
$82.23k - $155.81k
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to ensure clinical documentation accuracy for inpatient records. This role offers flexibility through virtual work. The ideal candidate will analyze claims, maintain auditing standards,...Remote job$82.23k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN, responsible for auditing claims while working virtually. The position entails analyzing claims to ensure compliance with medical coding standards and identifying documentation errors...Remote job$82.23k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to conduct thorough audits of medical claims. The role requires... ...documentation improvement. This position primarily allows remote work while maintaining high standards for accuracy and...Remote job- Optum is seeking a Clinical DRG RN auditor to join their team remotely from anywhere in the United States. This role requires expertise in MS-DRG and APR-DRG coding and reimbursement methodologies, along with a commitment to ensuring accurate coding for inpatient claims...Remote job
$35 - $63 per hour
...Crains Cleveland is looking for a Senior Clinical Appeals RN who utilizes expertise in MS-DRG and APR-DRG auditing to respond to appeals and coach remote DRG Validation Specialists. This role allows for remote work across the U.S., with specific location requirements for...Remote workHourly pay- ...UnitedHealth Group is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing to manage appeals. This position allows remote work throughout the U.S., except for... ...compliance with regulations. A valid RN license and coding experience are...Remote workWork at office
$86.56k - $129.84k
...Elevance Health Companies, Inc. is seeking a Patient Safety DRG Clinical Validation Auditor to work virtually full-time, facilitating in-person... ...documentation accuracy. Candidates must possess a current RN license and have at least 10 years of experience in claims...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 at officeLocal area$82.23k - $155.81k
Title 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. Alternate...Full timeWork at officeLocal area$86.56k - $155.81k
Anticipated End Date: 2026-07-10 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 timeContract workTemporary workWork experience placementLocal area1 day per week$35 - $63 per hour
...Stryker Corporation is seeking a Senior Clinical Appeals RN to utilize clinical expertise in... ...medical records. The role includes analyzing DRG appeals, conducting complex analyses, and... ...of coding experience with ICD-10. Remote work opportunities are available in the...Remote workHourly pay$35 - $63 per hour
...University of Minnesota School of Nursing is looking for a Senior Clinical Appeals RN. This role involves reviewing and responding to appeals in MS-DRG and APR-DRG auditing and provides coaching to remote specialists. Remote work is available within the U.S., but...Remote workHourly payWork at office$35 - $63 per hour
...and Territorial Epidemiologists is hiring a Senior Clinical Appeals RN. This position utilizes expertise in MS-DRG and APR-DRG auditing to review appeals and is... ...experience in ICD-10 coding. The role allows for remote work, and candidates should be solution-oriented...Remote workHourly pay$35 - $63 per hour
...Optum is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing for appeals management. This... ...appeals, collaborating with auditors, and authoring rebuttals. The job can be performed remotely across the U.S., with certain locations...Remote workHourly payWork at office- 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
$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$85k - $95k
...accuracy, accountability, and clinical excellence to healthcare. As... ...integrity solutions including DRG Validation, Cost Outlier and Readmission... ...Registered Nurse with active RN licensure required CCS (... ...applications at the same time Remote Work Requirements High speed...Remote workFull timeMonday to Friday$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 workWork at office$80k - $90k
...Responsibilities*** Performs clinical reviews on medical... ...* Become subject matter expert for assigned business segment... .../HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary.... ...work independently in remote setting with minimum... ...*** Active unrestricted RN license #J-18808-Ljbffr...Remote workFlexible hours$60.1k - $98.7k
EXL Health, is seeking an experienced Clinical Validation Auditor (CVA) Quality Analyst. This is a remote office opportunity. The Quality Analyst IV oversees work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met. The analyst...Remote workFull timeWork at office- ...healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible... ...will have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work...Remote workWork from home
- ...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 work
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