Remote DRG Auditor RN - Clinical Validation & Coding Expert
Palo Verde Community College District
- Remote job
UnitedHealth Group seeks a Clinical DRG RN auditor to verify MS-DRG/APR-DRG coding and CMS guidelines, identify overpayments, and document audit rationales. The role focuses on inpatient claims auditing with emphasis on accuracy and reimbursement integrity. This telecommuter position allows remote work from anywhere in the United States, with competitive benefits and opportunities to grow expertise in coding guidelines, data analysis, and collaboration across clinical/payer teams. #J-18808-Ljbffr Palo Verde Community College District
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS... ..., you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement... ...proprietary tools, you will validate ICD-10 diagnosis and procedure... ...independently in a remote environment and...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation 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
- UnitedHealth Group invites a Clinical DRG RN auditor to join our telecommuting team from anywhere in the United States. The role focuses on MS-DRG and APR-DRG coding audits, validating ICD-10-CM/PCS code assignments, and producing clear rationales. You will use CMS guidelines...Remote job
$45 - $50 per hour
...Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented Clinical Documentation... ...and is located in US(Remote). Pay Range: $45 - $... ...Experience: RN, BSN, MSN, MD or Foreign... ...Experience with 3M CDI and coding applications. ICU,...Remote workContract workLocal areaImmediate start$86.56k - $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... ...Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in...SuggestedFull timeWork at officeLocal area- UnitedHealth Group's Optum is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding and CMS guidelines to inpatient claims. Remote work is available nationwide; you will identify overpayments and document audit rationales to support findings. Requirements include...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... ...assignment and reimbursement. Utilize expert knowledge to identify ICD-10-CM/PCS...Hourly payFull timeTemporary workRelocation packageDay shift- ...TitleValidates Acute Inpatient coded charts to ensure the... ...the Medical Record.Seeking RN candidates with a HCS-D - Home... ...Certificate for OASIS Specialist-Clinical. Remote position in New York.Job... ...clinical expertise to identify and validate DRG code assignment.2. Full...Remote workHourly payFull time
$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- Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews for inpatient records... .... You will apply ICD-10-CM/PCS coding guidelines to ensure accurate... ...and compliant documentation. This remote role offers a salaried schedule,...Remote job
$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- ...DRG Validation Auditor Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background... ...facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding...Remote work
$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor for one of our clients to work 100... ...extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of...Remote work- ...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 healthcare... ...solutions including DRG Validation, Cost Outlier and Readmission... ...to work within our coding department.... ...Registered Nurse with active RN licensure required... ...at the same time Remote Work Requirements...Remote workFull timeMonday to Friday$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$31.25 - $38.46 per hour
Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to... ...disciplines from a coding and billing perspective: Inpatient DRG/APR-DRG and/or episode of care. This position is...Hourly payWork at office- ...leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for... ...should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive...Remote work
- ...seeks an Inpatient Auditing Specialist to conduct coding audits and provide educational support. This fully remote role requires 3+ years of coding experience, a... ...successful candidate will review medical records, validate DRGs, and ensure compliance with coding standards...Remote workRelocation package
- ...provider based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims... ..., including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes...Remote workFlexible hours
$75k - $110k
ExlService Holdings, Inc. is seeking a DRG Auditor III for a fully remote opportunity in the United States. You will audit DRG codes, review medical records, and ensure accurate coding while collaborating with healthcare teams. The role offers remote work from a home office...Remote jobWork from homeHome office- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding & Clinical... ...compliance guidelines and mandates. Requires expert coding knowledge DRG & ICD 10.... ...note: There may be opportunities for remote work on all jobs posted by the LBS Recruitment...Remote workWork experience placement
- ...RN Nurse Auditor (Remote) The RN Nurse Auditor is a key member of the Clinical Appeals team and reports directly to the Clinical Appeals Manager. This role is responsible... ...preparing detailed appeals that support the validity of charges and medical necessity of services...Remote job
- ...Corporation is seeking a Senior Inpatient Auditor to enhance our Payment Integrity team.... ...vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing accuracy... ...superior coding knowledge. This fully remote position supports a dynamic environment...Remote job
$70k - $80k
...getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your... ...review medical records, validate billed DRG codes, and help identify overpayments...Remote workFull time- ...Minnesota, United StatesCompany: UnitedHealth GroupPosted: 2026-08-10UnitedHealth 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
- Labela seeks certified U.S. medical coders for high-level coding and documentation consulting, acting as subject matter expert to validate AI-generated coding logic and documentation reasoning. This flexible, remote role requires 2+ years of production coding or CDI...Remote jobFull timeFlexible hours
- 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
- 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
- ...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
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