Remote DRG Coding Auditor — MS-DRG & APR-DRG
Elevancehealth
Location: Florida, New York, United StatesCompany: Elevance HealthPosted: 2026-10-07Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-DRG/AP-DRG assignments across all lines of business. The role focuses on generating high-quality recoverable claims and performing clinical reviews to assess coding accuracy.The position supports virtual work with required in-person training, and relocation within reasonable commuting distance may be considered.#J-18808-Ljbffr
- ..., New York, United StatesCompany: Elevance HealthPosted: 2026-10-08Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-DRG/AP-DRG assignments across all lines of business. The role focuses on generating high-quality...Remote workRelocation
$500 per month
...-10-05Sign On Bonus: $1,500; paid in two installments:$500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training...SuggestedFull timeWork experience placementWork at officeLocal area$92.88k - $160.22k
...Sign On Bonus: $1,500 DRG Coding Auditor - MS-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 promotes productivity...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group... ...join our team! This role offers a fully remote work experience with possible 10%... ...What You’ll Do: Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package- Elevance Health is seeking a DRG Coding Auditor to ensure accurate, compliant inpatient reimbursement... ...-health care for our members. In this remote role, you will perform detailed... ...records and ICD-10-CM/PCS codes to validate MS-DRG/APR-DRG assignments and identify...Remote workFull time
- ...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...Remote work
$85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception... ...performing DRG validation (clinical/coding) reviews of medical records and/or... ...payment methodologies including MS-DRG, AP-DRG and APR-DRG. Responsibilities...Remote jobFull timeContract workFlexible hours- ...UnitedHealth Group's Optum unit is hiring a Clinical DRG RN auditor. You will apply MS-DRG/APR-DRG knowledge, ICD-10 guidelines, and AHA guidelines to audit inpatient claims and identify overpayments. This remote role allows telecommuting from anywhere in the U.S.with...Remote work
$35 - $63 per hour
...Growing together.In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10... ...same timeAbility to work independently in a remote environment and deliver exceptional...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area- ...Technologies is seeking a Clinical DRG Auditor to perform DRG validation reviews of medical records, coding accuracy, and documentation... ...licensure, and specialty in MS-DRG/APR-DRG coding, with proficiency... .... The candidate will work remotely within the United States, traveling...Remote job
- ...audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition.... ...Skills: 1. Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses / procedures...Remote workCasual workShift work
- CorroHealth seeks a DRG Revenue Integrity Auditor to validate inpatient DRGs and ensure coding accuracy. You will review charts, assess POA indicators, SOI, ROM, CMI, and HCC capture, applying ICD-10-CM/PCS and guidelines from CMS, NCDs, LCDs, and payer policies. Ideal...Remote jobRelocation package
- ...Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation... ...substantiates diagnostic information. This remote position in New York requires a NY... ...coding guidelines. You will audit DRG assignments, communicate changes to...Remote work
- ...Savista is seeking an Inpatient Coder to review clinical documentation and assign ICD-10-CM/PCS codes for Facility Inpatient records, ensuring accurate MS-DRG calculations for reimbursement. The role supports data integrity and compliance with HIPAA while collaborating...Remote work
- ...Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued. Belong.At... ...an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring... ...of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses...
$103.64k - $161.54k
...Description The Director, CERIS DRG Audit Program is a... ...improvement of coding accuracy, clinical documentation... ...of clinical and coding auditors while collaborating... ...Extensive knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS,... ...complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Job Description Job Description DRG Auditor We’re seeking an experienced DRG Revenue Integrity Auditor to review inpatient hospital records and confirm coding accurately reflects the care provided. This role is a fit for a coding professional who can work independently...Remote job
- Cook Children’s Medical Center seeks a Clinical Documentation Integrity Auditor to review and improve documentation accuracy, coding precision, and APR-DRG alignment. This role verifies POA status and DRG appropriateness, conducts pre-bill audits, and tracks trends for...
$86.56k - $129.84k
...required by law. The Patient Safety DRG Clinical Validation Auditor is responsible for auditing... ...claims by integrating medical chart coding principles, clinical guidelines,... ...experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...integrity solutions, is seeking a DRG Reviewer to validate inpatient... ...clinical review. This is a fully remote role, with work hours aligned to... ...Eastern Time. The position requires coding credentials (CCS/CIC/RHIT), 3+ years in MS-DRG/APR-DRG validation, and strong...Remote work
- ...hospital client partners, the full-time remote RN DRG Appeals Specialist will perform reviews... ...responses, and ensuring compliance with coding guidelines. Key responsibilities: Conduct... ...medical records to validate assigned MS/APR DRGs for various claims Formulate custom...Remote workFull time
- ..., MI seeks an Advanced Inpatient Coder responsible for reviewing medical records and accurately assigning ICD-10-CM/PCS codes, as well as MS-DRG/APR-DRG classifications. The role ensures POA indicators are properly captured and aligns with AHIMA/AAPC guidelines. The...Remote work
- ...DRG Coding Audit Manager-Program/ProjectLocations: The selected candidate must reside within a reasonable commuting distance of the... ...or supervisory capacity.Experience working with ICD-9/10CM, MS-DRG and APR-DRG.Broad knowledge of medical claims billing/payment systems...Work at officeLocal areaShift work3 days per week
- ...talented Clinical Documentation Specialist - Coding. This is a 06 months contract opportunity... ...potential and is located in California (Remote). Please review the job description below... ...preferred.Knowledge of ICD-CM classification, MS-DRGs, and payment methodologies preferred....Remote workContract workImmediate start
$48.13k - $81.23k
...patient satisfaction and improves financial performance.As our DRG Validation Auditor I , your primary role will be auditing inpatient cases for... ...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA...Local area- ...The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary... ...determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient... ...of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment...Remote workWork at officeLocal areaShift work
$64.63k - $84.45k
...Position Overview *Please note - while remote, we are only considering candidates in New... ...Senior Coder is an expert-level coding professional responsible for accurately... ...10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves...Remote workFull timeTemporary workPart timeLocal areaFlexible hours- ...Healthcare is seeking a Hospital Inpatient Coder III for a remote position. You will assign ICD-9/10 codes for inpatient encounters, collaborate with physicians... ...inpatient/outpatient coding in acute care and deep MS-DRG knowledge.Remote work is allowed with location...Remote work
- ...EXL is hiring a Quality Analyst - Clinical Validation Auditor (CVA) for a remote role in healthcare. You will oversee Clinical CVA audits, applying clinical judgment to DRG accuracy and mentoring auditors across the team. Daily responsibilities include mentoring, process...Remote work
$85k - $95k
...MedReview is seeking an experienced DRG Reviewer to join our Payment... ...and claims to validate coding accuracy, ensure appropriate... ...in a fast-paced remote environment. This is a fully... ...Ensure accurate application of MS-DRG and APR-DRG methodologies. Evaluate...Remote workWork at officeFlexible hours
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