Remote DRG Quality Auditor - Clinical Records Review
$68.57k - $104.84kCorVel Corporation
CorVel Corporation is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews in Fort Worth, TX. The ideal candidate will have a strong clinical knowledge base, excellent communication skills, and a minimum of 2 years of experience in DRG quality auditing, along with necessary coding certifications. This remote position offers a competitive pay range of $68,566 to $104,841 and a comprehensive benefits package for full-time employees. #J-18808-Ljbffr
- ...is seeking a Coding Quality Review Specialist for a top... ...based in Nashville, TN (remote position). The CQR... ...and outpatient records. This role ensures adherence... ...and compliance with MS-DRG and national standards... ...required IP Coding Auditor certification for MS-...Remote workShift workWeekend work
$90k - $99k
...individual for a DRG Nurse Reviewer Appeals and Hearings... ...using approved clinical and coding... ...production goals and quality standards. Prepares... ...Professional Medical Auditor (CPMA) required 5... ...5+ years medical record coding experience... ...in this role Remote (Work from Home)...Remote workFull timeWork from homeRelocation packageFlexible hours- Quality Officer I (Inpatient Coding Review) - Hybrid/Remote job at System Business Office. Oceanport, NJ.... ...ICD-10-CM/PCS coding and DRG assignment for... ...anatomy and physiology, clinical indicators associated with... ...each inpatient medical record to apply appropriate coding...Remote jobWork at office
$93.4k - $116.8k
...experienced RN with a strong background in Quality including quality of care reviews, incident investigation, and... ...Health Plans is seeking a seasoned clinical professional to play a critical... ...Conducts audits of patient/member case records. Develops forms, record abstracts,...Remote workWork experience placementFlexible hours- ...healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical... ...accurate DRG assignment and support healthcare quality. Candidates must possess an MD/DO with an active U.S...Remote work
$42.28 per hour
...About the job Coding Quality Review Specialist Whats in it for you? Competitive... ...of experience. Full-time, remote work flexibility. Opportunity... ..., guidelines, policies, and clinical resources. What will you need... ...). 3+ years of hands‑on MS‑DRG auditing in a hospital setting...Remote workFull timePart timeWork at officeFlexible hours$47 - $56 per hour
...Senior Auditor Quality - CCCR Job Locations US-Remote ID 2026-18251 Category Audit -... ...independent audit claims review. Displays... ...Responsibilities Performs clinical quality assurance... ...may review medical records and apply in-depth... ...auditing...ideally in a DRG / Clinical...Remote workFull timeWork at officeImmediate startFlexible hours- ...Title: Coding Quality Auditor and Specialist, HB Coding... ...Location: 100% Remote (occasional onsite... ...the work related to clinical documentation and... ...of the Health Record is established through... ..., Mortality Review, Hospital Acquired... ...opportunities Assess DRG, PDx, secondary Dx...Remote workFull timeImmediate start
- ...Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote)At Northwestern Medicine,... ...is the expert in clinical documentation and... ...integrity of Health Records through best... ...adjustment, mortality review, hospital... ...opportunities.Assess DRG, primary diagnosis...Remote workFull timeLocal areaRelocation package
$29.11 - $48.51 per hour
...location, along with a review of current... ...development! This is a Quality position, not a day... ...have experience with DRG and PCS coding/... ...training.Location: REMOTE, Banner provides equipmentIdeal... ...interpretation of clinical documentation... ...for the health record(s) and for quality...Remote workFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...Quality Clinical Review Specialist - Performance Improvement A Quality Clinical Review Specialist... ...primary responsibility is to review medical records and treatment plans to ensure that... ...Circle Tampa 33601 Eligible for Remote Work: Hybrid Remote Job: Quality/Utilization...Remote workFull timeApprenticeshipMonday to FridayShift work
- ...a Respiratory Therapist to conduct expert clinical reviews for the U.S. Department of Veterans Affairs. This remote role involves evaluating charts, completing quality reviews, and maintaining strict confidentiality of records. Candidates should possess a Registered Respiratory...Remote work
- ...seeking a Long-Term Care Registered Nurse (VA Reviewer) for a remote position. The ideal candidate will have a... ..., with a minimum of 5 years of active clinical practice in Long-Term Care. Responsibilities include auditing quality management reviews and documenting findings...Remote work
$79k - $99.75k
...comprehensive inpatient DRG reviews based on industry... ...rules, evidence based clinical criteria plan, and policy... ...compare with medical records ICD-10 Official Coding... ...department productivity and quality standards Recommend... ...foster a hybrid and remote friendly culture, and...Remote workFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$95k - $120.65k
...pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase... ...they compare with medical records utilizing ICD-10 Official Coding... ...Guidelines, AHA Coding Clinic evidence based clinical criteria... .... We foster a hybrid and remote friendly culture, and all...Remote workFull timeWork at officeLocal areaVisa sponsorshipFlexible hours- ...Medical Review Specialist III (Medicare DRG) Empower AI gives federal agency leaders... ...Medicare comprehensive medical record and claims review to make... ...claims review. Make clinical judgment decisions based on... ...DRG claims. Meeting quality and production standards....Remote workFor contractorsCasual workWork at officeLocal area
$90k - $99k
A healthcare solutions company is seeking a DRG Nurse Reviewer Appeals and Hearings to handle appeals from providers and participate in hearings. This remote position requires an active RN license and certification in coding. The ideal candidate will possess excellent communication...Remote workFlexible hours$27.07 - $53.08 per hour
...Optum Insight Quality Review Operations Specialist Optum is a global... ...core work includes medical record abstraction, over read, and... ...enjoy the flexibility to work remotely * from anywhere within the U... ...Hybrid datamining experience ~ Clinical and/or Health Education...Remote jobHourly payFor contractorsWork experience placementShift workNight shiftWeekend work$90k - $99k
...Santa Barbara Cottage Hospital is seeking a DRG Nurse Reviewer Appeals and Hearings. The role involves coordinating and... ...certifications like CPC, and ideally 5+ years of clinical experience. This position allows remote work with minimal travel and offers a pay range of...Remote workFlexible hours- The University of Miami is hiring a Concurrent Medical Code Reviewer for a remote position. This role involves reviewing electronic medical records to ensure accurate coding of diagnoses and procedures following national guidelines. The ideal candidate must possess a Bachelor...Remote work
$90k - $99k
A leading healthcare solutions provider seeks a DRG Nurse Reviewer Appeals and Hearings to coordinate appeal duties and engage in hearings, both... ...have an active RN license and coding certification. This remote role offers flexibility and opportunities for career development...Remote workFlexible hours- ...Description Description: Position: Quality Specialist (CRIO eSource Template Reviewer) Location: Remote Department: Data Services... ...templates used across clinical research studies. Serving as a... ...source document templates paper records and eSource (CRIO) for...Remote workWork at office
- ...Coders to join our team in Orlando, Florida. This role focuses on reviewing medical billing information and coding while ensuring accuracy... ...processing of claims. Candidates must possess a CPC, AAPC, CMBS, or DRG coder certification and have experience in payment integrity or...Remote jobFlexible hours
- ...leading consulting firm is seeking a Coding Quality Review Specialist to perform quality... ...compliance for a top healthcare client. This remote position requires expert knowledge of medical... ...include auditing medical records, providing feedback to coders, and maintaining...Remote work
- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue... ...correct coding. Analyze records for potential query... ...code sequencing. Maintain quality of reviews and make sure the true clinical picture is captured, along with...Remote workImmediate startWork from home- ...Boulder Partnership is seeking a Nurse Reviewer for Appeals and Hearings to... ...This position is a full-time, permanent remote role that complies with work-from-home... ...candidate should have at least 5 years of clinical or medical record coding experience, strong...Remote workPermanent employmentFull timeWork from homeFlexible hours
$80k - $90k
...industry-leading speed, quality, and accuracy. We're... ...80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible... ...clinical reviews on medical records to maintain subject... .../ICD-9/ICD-10/MS-DRG coding may be... ...work independently in remote setting with minimum...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work- ...Position Summary: Under the Quality Improvement Department, the Quality Care Auditor reviews client records to evaluate the documentation justifying service necessity... ...and Performance Standards: Serves as clinical resource in Behavioral Health/Addictive...Remote workWork at office
$75.6k - $106.78k
...Job Title: Quality Officer I Location: 2 Crescent... ..., NJ 07757 (Remote). Candidates must be... ...‑CM/PCS coding and DRG assignment for inpatient... ...state regulations, clinical coding guidelines,... ...inpatient medical record to apply appropriate... ...facilities; review flagged records. Manage...Remote workFull timeTemporary workMonday to FridayFlexible hoursDay shift
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