Remote DRG Coding Auditor - MS-DRG/APR-DRG
Elevancehealth
Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-15Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-13Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-12Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-09Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-07Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-04Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-08-31Location: Maryland, United StatesCompany: Elevance HealthPosted: 2026-08-19Elevance Health is seeking a DRG Coding Auditor to ensure accuracy in MS-DRG and APR-DRG classifications across inpatient records, spanning all lines of business. The role blends clinical review with coding expertise to audit and generate high-quality recoverable claims for the company and its clients.The position offers hybrid/virtual work with in-person onboarding, and requires strong ICD-10 knowledge and DRG auditing experience.#J-18808-Ljbffr
$500 per month
...Sign 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 timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week- ...seeks an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for... ...a metric-driven environment. This is a remote/work-at-home role with occasional travel... ...flexibility. Requires RHIA/RHIT/CCS and MS-DRG auditing experience, in-depth claims interpretation...Remote jobWork from homeMonday to Friday
$500 per month
Location: New York, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-09-11DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role...SuggestedFull timeWork at officeLocal area$500 per month
...StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-09-07Anticipated End Date:2026-09-07 Position Title:DRG Coding Auditor - MS-DRG and APR-DRG Job Description:Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one...SuggestedFull timeTemporary workWork experience placementLocal areaRelocation package1 day per week$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a Remote DRG Validation Auditor for one... ...clinical documentation, and/or inpatient coding and has a high level of... ...specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position...Remote work$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor... ...: Adherence to all coding guidelines and CDI best practices, as... ...record systems. ~ Familiarity with MS word, MS Excel, MS Outlook, etc. ~...Remote workImmediate startWork from home- ...compliance, the part-time PRN DRG Revenue Integrity Auditor will perform validation and... ...records, focusing on DRG coding accuracy and adherence to... ...regulations while working remotely. Key responsibilities: Conduct... ...work Proficiency in MS Word, Excel, Outlook, and Teams...Remote workPart timeRelief
- ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible... ...'s true clinical picture, based on codes assigned by facility coders, and in... ...record (EMR) systems. Proficiency in MS Word, Excel, Outlook, Teams, and other...Remote work
$75k - $110k
Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic... ...join our team! This role offers a fully remote work experience with possible 10% travel... ...client onsite engagements.) A brief coding/auditing assessment may be included as...Remote jobWork experience placementWork from homeHome office$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- ...granted as required by law The DRG Clinical Auditor Principal is responsible for auditing... .... Specializes in review of DRG coding via medical record and attending physician... ...coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and...Daily paidFull timeWork at office
$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- ...Maitland, FL seeks an experienced HIM coder/auditor to review coded records for ICD-10/PCS and DRGs,... ...gaps with physicians. You will support DRG appeals and help protect reimbursements... ...outpatient coding or auditing experience; remote work capability is needed. Competitive...Remote workFull time
- ...deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review... ..., compliant content and supports DRG Coding and Clinical Validation (MS/APR) efforts across multiple projects; in-office and hybrid/remote options #J-18808-Ljbffr 3M HEALTHCARERemote jobWork at office
$85k - $90k
...integrity solutions, including DRG Validation, Cost Outlier, and... ...inpatient claims to ensure coding accuracy and appropriate DRG... ...diagnoses. This is a fully remote position. Candidates must be... ...least 3 years’ experience in MS-DRG and APR-DRG validation in acute care...Remote workFull time$90k - $110k
Job Title: DRG Revenue Integrity Auditor (Inpatient Coding Auditor) Employment Type: Full-Time, Permanent Salary Range: $90,000 - $110,000 per year Schedule: Monday-Friday, regular business hours (flexible scheduling can be discussed during interviews) Position Overview...Permanent employmentFull timeLocal areaMonday to FridayFlexible hours- ...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...
- CERIS, a division of CorVel Corporation, is seeking a DRG Clinical Auditor in Fort Worth, TX to perform DRG validation and coding reviews of medical records. You will determine correct DRG/coding per review methodologies and support clinical/policy/regulatory decisions,...
$86k - $115k
...experienced and innovative DRG Clinical & Coding Educator who is responsible... ...inpatient/outpatient coding auditors. This role serves as the... ...expert for DRG validation, APR-DRG, MS-DRG, assignment, ICD-10-CM/... ...in this role Location: Remote within the United States...Remote workFull timeFlexible hours$100k - $110k
...By combining deep clinical and coding expertise with advanced... ...improvements that support accurate MS-DRG assignment and appropriate reimbursement... ...initiatives. This is a fully remote position requiring strong... ...denials Experience with APR, 30-day readmission, mortality...Remote workLocal areaMonday to Friday$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...- A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including...Remote workMonday to Friday
- ...an Inpatient Auditing Specialist to address coding quality, compliance reviews, and external payer audits. This fully remote role offers a flexible schedule and the opportunity... ...will audit inpatient facility codes using MS DRG/APR DRGs, provide clear rationales, stay current...Remote workReliefFlexible hours
$95k - $110k
...often (in days) to receive an alert: DRG Nurse Reviewer Appeals and Hearings- Remote Date: Aug 30, 2026 Location: Any... ...using approved clinical and coding guidelines and documents appeal determinations... ...or Certified Professional Medical Auditor (CPMA) required 5+ years clinical...Remote jobFull timeWork from homeRelocation packageFlexible hours$71.1k - $97.8k
...The Inpatient Medical Coding Auditor extracts clinical information... ...related group (DRG) assignments. Analyzes,... ...impact WORK STYLE: Remote/work at home. While this... ...qualifications for 4 years) • MS-DRG coding/auditing... ...• Experience in APR DRG coding/auditing •...Remote workBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$29.01 - $34.13 per hour
...Candidates in Illinois Full Remote Near OSF location POSITION SUMMARY: The Coding Auditor is responsible for performing... ...to external coding audits and DRG billing denials, writing... ...advanced understanding of both MS and APR DRG methodologies. Direct experience...Remote workHourly payWork at office$43 - $46 per hour
...Inpatient Coding Auditor (DRG Validation) Pride Health is hiring an Inpatient Coding Auditor... ...6:00 AM–6:00 PM CST. Location: Fully Remote (Oklahoma, Kansas, Missouri, Texas,... ...standards. Use Epic, Solventum/3M 360, MS-DRGs, and APR-DRGs. Requirements:...Remote workContract workLocal areaMonday to FridayFlexible hours- UnitedHealth Group is seeking a skilled Inpatient DRG Coder for a remote, full-time role. You will identify ICD-10-CM/PCS assignments and DRG abstractions... ...rules. The ideal candidate has 3+ years in inpatient DRG coding in acute care, AHIMA/AAPC credentials, and strong Excel/EMR...Remote jobFull time
- UnitedHealth Group is seeking a full-time inpatient coder to work remotely from anywhere in the U.S. You will identify ICD-10 CM/PCS assignments and DRG abstraction for facility services, following official coding guidelines and client-specific rules. Required: AHIMA and/or...Remote jobFull time
- Optum is recruiting an experienced inpatient DRG coder to support facility coding across a telecommuting model. You will assign ICD-10-CM/PCS, DRG, and abstraction per guidelines, while maintaining coding quality and productivity targets. Responsibilities include querying...Remote job
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