Remote Clinical DRG Auditor — RN/Coding Certified
$85k - $95kGainwell Technologies
A healthcare technology company is seeking a Clinical DRG Auditor to perform audits on medical record documentation and ensure compliance with coding guidelines. The ideal candidate will have an active RN license and 3+ years in an inpatient hospital setting. This remote role offers a competitive salary range of $85,000 to $95,000 per year, as well as flexible work options, a comprehensive benefits package, and opportunities for career development. Join us in making healthcare work better for everyone. #J-18808-Ljbffr
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization... ...knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD... ...Ability to work independently in a remote environment and deliver exceptional results...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- ...is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient... ...documentation, and utilizing advanced coding expertise. Candidates must hold an... ...competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr...Remote jobFlexible hours
$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables... ...by integrating medical chart coding principles, clinical guidelines, and... ...Information Administrator (RHIA), Certified Clinical Documentation Specialist...SuggestedFull timeLocal area$81.85k - $155.09k
...Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job... ...claims by integrating medical chart coding principles, clinical guidelines, and... ...Information Administrator (RHIA), Certified Clinical Documentation Specialist...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week- ...reimbursement processes, the part-time Minnesota Licensed Clinical Auditor RN will conduct MS-DRG and APR-DRG coding reviews, validate ICD-10 codes, and write rationales for audit findings while working remotely. Key responsibilities: Conduct MS-DRG and APR-DRG coding...Remote workPart time
- ...Focused on Coding and Clinical Chart Validation, the full-time Clinical Auditor Licensed RN will independently audit outpatient and specialty claims, ensuring coding accuracy... ...Expert knowledge of coding guidelines, including DRG, ICD-10, CPT, and HCPCS codes...Remote workFull time
$80k - $90k
...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting Appeals... ...Experience with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary. Strong... ...the ability to work independently in remote setting with minimum supervision and...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon... ...work in a hybrid model (remote and office). The ideal... ...expense spending. The DRG Coding Auditor... ...Coding Guidelines, Coding Clinics, and the ICD-10 Alphabetic... ...Technician, CCS as a Certified Coding Specialist, CIC...Remote workDaily paidWork at officeLocal area1 day per week- ...A company is looking for a Clinical Auditor Registered Nurse. Key Responsibilities Review medical records and... ...detailed workpapers Required Qualifications RN license preferred; Indiana or compact license accepted Coding certification such as CCS or CPC strongly preferred...Remote work
$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for... ...role offers a fully remote work experience with possible... ...MS-DRG and APR-DRG coding reviews to ensure... ...backed by AHA Coding Clinic Guidelines and ICD-10-... ...Department Single Path CERTIFIED OUTPATIENT MEDICAL CODER...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package- ...completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service... ...One of the following Current Certified Documentation Improvement Practitioner (...Remote work
$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review... ...level of care. This role will apply coding and clinical principles based on industry standards... ...support findings Qualifications An active RN professional license in good standing Clinical...Remote workWork at office- ...Certified Medical Claims Auditor (Clinical Bill Review Analyst) Vālenz ® Health is the platform... ...billing practices and coding guidelines. You'll help identify... ...have: Experience in DRG validation. Knowledge... ...'ll Work: This is a fully remote position, and we'll...Remote workImmediate startFlexible hours
- RADcube is seeking a detail-oriented Registered Nurse Clinical Auditor for a remote position with occasional travel in Indiana. The role involves... ...Programs. Key qualifications include a preferred RN license, coding certification (CCS or CPC), and at least one year of experience...Remote job
- ...seeking a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and... ...Health Coverage Programs. This remote role requires evaluating provider compliance... ...Applicants should preferably hold an RN license, coding certification, and have at least one...Remote job
- ...Clinical Auditor Registered Nurse We are seeking a detail-oriented Clinical... ...writing skills. This is a remote position with occasional travel... .... Requirements RN license preferred; Indiana license... ...compact license accepted. Coding certification such as CCS or...Remote workLocal area
$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor.... ...validation (clinical/coding) reviews of... ...rules. This is a remote position. ESSENTIAL... ...: LVN or RN license in the state... ...Corporation, a certified Great Place to...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Job Title: Clinical Nurse Auditor – Payment Integrity Job Summary We are... ...your clinical expertise, medical coding proficiency, and auditing... ...requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified...Remote workFull timeWork at office
$85k - $95k
...accountability, and clinical excellence to healthcare... ...solutions including DRG Validation, Cost... ...to work within our coding department. Candidate... ...Registered Nurse with active RN licensure required CCS (Certified Coding Specialist)... ...at the same time Remote Work Requirements...Remote workFull timeMonday to Friday- ...seeking a qualified professional for a position focused on leading audits of hospital billing and coding practices. Responsibilities include desk audits, bill verification, DRG validation, and credit balance reviews. The role also involves supporting audit protocol...
$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$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,000.00 per year Must... ...to travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license... ...equivalent experience ~4+ years of DRG and/or Medical Record Audit...Remote work- ...To ensure coding accuracy and clinical chart validation for inpatient audits, the full-time Clinical Coding Auditor will analyze claims, utilize proprietary... ...standards while working remotely. Key responsibilities Analyzes... ...with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG in claims...Remote workFull timeWork at office
$95k
...Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have... ...facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of... ...NEEDED Nursing: BSN, LPN, or RN AND CCS, CCDS, CDIP, CPC,...Remote work- ...auditing needs, the full-time Clinical DRG Validation Auditor will lead audits of hospital billing and coding practices, develop audit... ...assignment, all while working remotely from New Jersey, Pennsylvania... ...Required qualifications Active RN license and CCS certification...Remote workFull time
$80k - $95k
...Insight Global is seeking a Remote DRG Validation Auditor for one of our clients to sit 100... ...either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding... ...& ICD-10) • Registered Nurse RN (must be inpatient) WITH coding...Remote work$55.1k - $99k
...Role: Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position is primarily... ...travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license... ...experience ~4+ years of DRG and/or Medical Record Audit experience...Remote workPermanent employmentFull time- ...Global is seeking experienced DRG Auditors to join a remote healthcare organization.... ...charts to ensure accurate coding and compliance with federal... ...accurately reflect the patient's clinical picture. Utilize ICD-10-... ...Skills & Experience RN or BSN RHIT or RHIA...Remote work
- ...Clinical Coding Auditor & Trainer Remote (U.S.) – Must be willing to travel to New York twice annually Position... ...policies. This position focuses on DRG validation, inpatient medical record... ...Required Qualifications: Licensure: RN, PA, MD, APRN, DO, or MBBS license (...Remote workFull time
$55.1k - $99k
...Overview: We are seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing and deliver... ...healthcare standards. Requirements: ~ RN, PA, MD, APRN, DO, or MBBS license.... ...care. Notes: Primarily remote position with limited travel (New...Remote work
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