Remote Clinical DRG Auditor RN
University of Minnesota School of Nursing
- Remote job
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 an RN license, CCS/CIC or willingness to certify within 6 months, and 2+ years of ICD-10/PCS/DRG experience. Strong communication and coding proficiency are essential. #J-18808-Ljbffr University of Minnesota School of Nursing
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology... ...at the same time Ability to work independently in a remote environment and deliver exceptional results Demonstrate...Remote workHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and APR-DRG coding methodologies. In this role, you will audit... ...rationales for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing to improving...Remote job
- The University of Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in MS-DRG and APR... ...and compliance with coding guidelines. You will enjoy remote work flexibility and be part of a culture that values inclusivity...Remote job
- UnitedHealth Group is seeking a Clinical DRG RN auditor to leverage expert coding knowledge in auditing inpatient claims. This remote role allows for flexibility within the U.S., focusing on accurate DRG assignment to help improve health outcomes and manage overpayments...Remote job
- UnitedHealth Group is seeking a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding, ICD-10 guidelines, and AHA Coding Clinic guidance for inpatient claims. Remote work from anywhere in the U.S. is supported. You will prepare rationales, use encoder tools, and ensure...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
$70k - $80k
...analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with... ...skills, attention to detail, and experience in DRG audits. Competitive salary range is $70k -...Remote job$82.23k - $155.81k
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to ensure clinical documentation accuracy for inpatient records. This role offers flexibility through virtual work. The ideal candidate will analyze claims, maintain auditing standards,...Remote job- ...outpatient and specialty claims, the full-time Clinical Auditor RN will utilize coding and clinical chart... ...services delivered, while working in a remote environment. Key responsibilities... ...Expertise in coding guidelines, including DRG, ICD-10, CPT, and HCPCS codes...Remote workFull time
- ...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify acquired Performant and we are... ...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 direction...Remote workFlexible hours
$96.21k - $134.11k
...Clinical Documentation Integrity Specialist Location: Partially Remote- Will support sites within Austin, TX & Waco, TX Department... ...Improvement Specialists (ACDIS) RN license in Texas Expert... ...understanding of CDI best practices, DRG methodologies (MS-DRG and APR-...Remote workFull timeLocal areaMonday to Friday- ...Auditing inpatient medical records to ensure clinical documentation supports the conditions and... ...of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG One or more of the... ...Certifications & Qualifications Registered Nurse (RN) Registered Health Information Technician...
$96.21k - $134.11k
We Are Hiring Location: Partially Remote - Will support sites within Austin, TX & Waco, TX Department/Specialty: Clinical Documentation Integrity Schedule: Full Time | Days |... ...Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding...Remote workFull timeTemporary workLocal areaMonday to Friday- Jobtailor is seeking a highly experienced RN auditor to ensure clinical documentation supports DRGs billed and reimbursed across inpatient records.... ...license, 10+ years in claims auditing or CDI, and familiarity with MS-DRG, AP-DRG, and APR-DRG. #J-18808-Ljbffr Jobtailor
$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review... ...of care. This role will apply coding and clinical principles based on industry standards and... ...support findings Qualifications An active RN professional license in good standing Clinical...Remote workWork at office- ...Clinical Auditor Registered Nurse We are seeking a detail-oriented Clinical Auditor Registered... ...analytical and writing skills. This is a remote position with occasional travel required... ...deadlines. Requirements RN license preferred; Indiana license or compact...Remote workLocal area
- ...seeking a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and... ...Indiana Health Coverage Programs. This remote role requires evaluating provider compliance... .... Applicants should preferably hold an RN license, coding certification, and have...Remote job
$27.59 - $56.63 per hour
Molina Healthcare is seeking a Clinical Auditor to join their Medicaid Team. This position offers remote work flexibility, but candidates must reside in Nebraska. The ideal candidate will have an active RN license and 2 years of healthcare experience, with responsibilities...Remote jobHourly payWork at office- ...healthcare standards, the full-time remote Registered Nurse Clinical Auditor will perform detailed medical record... ...insurance role Minimum of two years of RN experience in an acute care setting Behavioral Health and/or Inpatient DRG experience required Valid Registered...Remote workFull time
- ...healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records,... ...quality assurance guidelines. This role requires an active RN license and the ability to analyze claims data and regulations...Remote job
- Cedarparktexasedc is seeking a Clinical Documentation Specialist to work remotely. This full-time position involves assessing the compliance of clinical documentation and supporting the development of the CDI team. The ideal candidate will hold a Certified Clinical Documentation...Remote jobFull time
- Optum is seeking a Clinical DRG RN auditor to join their team remotely from anywhere in the United States. This role requires expertise in MS-DRG and APR-DRG coding and reimbursement methodologies, along with a commitment to ensuring accurate coding for inpatient claims...Remote job
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... ...Maintain quality of reviews and make sure the true clinical picture is captured, along with ensuring chart review...Remote workImmediate startWork from home$64k - $93k
...circumstances. Job Summary The Clinical Auditor I performs detailed medical... ...Investment in You Full‑time remote work Competitive salaries... ...insurance role Two years minimum RN experience in acute care... ...Behavioral Health and/or Inpatient DRG experience required...Remote workFull timeContract workFlexible hours$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group (DRG)... ...join our team! This role offers a fully remote work experience with possible 10% travel... ...supported audit findings , backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package- ...documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care... ..., COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job... ...clinical expertise to identify and validate DRG code assignment. 2. Full review of CDI...Remote workHourly payFull time
$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess... ...experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The job...Remote jobFlexible hours$68.57k - $104.84k
...CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG)... ...medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...EDUCATION & EXPERIENCE: LVN or RN license in the state of employment...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- Walker Healthforce, LLC is seeking an RN Inpatient Hospital Auditor for a remote 6-month contract in New Jersey. The ideal candidate should possess a valid RN license, CCS ORRHIT/RHIA certification, and have at least 3 years of experience in an acute care hospital. Responsibilities...Remote jobContract work
- RN Inpatient Hospital Auditor - Remote (New Jersey) - 6‑month contract, 3+ years experience - Start date: ASAP... ...health care facility. Experience with DRG validation, ICD‑10‑CM training and... ...keeping up with new innovations in clinical data review and company cost containment...Remote jobWeekly payDaily paidContract workLocal areaImmediate start
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