Remote Clinical DRG Auditor RN
University of Minnesota School of Nursing
Minneapolis, MN
- 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
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Clinical DRG Auditor RN in Minneapolis, MN vacancy
$82.23k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to conduct thorough audits of medical claims. The role requires... ...documentation improvement. This position primarily allows remote work while maintaining high standards for accuracy and...Remote job$86.56k - $155.81k
Anticipated End Date: 2026-08-24 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This...SuggestedFull timeTemporary workWork experience placementWork at officeLocal area1 day per week$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 direction...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift workThe Rawlings Group
Plantation, FL3 days ago$34.23 - $61.15 per hour
About This Role As a Clinical DRG RN Auditor at UnitedHealth Group, you will leverage your expertise in MS-DRG and APR-DRG coding methodologies to audit inpatient claims, ensuring accuracy and identifying overpayments. This role is ideal for those with strong analytical...SuggestedHourly payFull timeTemporary workRelocation packageDay shift- ...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 Responsibility... ...clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested...Remote workHourly payFull time
Northwell Health
Garden City, NY2 days ago $68.57k - $104.84k
...DRG Quality Control/Clinical Auditor CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor... ...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$70.8k - $123.8k
Clinical Nurse Auditor Position Description CGI is one of the world's largest... ...practices. This position is remote within the United States, and... ...Clinical Validation and DRG validation activities by documenting... ...Registered Nurse (RN) license in your state of residence...Remote workWork at officeLocal area- ...Clinical Validation Nurse At MedReview, our mission is to bring accuracy... ...integrity solutions including DRG Validation, Cost Outlier and... ...Registered Nurse with active RN licensure required CCS (... ...applications at the same time Remote Work Requirements: High...Remote workFull timeMonday to Friday
- ...healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible... ...will have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work...Remote workWork from home
Humana
Carson City, NV4 days ago - ...on medical records and ensure compliance with DRGs. This fully remote role requires 3+ years of coding and auditing experience and offers... ...and maintaining communication with healthcare staff concerning clinical issues. Competitive salary and generous benefits are included...Remote workFlexible hours
Datavant
Raleigh, NC2 days ago - ...based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for... ..., including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes significantly...Remote workFlexible hours
Humana
Olympia, WA2 days ago - A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least...Remote workContract work
Humana
Richmond, VA2 days ago - ...leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for... ...should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive...Remote work
Humana
Pierre, SD2 days ago - A leading healthcare company is seeking a qualified Inpatient Medical Coding Auditor to analyze and code clinical information from medical records. This is a remote position with the possibility of travel to company offices for training. Candidates must have significant...Remote work
Humana
Oklahoma City, OK2 days ago - ...seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft...Remote workWork at officeFlexible hours
Humana
Albany, NY2 days ago - ...healthcare provider is seeking an Inpatient Medical Coding Auditor to maintain accuracy in claims processing while working remotely, with occasional office travel. Responsibilities include extracting clinical data and conducting audits on inpatient claims to ensure proper...Remote workWork at office
Humana
Juneau, AK2 days ago - ...Hedis Auditor Rn/Lpn Integrated Resources, Inc is a premier staffing firm recognized as... ...specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and... .... There is weekly onsite meeting which candidate must attend and remote other days....Remote workContract workWork from home
Careers Integrated Resources Inc
Newark, NJ2 days ago - ...DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional... ...combination of relevant education and experience. • Registered Nurse (RN). License must be active and restricted in state of practice....Remote workWork at office
Molina Healthcare
United States1 day ago - ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible for performing Diagnostic Related... ...reviewed charts accurately reflect the patient's true clinical picture, based on codes assigned by facility coders, and...Remote work
The Judge Group
The Colony, TX2 days ago $46.08 - $71.53 per hour
...Description Providence is calling for Revenue Cycle Auditor RN - Full time, Day, Remote The Revenue Cycle Auditor is responsible for... ...Nursing, or ~ Bachelor's Degree in Nursing ~5 years clinical experience in an acute care setting. ~3 years experience...Remote workMinimum wageFull timeLocal areaShift workProvidence Health & Service
Albuquerque, NM23 hours ago- ...healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement... ...comfort of your home. This crucial role involves extracting clinical information from medical records, assigning codes, and ensuring...Remote work
Humana
Montgomery, AL1 day ago $71.1k - $97.8k
...leading health insurance company is seeking an Inpatient Medical Coding Auditor to extract and analyze clinical information from patient records, ensuring proper coding for reimbursement. This remote position requires a certification (RHIA, RHIT, or CCS) and experience...Remote workHumana
Little Rock, AR2 days ago$71.1k - $97.8k
A leading healthcare company is seeking an Inpatient Medical Coding Auditor to analyze clinical data and ensure accurate coding for reimbursement. This remote position involves reviewing inpatient hospital claims, requiring RHIA, RHIT, or CCS certification. Ideal candidates...Remote workHumana
Cheyenne, WY2 days ago- ...Inc. is seeking a Medical Review Nurse for remote work in the US. You will be part of a dynamic... ...guidelines, and collaborating with other auditors. An associate or bachelor's nursing degree and experience in auditing or clinical documentation is required. Ideal candidates...Remote job
- ...Corporation is seeking a Senior Inpatient Auditor to enhance our Payment Integrity team. This vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing... ...and superior coding knowledge. This fully remote position supports a dynamic environment...Remote job
- Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews for inpatient records. You will apply ICD-... ...accurate classifications and compliant documentation. This remote role offers a salaried schedule, opportunities for...Remote job
- ...leadership to plan, develop, and implement clinical documentation education programs for CDI... ...(BSN) is strongly preferred, plus 5 years RN work experience. One of the following certifications... ..., quality measure and metric support, and DRG assignment in compliance with industry...Remote workFull timePart timeWork experience placementWork from homeMonday to FridayShift work
Geisinger Health System
United States2 days ago $115k - $150k
RN Clinical Supervisor - Home Health Location: Walnut Creek, CA (On-site) Salary: $115,000 - $150,000 (DOE) Schedule: Full-time, Monday-... ...Education Associate Degree in Nursing (Required; BSN Preferred) Work Setting One on-site location in Walnut Creek, CA No remote workRemote workFull timeImmediate startMonday to FridayDay shift$80k
...documentation for any patient clinical condition or procedure to support... ...ICD-10-CM and PCS codes and DRG (Diagnosis Related Group)... ...Minimum Education ~ Current RN Licensure Certifications... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workLocal areaEnsemble Health Partners
Putnam, CT23 hours ago$60 per hour
...and groundbreaking medical research. CD RN (Clinical Documentation Specialist)-Level 2 The... ...achieve accurate inpatient coding, APR-DRG assignment, severity level and reimbursement... ...time frame - EST** Location: 100% Remote (EST hours) Payrate- $60 hourly...Remote workHourly payTemporary workWork at officeLocal areaShift workJohns Hopkins HealthCare
United States3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical DRG Auditor RN. Be the first to apply!
Related searches
- coding auditor Minneapolis, MN
- medical claims auditor Minneapolis, MN
- sales auditor Minneapolis, MN
- auditor Minneapolis, MN
- remote nurse auditor Minneapolis, MN
- compliance auditor Minneapolis, MN
- energy auditor Minneapolis, MN
- lease auditor Minneapolis, MN
- security auditor Minneapolis, MN
- safety auditor Minneapolis, MN