Senior DRG Auditor & Lead - Inpatient Validation
R1 RCM
R1 RCM Inc. is seeking a DRGV Auditor II to review inpatient records for DRG validation and documentation improvement. You will use proprietary software and client EMR systems to validate accounts and prepare concise rationale for findings. For success, you must hold AHIMA credentials (RHIA, RHIT, or CCS) and have 3+ years of ICD-10 auditing with recent acute inpatient experience. A bonus plan and competitive benefits are offered. #J-18808-Ljbffr R1 RCM
- ...Huron Consulting GroupPosted: 2026-08-10Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality.You will communicate findings via phone, email,...Suggested
$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually... ...Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation...SuggestedFull timeWork at officeLocal area- Huron seeks an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring coding accuracy and compliant practices. You will... ...improvements. Responsibilities include monitoring 95% DRG and coding accuracy, coordinating calibration sessions, and...Suggested
$92.88k - $160.22k
...Date:2026-08-31 Position Title:DRG Coding Auditor - MS-DRG and APR-DRG Job... ...is responsible for auditing inpatient medical records and generating... ...for the auditing concept, valid claim identification, and documentation... ...our strategy but will also lead to personal and professional...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week$92.88k - $160.22k
DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates... ...is responsible for auditing inpatient medical records and... ...management for the auditing concept, valid claim identification, and... ...our strategy but will also lead to personal and professional...SuggestedFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- Covista, a leading healthcare education provider, seeks a Senior Auditor to execute the internal audit plan across financial, operational, and compliance areas with emphasis on SOX controls. The role leads engagements from start to finish, engaging control owners and management...Senior
$70.49k - $109k
A leading provider in life sciences is seeking a Quality GxP Auditor / Senior Validation Engineer in Chicago, IL. This full-time role involves ensuring project compliance and quality assurance throughout various functions. The ideal candidate should have a Bachelor’s degree...SeniorFull time- Ferrero seeks a Senior Internal Auditor based in Chicago to lead end-to-end, moderately complex audit reviews across the Americas, with primary focus on Central and South American markets. You will conduct risk assessments, define audit objectives, and ensure alignment...Senior
$85k - $100k
A leading insurance brokerage firm in Chicago is seeking a Senior Internal Auditor to lead internal audits and provide guidance to finance teams. The candidate will conduct audits, develop testing strategies, and ensure compliance with internal controls. Successful applicants...Senior- Morningstar Credit Ratings, LLC is seeking a Senior IT Internal Auditor based in Chicago to evaluate IT and security processes. This role involves working on operational reviews and evaluating controls for Sarbanes-Oxley compliance. Ideal candidates are action-oriented...Senior
- Ferrero International S.A. in Chicago is seeking a Senior Internal Auditor to lead complex audits across Central and South American markets. This role involves managing audit engagements, ensuring compliance with internal standards, and collaborating with diverse teams....Senior
$90k - $100k
A financial services firm in Chicago is seeking a Senior Internal Auditor to lead audit engagements for a Fortune 500 client. The position offers a salary in the $90-100K range with a bonus and strong benefits, including over 35 days of PTO in the first year. The role requires...Senior- Morningstar, Inc. in Chicago is looking for a Senior IT Internal Auditor to assess IT and security processes. This role involves planning and executing audits, testing internal controls, and providing consultancy to management. Candidates should possess strong communication...SeniorWork at office
$30.46 - $45.69 per hour
Billing Compliance, Senior Auditor Hourly Pay Range: $30.46 - $45.69 Location... ...LCDs, Medicare Manuals, and DRG/APC/RBRVS/other relevant... ...Payment System billing rules). Lead and support internal Compliance... ..., incorporating data mining, validation techniques, and extrapolation...SeniorHourly payFor contractorsRemote workMonday to Friday- ...Inpatient Coding Auditor Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help... ...inpatient "audit the auditors" to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. Perform quality checks...Permanent employmentWork at officeLocal areaImmediate startFlexible hoursDay shift
$26.44 - $36.06 per hour
The Inpatient Coding Auditor will be responsible for auditing inpatient coders and offshore inpatient coding auditors to ensure coding accuracy and DRG accuracy of a minimum of 95%. The role requires frequent and effective communication via phone, email, and instant messaging...Hourly payPermanent employmentWork at officeFlexible hours$74.2k - $126.2k
...world’s most sophisticated clients using leading technology and exceptional service.... ...connected team of over 200 professionals.The Senior Auditor is responsible for conducting and... ...Proactively identify DA opportunitiesIssue Validation:Performs testingDrafts memoKNOWLEDGE/...SeniorFull timeWork experience placementH1bWork at officeWork from homeWorldwideFlexible hours- Tempus AI, Inc. is seeking a Senior Scientist to lead development and validation of molecular assays for deployment in our clinical laboratory. You will oversee assay development, validation, and implementation across high-throughput settings, with an emphasis on NGS workflows...Senior
- Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable claims across lines of business, ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-10 guidelines and clinical documentation...Remote job
$92.82k - $109.2k
...Committee’s approved audit plan and provide Senior Management with clear, risk‑focused... ...supporting control environment.The CAS Senior Auditor works closely with internal and external... ...monitoring engagements, and issue validation activities, exercising sound professional...SeniorFull timeWork experience placementWork at officeLocal area3 days per week- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote job
- Capital One is seeking a Sr. Manager, Data Analyst in Risk Mgmt to lead validation of enterprise analytics tools and methodologies. You will work cross-functionally to assess risk and quality, identify opportunities, and present findings to leaders. The role emphasizes...Senior
$90.4k - $150.7k
...efficient audits. What you can expect: Lead risk-based audit projects from planning... ...resulting documentation of tests that validate the effectiveness of controls. Oversee... ...audit frameworks ~ Certified Internal Auditor (CIA), Certified Public Accountant (CPA)...SeniorCasual workWork from home- Capital One seeks a Principal Auditor to lead audits of Second Line Risk Management and to advise other teams on risk practices. The role... ...collaboration with stakeholders, and applying data analytics to validate controls. The position is hybrid, with opportunities to coach...
$74.2k - $126.2k
Senior Auditor - Asset and Wealth Management The Senior Auditor is responsible for conducting... ...audits across Asset and Wealth Management, leading audit project teams, providing... ...Proactively identify DA opportunities Issue Validation Performs testing Drafts memo...SeniorWork experience placementWork at officeWork from homeVisa sponsorshipWork visa$74.2k - $126.2k
## Senior Auditor - Asset & Wealth ManagementApplyremote type: Hybridlocations: Chicago, ILtime... ...’s most sophisticated clients using leading technology and exceptional service. Audit... ...identify DA opportunities **Issue Validation:*** Performs testing* Drafts memo**KNOWLEDGE...SeniorWork experience placementH1bWork at officeWork from homeWorldwideFlexible hours$95.6k - $162.4k
...most sophisticated clients using leading technology and exceptional service. Senior Lead, Technology Risk & Controls... ...lead interactions with external auditors, oversee complex remediation initiatives... ...planning, issue governance, and validation of remediation effectiveness....SeniorFull timeH1bWorldwideFlexible hours- ...Robert H. Lurie Children’s Hospital of Chicago is seeking a Professional Coder to conduct retrospective audits of ambulatory and inpatient physician documentation, ensuring billing accuracy and compliance. You will educate physicians on coding guidelines and reconcile...
$52.03k - $97.53k
As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary... ...for growth includes a client facing Lead Auditor role and an internally facing Mentor...Local area- ...working in conjunction with other Huron and client team members—and leading the implementation life cycle (including planning,... ...Workday reports (standard, advanced, and composite) to support data validation, testing, and client business requirements.Partner with functional...SeniorFull time
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