Remote DRG Coding RN Auditor - Audit & Reimbursement Expert
Unitedhealth Group
UnitedHealth Group's Optum unit is hiring a Clinical DRG RN auditor. You will apply MS-DRG/APR-DRG knowledge, ICD-10 guidelines, and AHA guidelines to audit inpatient claims and identify overpayments. This remote role allows telecommuting from anywhere in the U.S.with a focus on accuracy and clear audit rationales. You will work in a high-volume, matrixed environment, using encoder tools and Excel, with opportunities for professional certification and career growth within a leading health careJ-18808-Ljbffr
- ...seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure... ...diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong knowledge... ...coding guidelines. You will audit DRG assignments, communicate...Remote work
- ...Optum in the United States is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding expertise to inpatient claims. You will validate ICD-10 coding... ...statuses, producing clear rationales and supporting audit findings. You can telecommute from anywhere within...Remote work
$35 - $63 per hour
...this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-... ...Clinic Guidelines in the auditing of inpatient claims.... ...work independently in a remote environment and deliver exceptional...Remote workReimbursementHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area- Elevance Health is seeking a DRG Coding Auditor to ensure accurate, compliant inpatient reimbursement and support whole-health care for our members. In this remote role, you will perform detailed retrospective and prospective DRG audits, reviewing medical records and ICD...Remote workReimbursement
$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply... ...role offers a fully remote work experience with... ...excellence in DRG auditing. If you're looking for... ...MS-DRG and APR-DRG coding reviews to ensure... ...DRG assignment and reimbursement. Apply expert knowledge of coding...Remote workReimbursementFull timeWork experience placementReliefWork from homeHome officeRelocation package- ...~ Student Loan Repayment Assistance & Reimbursement Programs ~ Family-focused benefits... ...payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge...Remote workReimbursementCasual workShift work
$85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location... ...(clinical/coding) reviews of medical... ...proprietary systems to audit medical records,... ...CEUs to maintain RN license and... ...experience with expert knowledge of ICD-... ...Guidelines and DRG reimbursement methodologies. Expert...Remote jobReimbursementFull timeContract workFlexible hours- ...seeking a Compliance Auditor (RN) to support... ...and revenue-focused auditing activities across... ...evaluate documentation, coding accuracy,... ...facility coding and DRG assignments to identify... ...coding, billing, reimbursement, and documentation... ....Primary Location:Remote - Florida 123 Remote...Remote workReimbursement
- ...Clinical RN Chart Reviewer The Clinical... ...validate issues of claims coding accuracy, medical... ...understanding of DRG validation, medical... ...will include: Audits and analyzes neonatal... ...claims data to optimize reimbursement by ensuring that... ...mandates. Requires expert coding knowledge -...Remote workReimbursementTemporary workCasual workWork at office
- ...Parallon is seeking a remote Inpatient Coding Auditor to perform internal quality assessment reviews on... ...coding practices to support appropriate reimbursement. Responsibilities include leading... ...adherence to guidelines, applying expert coding knowledge, and maintaining...Remote workReimbursement
$92.88k - $160.22k
...Sign On Bonus: $1,500 DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables... ...DRG Coding Auditor is responsible for auditing inpatient medical records and... ...systems provider billing guidelines, payer reimbursement policies, billing validation criteria...ReimbursementFull timeWork experience placementWork at officeLocal areaRelocation package- ...OSF HealthCare is hiring a Coding Auditor to review coding and documentation for accuracy... ...PCS and CPT/HCPCS coding, support DRG billing, and respond to external audits to defend OSF coded data.... ...CPC (AHIMA-CCS within 12 months). Remote options available in Illinois and...Remote work
$86.56k - $155.81k
...Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG & APR-DRG) Virtual... ...Auditor - RN is responsible for auditing inpatient medical records... ...and DRGs billed and reimbursed. Specializes in review of Diagnosis... ...integrating medical chart coding principles, clinical...ReimbursementFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...SummaryResponsible for leading coding teams, coder training,... ...reviews utilizing auditing software and documents... ..., coding and reimbursement issues and report these... ...-PCS codes as well as DRG assignment.Essential FunctionsAll... ...in on site, remote and/or external training...Remote workReimbursementWork at officeLocal area
$31.2 - $40.56 per hour
...impart continuous education to Coding Staff.Additionally, this... ...be responsible for complex audits of clinically coded data to... ...individual will serve as an expert in Outpatient Prospective Payment... ...to optimize APC, ASC or DRG reimbursement.Estimated pay range for this...Remote workReimbursementLocal area$33.46 - $46.7 per hour
...Clinical Coding AuditorAccurately audits hospital Inpatient, Ambulatory Surgery, Observation... ...purpose of appropriate reimbursement, research and compliance... ...coding subject matter expert, and utilizes critical thinking... ...to ensure accurate APR-DRG/SOI/ROM and POA assignment...Remote workReimbursement- ...HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be... ...Loan Repayment Assistance & Reimbursement ProgramsFamily-focused... ...experienced Inpatient DRG Coding Auditor to extract data from patient... ...-discharge and pre-bill; audits the accuracy and completeness...Reimbursement
- Location: Florida, New York, United StatesCompany: Elevance HealthPosted: 2026-10-07Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-DRG/AP-DRG assignments across all lines of business. The role focuses on generating...Remote workRelocation
- ...Maryland Licensed Nurse Auditor will conduct clinical and revenue integrity audits, collaborate with... ...goals in a primarily remote work environment. Key... ...readiness and optimize reimbursement while maintaining regulatory... ...(CDI), HIM/Coding, or Hospital Billing and...Remote workReimbursementFull time
- ...reviewing medical records and accurately assigning ICD-10-CM/PCS codes, as well as MS-DRG/APR-DRG classifications. The role ensures POA indicators... ...to federal regulations, and collaboration with the CDI team to optimize documentation and reimbursement. #J-18808-LjbffrRemote workReimbursement
$60.1k - $85.8k
...Bill Review Quality Auditor to perform reviews of... ...quality assurance audits and oversight of itemized... ...as a subject matter expert in hospital billing, reimbursement methodologies,... ...completed by clinical and coding review staff,... ...requirements, APC, ASC, OPPS, DRG reimbursement...Remote workReimbursementFull timeWork from homeFlexible hours$54.1k - $77.3k
...mission Performs audits of medical record... ...CC) and procedure codes. Adheres to... ...training new Coding Auditors to include daily monitoring... ...of the APR-DRG, AP-DRG, and MS-DRG... ...expect in this role Remote (work from home)... ...accommodations, reimbursement for travel expenses...Remote workReimbursementFull timeWork from homeFlexible hours- ...Healthcare Coding & Consulting Services (HCCS... ...time and Part-time IP Auditors to join our... .... This is a fully remote opportunity for a... ...extensive experience in DRG validation, inpatient auditing, and complex inpatient... ...-DRG assignment, reimbursement methodologies, and...Remote workReimbursementFull timePart time
- ...Health is seeking a Compliance Auditor (RN) to support compliance, clinical, and revenue-focused auditing across hospital service lines.... ...revenue integrity, compliance, or coding. In this role you will review documentation, coding, and DRG assignments, identify control...Remote work
$48.13k - $81.23k
...improves financial performance.As our DRG Validation Auditor I , your primary role will be auditing inpatient cases for DRG... ...ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards... ...years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient...ReimbursementLocal area- ...Description Description The Coding Auditor is a professional auditing role designed for a... ...appropriateness of billing and reimbursement as needed. ~ Documents... ..., HCPCS, Revenue Codes, DRG codes, and ICD-10 from... ...development initiatives ~ Remote work eligible REMOTE...Remote workReimbursementHourly payFlexible hours
$68.57k - $104.84k
...is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic... ...validation (clinical/coding) reviews of... ...This is a remote position. ESSENTIAL... ...Conduct audits to ensure accurate reimbursement and... ...& SKILLS: Expert knowledge of application... ...EXPERIENCE: LVN or RN license in the...Remote workReimbursementMinimum wageFull timeWork at officeLocal areaFlexible hours$1,830 - $1,970 per week
...Registered Nurse Auditor (RN Auditor) – Remote Insurance Payer Audits Join our healthcare team as a remote Registered Nurse Auditor supporting... ...explain charges, documentation support, coding considerations, and reimbursement rationale during payer audit reviews while enjoying...Remote workReimbursementWeekly payFull timeLocal areaWork from homeShift work- ...Compliance and Quality Audit, Omega Internal Auditor will perform reviews... ...medical records for coding accuracy and medical... ...CPT-4 coding and MS-DRG and APR-DRG... ...records and the impact on reimbursement and accreditation.Knowledge... ...job operates in a remote home office...Remote workReimbursementFull timeWork at officeHome officeMonday to FridayWeekend work
$30.46 - $45.69 per hour
...Compliance, Senior Auditor Reporting to the Manager... ...conducting routine audits and investigations related to coding, billing,... ...that impact payer reimbursement for medical services... ...(Evanston, IL and remote) Full Time/Part Time... ...Medicare Manuals, and DRG/APC/RBRVS/other relevant...Remote workReimbursementHourly payFull timeContract workPart timeFor contractorsMonday to Friday
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