Remote DRG Coding RN Auditor — Clinical Expert
Internationalinsuranceprofessionals
- Remote job
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, DRG assignments, and discharge statuses, producing clear rationales and supporting audit findings. You can telecommute from anywhere within the U.S. The role demands RN licensure, CCS/CIC or willingness to obtain certification, and multiple years of MS DRG/APR DRG coding experience in hospital settings. #J-18808-Ljbffr Internationalinsuranceprofessionals
- 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...Remote job
$35 - $63 per hour
...Growing together. In 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-10... ...time Ability to work independently in a remote environment and deliver exceptional results...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area$85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location: Any city, TX, US, 99999... ...performing DRG validation (clinical/coding) reviews of medical records... ...required CEUs to maintain RN license and coding... ...or auditing experience with expert knowledge of ICD-10 Official...Remote jobFull timeContract workFlexible hours- Gainwell Technologies is seeking a Clinical DRG Auditor to perform DRG validation reviews of medical records, coding accuracy, and documentation... ...auditing experience, RN licensure, and specialty in MS... ...rules. The candidate will work remotely within the United States, traveling...Remote job
- TalentLNX LLC seeks a remote Clinical Claims Review RN to audit hospital claims line by line against medical records, ensuring charges are ordered,... ...blends acute care nursing judgment with chart auditing, coding, and revenue integrity in a fully remote, direct-hire setting...Remote job
- ...Clinical Documentation Specialist - Coding Immediate need for a talented Clinical Documentation Specialist - Coding. This is a 06 months contract opportunity... ...with long-term potential and is located in California (Remote). Please review the job description below and contact...Remote workContract workImmediate start
- ...Elevance HealthPosted: 2026-10-07Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-... ...on generating high-quality recoverable claims and performing clinical reviews to assess coding accuracy.The position supports...Remote workRelocation
$68.57k - $104.84k
...DRG Quality Control/Clinical AuditorCERIS in Fort Worth, TX is... ...Control/Clinical Auditor. The Diagnostic Related... ...(clinical/coding) reviews of medical... ...rules.This is a remote position.Essential... ...assignedKnowledge & Skills:Expert knowledge of... ...:LVN or RN license in the state...Remote workMinimum wageFull timeLocal areaFlexible hours- ...Staffing is seeking an inpatient Medical Coder for a remote position focused on accurate ICD/DRG coding for VA patient records. The role requires reviewing... ...HCPCS, and encoder tools, and will collaborate with clinical staff to resolve discrepancies while meeting deadlines...Remote work
$55.1k - $99k
Job Overview Clinical Coding Auditor & Trainer - Remote, NY, US. The position is primarily remote with a small travel... ...000 / yr. Required Qualifications RN, PA, MD, APRN, DO, or MBBS license... ...equivalent experience 4+ years of DRG and/or Medical Record Audit experience...Remote workPermanent employmentFull time$78.91k - $105k
...Summary Provides clinical and technical... ...procedural and diagnostic coding and payment of... ...coordinator and/or auditor. # Certified Professional... ...preferred. # RN licensure required,... ...-related group (DRG) validation,... ...required to support remote or hybrid work. Must...Remote workHourly payFull timeWork at officeWork from homeAfternoon shift$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates to work virtually full-time, except for required in-person... ...Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance...Full timeWork experience placementWork at officeLocal area$64k - $93k
...no matter their circumstances. Job Summary The Clinical Auditor I performs detailed, retrospective chart audit review... ...the WellSense policies and industry standard coding rules. Our Investment in You Full-time remote work Competitive salaries Excellent benefits Key...Remote workFull timeContract workWork at officeFlexible hours- AMN Healthcare is seeking a Remote Facility Inpatient Coder to accurately code inpatient services, procedures... ...RHIA/RHIT/CCS or CIC credentials, and are proficient in DRG accuracy, documentation improvement, and productivity targets. #J-18808-Ljbffr Trinity Clinics AMNRemote job
- UnitedHealth Group is seeking a Medical Coding Specialist to assign ICD-10-CM/PCS... ...ensuring accuracy and compliance with DRG guidelines. This remote position supports a flexible schedule and contributes to high-quality clinical data. You will maintain up-to-date coding...Remote jobFlexible hours
- ...a full-time Certified Facility Coder to remotely code inpatient and outpatient records with precision... ...assigning ICD-10, CPT, HCPCS, PCS, and DRG codes while maintaining at least a 95%... ...coding standards. Collaboration with clinical staff ensures accurate documentation and...Remote jobFull time
- ...reviews medical records and performs coding on all diagnoses, procedures, and DRG.The Coder Inpatient uses the most... ..., sequencing and interpreting the clinical information from inpatient,... ...Responsibility No This job operates in a remote home office environment. This role...Remote jobFull timeWork at officeHome officeMonday to FridayWeekend work
$122.24k - $183.36k
...Clinical Auditor Principal (RHIA,RHIT,CCS or CIC)- RN Preferred Location: This role enables associates to work virtually... ...on Diagnostic Relation Group (DRG) methodology, including case rate... ...clients. Specializes in review of DRG coding via medical record and attending physician...Daily paidFull timeWork experience placementWork at officeLocal area- ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible for performing Diagnostic... ...charts accurately reflect the patient's true clinical picture, based on codes assigned by facility coders, and in compliance with...Remote work
- ...Group's Optum CDI team seeks an Associate Clinical Document Improvement Specialist to... ...precise, complete documentation and accurate coding. This role emphasizes collaboration with... ...CDI 3D technology. The position offers remote work within the U.S., competitive salary,...Remote work
- ...Registered Nurse to join the cardiac device clinic team at Advocate Christ Medical Center.... ...pacemakers and ICDs, device interrogations, and remote monitoring in a high-volume environment.... ...care) with EP/Device exposure, and active RN licensure with CPR and ACLS. #J-18808-...Remote work
- UnitedHealth Group is seeking a Clinical Appeals RN to provide expert analysis of appeals and grievances, acting as a clinical interface liaison with... ...documentation and confidentiality adherence. The position offers remote work from anywhere in the U.S., with an M-F schedule of...Remote job
$82k - $87k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and... ...Job Description The Clinical Compliance Auditor II is responsible for... ...compliance subject matter expert and performs advanced auditing... ...unrestricted Registered Nurse (RN) license required. * Strong...Remote workBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from homeFlexible hours- Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to ensure adherence to UM/PHM plans and... ...staff, and help refine audit tools within a remote-friendly, collaborative team. The role requires RN licensure, 3-5 years in utilization management...Remote job
- ...To enhance clinical documentation quality, the full-time RN Clinical Documentation Specialist will work remotely, collaborating with a multi-disciplinary... ...complications, co-morbidities, and MS-DRG assignments Conducts... .../certification in Coding/CDI - Required Current RN...Remote workFull time
- ...GroupPosted: 2026-10-16Optum, part of UnitedHealth Group, is seeking a Medical Coding Specialist for a full-time remote role in the United States. The position emphasizes ICD-10-CM/ICD-10-PCS, inpatient DRG coding, and adherence to coding guidelines within a fast-evolving...Remote workFull time
$70k - $98.7k
This role focuses on evaluating the clinical circumstances surrounding related inpatient admissions... ...preventable. The position is fully remote within the United States and may require... ...or limited client engagements. A brief coding/auditing assessment may be included as part...Remote work- ...is seeking a Compliance Auditor (RN) to support compliance, clinical, and revenue-focused auditing... ...evaluate documentation, coding accuracy, regulatory... ...Audit facility coding and DRG assignments to identify coding... .... Primary Location: Remote - Florida123 Remote StTallahassee...Remote work
- Clinical RN Chart Reviewer The Clinical RN Chart Reviewer will perform clinical... ...to validate issues of claims coding accuracy, medical necessity,... ...and a strong understanding of DRG validation, medical necessity,... ...and mandates. Requires expert coding knowledge - DRG, ICD-10...Remote jobTemporary workCasual workWork at office
- ...and programming checks for multiple manufacturers in clinics. You will educate patients and families on remote monitoring and coordinate effectively with... ...documenting and billing services, maintaining CPT coding familiarity, and leveraging Paceart and cloud-based...Remote job
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