Remote DRG Validation Auditor: Quality & Coding
HCA Healthcare
- Remote job
HCA Healthcare is seeking a DRG Validation Auditor to perform internal quality assessments on coding staff to ensure compliance with coding guidelines and policies. This work-from-home position allows for productivity and accuracy standards to be maintained while improving coding practices within the company. The ideal candidate should have a minimum of 3 years of acute care coding experience and auditing experience, with preferred certifications such as RHIA or CCS. Comprehensive benefits are offered, including healthcare and retirement plans. #J-18808-Ljbffr HCA Healthcare
$45 - $50 per hour
...Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a... ...potential and is located in US(Remote). Pay Range: $45 - $50/... ..., HIM, Case Management and Quality teams Identify CC/MCC... ...Experience with 3M CDI and coding applications. ICU, Critical...Remote workQualityContract workImmediate start$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL... ...MS-DRG and APR-DRG coding/reimbursement methodology... ...tools, you will validate ICD-10 diagnosis and procedure... ...a high emphasis on quality Provide clinical support... ...independently in a remote environment and...Remote workQualityHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare... ...role will focus on Coding & Clinical Chart... ...Pharmacy and/or Inpatient DRG claims. Draws on... ...goals, accuracy and quality standards set by the...Remote workQualityHourly payFull timeContract workWork at officeImmediate start$86.56k - $129.84k
Patient Safety DRG Clinical Validation Auditor Location: This role enables associates to work virtually full... ...claims by integrating medical chart coding principles, clinical guidelines, and... ...findings letters. Maintain accuracy and quality standards as established by audit...QualityFull timeWork experience placementWork at office$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity... ...Responsibilities: Adherence to all coding guidelines and CDI best practices,... ...and code sequencing. Maintain quality of reviews and make sure the true clinical...Remote workQualityImmediate startWork from home- ...compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This... ...audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate...Remote workQuality
- ...healthcare technology firm in Boston is seeking a Quality Assurance Specialist to perform inpatient DRG validation audits. The role requires at least 5 years of... ...reviewing ICD-10 claims and an understanding of coding standards. Responsibilities include conducting quality...Remote jobQualityFull time
$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis... ...! This role offers a fully remote work experience with possible... ...comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in... ...audits. Meet or exceed EXL’s quality and productivity standards ,...Remote workQualityFull timeWork experience placementReliefWork from homeHome officeRelocation package- UnitedHealth Group is seeking a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding, ICD-10 guidelines, and AHA Coding... ...guidance for inpatient claims. Remote work from anywhere in the U.S. is... ...coding with a strong focus on quality. RN license, associates degree, and...Remote jobQualityRelocation package
$65.35k - $117.62k
...BCBS is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst in Albany, NY to ensure accurate... ...high standards of documentation quality, conducting audits, and understanding... ...to $117,622, depending on experience. Remote work options may be available based on...Remote workQuality- CDPHP in Albany, NY is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with deep ICD-10/DRG expertise to review... ..., and mentor staff. The role supports data quality and payment integrity, with remote work possible case-by-case. Qualified candidates...Remote workQuality
- 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 inpatient claims, utilizing... ...for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while...Remote job
- ...Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in MS-DRG and APR-DRG coding to audit inpatient claims, ensuring accuracy... ...with coding guidelines. You will enjoy remote work flexibility and be part of a culture...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
$85k - $95k
...integrity solutions including DRG Validation, Cost Outlier and Readmission... ...to work within our coding department. Candidate should... ...reviews with a high emphasis on quality Demonstrates the ability to work... ...applications at the same time Remote Work Requirements High speed...Remote workQualityFull timeMonday to Friday$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This... ...claims by integrating medical chart coding principles, clinical guidelines, and... ...letters. Maintains accuracy and quality standards as established by audit management...QualityFull timeTemporary workWork experience placementLocal area1 day per week- ...Remote MSDRG Auditor The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation... ...records to determine the accuracy of coding and reimbursement for clinical services... .... Audit performance review and quality assurance are provided through a well...Remote workQualityContract workWork at office
- ...detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months of hire.... ...Responsibilities include performing comprehensive DRG validation and readmission reviews while documenting...Remote work
- ...Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews for inpatient records... .... You will apply ICD-10-CM/PCS coding guidelines to ensure accurate... ...and compliant documentation. This remote role offers a salaried schedule,...Remote work
- ...Position Title: Inpatient Coding Auditor Department: HIM Coders Job Description... ...and total rewards package! Remote Eligibility: Candidates must... ...Ensures accurate, quality, and compliant Inpatient facility... ...to account reviews and code/DRG validation. · Responds to coding-...Remote workQualityFull timeImmediate start
- ...Focusing on Coding & Clinical Chart Validation, the full-time Clinical Auditor RN will conduct audits of outpatient and specialty... ...accurately and meet productivity and quality standards Identifies potential... ...of coding guidelines including DRG, ICD-10, CPT, and HCPCS codes...Remote workQualityFull time
$26.29 - $48.91 per hour
...TAMPA State: Florida Postal Code: 33613 Job Description: Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding... ...and able to work independently in a remote setting. [Required] • Critical thinking...Remote workQualityFull timeWork experience placementWork at officeLocal areaShift work$71.1k - $97.8k
...The Inpatient Medical Coding Auditor extracts clinical information... ...related group (DRG) assignments. Analyzes,... ...impact WORK STYLE: Remote/work at home. While this... ...are leading to a better quality of life for people with... ...employment decisions only on valid job requirements. This...Remote workQualityBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- AdventHealth Corporate in Tampa, Florida is seeking a qualified Coder to perform quality reviews on coded records and ensure overall coding accuracy. You will be responsible for maintaining confidentiality and meeting productivity standards while collaborating with clinical...Remote jobQuality
- ...healthcare recruitment agency is seeking a Clinical Coding Auditor & Trainer for a primarily remote role, requiring travel to New York twice a year. The... ...responsible for developing training programs and conducting quality auditing for the Diagnosis Related Group and Medical...Remote jobQuality
- ...Description: Summary The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive... ...members around methods of continuous quality improvement. Serves as an expert and... ...note: There may be opportunity for remote work within all jobs posted by the...Remote workQualityWork experience placement
$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic... ...for performing DRG validation (clinical/coding) reviews of medical records and... ...necessity rules. This is a remote position. Essential Functions...Remote workQualityMinimum wageFull timeWork at officeLocal areaFlexible hours$26.29 - $48.91 per hour
...TAMPA, Florida 33613 Job Description Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively... ...‑motivated and able to work independently in a remote setting. Critical thinking and problem‑solving...Remote workQualityFull timeWork experience placementWork at officeLocal areaShift work$68.57k - $104.84k
...CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (... ...responsible for performing DRG validation (clinical/coding) reviews of medical records and/... ...medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS...Remote workQualityMinimum wageFull timeWork at officeLocal areaFlexible hours$55.1k - $99k
...LLC Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents... ...conducting training and quality auditing programs for the... ...Diagnosis Related Group (DRG) and Medical Record Audit... ...Highly Preferred Skills Valid/Current CPC or CIC...Remote workQualityFull time
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