Remote DRG Audit RN: Clinical Validation & Coding
Sacbar
- Remote job
Optum, a part of UnitedHealth Group, seeks a Clinical DRG RN auditor to review MS-DRG and APR-DRG coding for inpatient claims and identify overpayments. The role emphasizes ICD-10-CM/PCS accuracy, documenting rationales, and maintaining high-quality audit outputs. You will work remotely from anywhere in the U.S. and use proprietary tools to support audits, with sign-on bonus available for external applicants. Join a team focused on improving health outcomes and reimbursement integrity. #J-18808-Ljbffr Sacbar
- UnitedHealth Group is hiring a Clinical DRG RN auditor to apply MS-DRG/APR-DRG knowledge, ICD-10 guidelines, and AHA Coding Clinic guidance in inpatient claim audits. You will validate codes, DRG assignments, and discharge status to identify overpayments and compose rationales...Remote job
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL... ...the MS-DRG and APR-DRG coding/reimbursement... ...Clinic Guidelines in the auditing of inpatient claims. Employing... ...tools, you will validate ICD-10 diagnosis and procedure... ...independently in a remote environment and...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- UnitedHealth Group is seeking a Clinical DRG RN auditor to apply expert MS-DRG/APR-DRG coding knowledge and ICD-10 guidelines in inpatient claims audits. This remote role allows telecommuting from anywhere in the U.S. with a sign-on bonus for external applicants. Responsibilities...Remote jobRelocation package
- Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records, ensuring clinical... ...billed and reimbursed. The role emphasizes ICD-10 coding expertise and DRG validation across multiple DRG types. Hybrid role with...Remote job
- ...seeking a Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) to... ...flexibility and autonomy; remote work may be supported regionally. Strong ICD-10 coding expertise and guidelines knowledge will drive audit findings and quality improvements...Remote jobFull time
$85k - $95k
...accountability, and clinical excellence to... ...solutions including DRG Validation, Cost Outlier and... ...to work within our coding department. Candidate... ...inpatient claims auditing experience or case... ...Nurse with active RN licensure required... ...same time Remote Work Requirements...Remote workFull timeMonday to Friday$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables... ...Auditor-RN is responsible for auditing inpatient medical records to ensure... ...claims by integrating medical chart coding principles, clinical guidelines, and...Full timeWork at officeLocal area$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...Hourly payFull timeTemporary workRelocation packageDay shift- UnitedHealth Group is seeking a Clinical DRG RN auditor to audit MS-DRG and APR-DRG coding for inpatient claims, ensuring correct DRG assignments and reimbursement... ..., and detailed rationales for audit findings. Remote work within the United States is supported. Qualified...Remote job
$45 - $50 per hour
...Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented Clinical... ...and is located in US(Remote). Pay Range: $45 - $5... ...Technology Experience: RN, BSN, MSN, MD or Foreign... ...with 3M CDI and coding applications. ICU, Critical...Remote workContract workLocal areaImmediate start- ...Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental... ...The position focuses on QA audits, DRG validation, coding audits, and ensuring compliance with clinical and coding guidelines. You will leverage RN licensure, MS-DRG/APR-DRG knowledge...Remote job
- .... is seeking a Senior Medical Coding Professional, Inpatient to support... ...claims for coding accuracy, DRG assignment, and guideline... ...Integrity. The role involves auditing inpatient records, applying ICD... ...guidelines, and collaborating with clinical reviewers to ensure accurate...Remote work
- .... is seeking a Senior Medical Coding Professional (Inpatient) to support... ...for coding accuracy and DRG assignment. You report to the... ...Integrity and collaborate with clinical reviewers and data analysts.The... ...knowledge and CDI/SOI concepts. Remote/hybrid work options are...Remote work
$69.3k - $78k
...Review Nurse II - Clinical Validation At Performant, we’... ...performs medical claims audit reviews. As a MR... .... You will work remotely in a fast paced... ...0, CPT-4 or HCPCS coding. Knowledge of insurance... ...unrestricted RN license in good standing... ...HCPCS/CPT coding, DRG and medical...Remote workFor contractorsWork at officeWork from homeHome officeShift work- ...Position Summary The DRG Auditor is responsible... ...claims to identify and validate missed reimbursement opportunities... ...and procedure coding. Working within a specialized... ...record documentation, clinical coding guidelines, and... ...office-based or remote, depending on company policy...Remote jobFlexible hours
- Molina Healthcare is seeking a registered nurse with inpatient claim review experience to ensure diagnoses, procedures, revenue codes, and DRG assignments accurately reflect the documented care and billed charges. You will apply ICD-10, DRG and revenue code guidelines,...Remote job
$90k - $115k
...intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will... ...least two years of inpatient claims auditing experience. Responsibilities... ...auditing medical records, providing clinical support, and ensuring compliance with...Remote jobFlexible hours- ...TitleValidates Acute Inpatient coded charts to ensure the... ...Record.Seeking RN candidates with a HCS-... ...for OASIS Specialist-Clinical. Remote position in New York.Job... ...to identify and validate DRG code assignment.2. Full... ...principals; performs coding audits for optimization.4....Remote workHourly payFull time
- ...seeking an experienced IP Coder to perform inpatient coding, including DRG assignment and validation. You will work with the CDI team, Coding Manager, and... ...strong knowledge of medical terminology and anatomy. Remote work is available with secure, high-speed internet requirements...Remote work
- ...Number 194633 Job Description Validates Acute Inpatient coded charts to ensure the... ...the Medical Record. Seeking RN candidates with a HCS-D -... ...Certificate for OASIS Specialist-Clinical. Remote position in New York.... ...to identify and validate DRG code assignment. Full review...Remote work
$69.3k - $78k
...seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial... .... The position requires an active RN license and a minimum of five years... ...and documenting findings, all in a remote work environment. This role offers...Remote job$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,0... ...New York twice a year RN, PA, MD, APRN, DO, or MBBS license Valid/Current CPC or CIC Certification... ...~4+ years of DRG and/or Medical Record Audit experience ~1 year of...Remote work- ...healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training and quality auditing programs. The role primarily offers remote work with some travel to... ...Candidates should have a valid clinical license and experience in DRG and Medical Record Audits....Remote workFull time
- ...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
- ...Position Summary The DRG Validator/Reviewer is responsible for reviewing... ...on diagnosis and procedure coding. Working within a specialized... ...record documentation, clinical coding guidelines, and DRG reimbursement... ...is primarily office-based or remote, depending on company policy,...Remote workFull time
- ...Position Summary The DRG Validator/Reviewer is responsible for reviewing... ...on diagnosis and procedure coding. Working within a specialized... ...record documentation, clinical coding guidelines, and DRG reimbursement... ...is primarily office-based or remote, depending on company policy,...Remote workFull time
$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,... ...of reviews and make sure the true clinical picture is captured, along with...Remote workImmediate startWork from home$85k - $95k
RCM Healthcare Services is seeking a DRG Coding Reviewer to support inpatient coding validation and payment integrity initiatives. This remote, full-time role offers a salary of $85,... ...and DRG assignments, perform coding and clinical validation reviews, and collaborate...Remote jobFull time- Zubi Talent Group is hiring a remote Coding Quality Review (CQR) Specialist responsible for conducting audits of medical coding. The role requires strong experience in MS-DRG coding and a commitment to accuracy and compliance. Minimum qualifications include RHIA, RHIT,...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-10-CM/PCS coding guidelines to ensure accurate... ...and compliant documentation. This remote role offers a salaried schedule,...Remote job
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