Remote DRG Validation & Reimbursement Manager
Mount Sinai
- Remote job
A leading health system is seeking a Clinical Reimbursement Manager to ensure coding accuracy and compliance. This role involves performing quality reviews of medical records, validating assigned ICD-10 codes, and collaborating with coding staff to develop training and policies. The ideal candidate has a strong background in anatomy and a minimum of 3 years in acute care coding. This remote position offers an opportunity to contribute to innovative patient care while fostering an inclusive working environment. #J-18808-Ljbffr Mount Sinai
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... ...professional credentials and knowledge of CDI, coding, reimbursement, and compliance issues through continuing education....Remote workReimbursementImmediate startWork from home- ...looking for an RN Diagnosis-Related Group (DRG) Auditor in Milwaukee, Wisconsin. This... ...with standards and accurate outpatient reimbursement. Candidates must have a minimum of 5 years... ...The position offers the possibility of remote work and a comprehensive benefits...Remote workReimbursement
- Optum is hiring a Clinical DRG RN auditor to verify DRG coding accuracy and reimbursements while telecommuting from anywhere in the U.S. In this role, you'll use your ICD-10 coding expertise to audit inpatient claims, identify overpayments, and support your findings with...Remote jobReimbursement
- ...review and analyze patient medical records for accurate coding and reimbursement. The role involves ensuring compliance with coding principles... ...coding systems. Attention to detail and familiarity with MS-DRG is essential for success in this role. #J-18808-Ljbffr RemoteFetchRemote jobReimbursement
- Stryker Corporation is seeking a Clinical DRG RN Auditor who will work remotely to validate DRG assignments and reimbursements. This role requires deep expertise in ICD-10 coding and offers flexibility to telecommute from anywhere in the U.S. The ideal candidate will have...Remote jobReimbursementRelocation package
- ...(IMC) in New Iberia, LA is seeking a DRG Coder to join their remote team. The role involves coding inpatient... ...with coding guidelines for reimbursement. Candidates should have a bachelor's degree in Health Information Management and relevant coding certifications. This...Remote jobReimbursementFull timeFlexible hours
$33 - $38 per hour
Astrana Health is seeking a Senior DRG Coder who will be responsible for reviewing inpatient medical records and assigning diagnosis and procedure codes accurately. This remote role requires strong knowledge of ICD-10-CM and ICD-10-PCS, ensuring compliance and coding accuracy...Remote jobReimbursementHourly pay- ...completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the... ...process. Works effectively with the Coding Manager to improve Inpatient coding accuracy. Knowledge...Remote workReimbursement
- ...Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement processes for both inpatient and outpatient services. The...Remote jobReimbursementFull time
$33 - $38 per hour
...Clinical Inpatient Coders – Remote (USA, Contract-to-Hire... ...facility coding and DRG assignment to join our... ...Integrity, Quality Management and the claims... ...as needed. Assign and validate appropriate DRGs based... ...hospital billing and reimbursement processes Able to work...Remote workReimbursementFull timeContract workPart timeFor subcontractor$95.17k - $149.56k
...Inpatient DRG Validator (Acute Care) Inpatient DRG Validator (Acute Care) Virtual:... ...and quality standards as set by audit management for the auditing concept, valid claim... ...systems provider billing guidelines, payer reimbursement policies, billing validation criteria...Remote workReimbursementFull timeLocal area$48.13k - $81.23k
...behalf of a partner company, who manages all applications and next... ...partner is looking for a DRG Validation Auditor I based in the United... ...part in supporting compliant reimbursement practices and improving... ...This is a detail-oriented, remote-friendly role suited for experienced...Remote jobReimbursementFull timeFlexible hours$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for the... ...! This role offers a fully remote work experience with possible... ...accuracy in DRG assignment and reimbursement. Apply expert knowledge of... ...performance. Exceptional time management, problem-solving, and analytical...Remote workReimbursementFull timeWork experience placementReliefWork from homeHome officeRelocation package$90k - $120k
...Job Title: RN DRG Coding Validator / Auditor Location: Remote / Virtual (U.S. Based) Position Type:... ...Maintain Production Metrics: Manage a daily workload of approximately... ...experience working with APR-DRG reimbursement methodologies, Severity of...Remote workReimbursementFull timeTemporary workLocal areaImmediate startWork from homeHome officeFlexible hoursShift workWeekend work$115.02k - $207.22k
...Position Title: Manager of DRG Coding & Clinical Validation Audit Locations: Virginia, Indiana, Georgia, Ohio,... ...model: in‑office 3 days per week; remote for candidates within reasonable commuting... ...billing guidelines, payer reimbursement policies, billing validation criteria...Remote workReimbursementWork at officeLocal areaShift work3 days per week- ...CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments... ...all required modifiers. Validates charges by comparing charges... ...of changes in coding and reimbursement guidelines and regulations.... ...in health information management or related field or an equivalent...Remote workReimbursementWork at officeLocal areaShift work
$174.07k - $374.92k
...Medical Director. This is a remote Work at Home position and can... ...with appeals, claim review, reimbursement issues, and coding is preferable... ...a subject matter expert in DRG reviews and ICD‑10 code selection... ...professionals in order to manage the business objectives of the...Remote workReimbursementHourly payFull timeTemporary workLocal areaWork from home- ...codes and determining the MS-DRG and APR-DRG assignment of in... ...all required modifiers. Validates charges by comparing charges... ...knowledge of changes in coding and reimbursement guidelines and regulations.... ...Informatics and Information Management (CCHIIM)- AHIMA...Remote workReimbursementWork experience placementWork at officeLocal areaShift work
$113.77k - $215.57k
...work in a hybrid model (remote and office). The ideal... ...expense spending. The DRG Coding Auditor... ...audit findings letters. Validates accuracy and quality standards... ...as set by audit management for the auditing concept... ...billing guidelines, payer reimbursement policies, billing...Remote workReimbursementDaily paidWork at officeLocal area1 day per week$33 - $38 per hour
...DRG Coder Department: HS - UM Employment... ...ensures coding accuracy, reimbursement integrity, and... ...Association (IPA) and Management Services Organization... ...documentation Conduct coding validation and auditing to ensure... ...This position is remotely based in the U.S. The...Remote workReimbursementFull timeWork at officeHome office- A leading healthcare organization in New York seeks a Coding Reviewer for DRG validation. The role involves ensuring the accuracy of diagnostic codes and compliance with healthcare regulations. Candidates must have a strong background in anatomy and coding, with 3-5 years...
$181.1k - $318.4k
Analog Mixed-Signal Validation System Lead Cupertino, California, United... ...and interfaces. This manager will work closely with validation... ...scalable lab setups and remote testing frameworks. Deep understanding... ...your career at Apple, reimbursement for certain educational...Remote workReimbursementRelocation- ...to ensure accurate coding for inpatient encounters in a fully remote environment. The role involves assigning ICD-10 codes, ensuring... ...guidelines, and capturing clinical complexity to support reimbursement. The ideal candidate will have 3+ years of coding experience and...Remote jobReimbursement
- ...provider is seeking a Coder II who will review and accurately code diagnostic and procedural information for reimbursement using ICD-10-CM and CPT coding. This fully remote position requires candidates to have at least three years of coding experience in a healthcare setting....Remote jobReimbursement
$58k - $114.9k
A leading healthcare compliance firm is seeking a Remote MSDRG Auditor to validate medical records for coding and reimbursement accuracy. Candidates must possess current AHIMA credentials and a minimum of five years in inpatient coding. The successful applicant will leverage...Remote jobReimbursement- UW Medicine is looking for an Inpatient Coder to join their team in a 100% remote capacity. This role encompasses coding activities to ensure accurate billing and reimbursement, utilizing 3M computer assisted coding and EPIC systems. Candidates should have at least a high...Remote jobReimbursement
- ...Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient... ...claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or... ...skills, and the ability to manage multiple priorities are essential. The job...Remote jobReimbursement
- ...Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider disputes. The ideal candidate will have coding certification and experience...Remote jobReimbursement
- ...Coding Auditor to extract clinical information and ensure accurate reimbursement processes. This role involves reviewing hospital claims and... ...to detail and excellent communication skills. The position is remote, but may require occasional travel for training, offering...Remote jobReimbursement
- 0090 Presbyterian System Services is hiring for a remote coding position in Santa Fe, NM. The role requires reviewing medical records... ...accurately to ensure compliance with regulations and reimbursement guidelines. Candidates must have a high school diploma/GED, relevant...Remote jobReimbursement
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