Remote DRG Auditor - MS-DRG & APR-DRG Expert
The Elevance Health Companies, Inc.
- Remote job
The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate DRG assignments. Responsibilities include clinical reviews of medical records, documenting audit findings, and identifying opportunities to improve coding quality and recoveries. #J-18808-Ljbffr The Elevance Health Companies, Inc.
- Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate... ...ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-... ...internal teams. The role offers hybrid/remote work with required in-person training....Remote job
$500 per month
...Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week$86.56k - $155.81k
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Anticipated Job Posting End Date: 8/28/2026 Virtual: This role enables associates to work virtually full-time, with the exception of required inperson training sessions, providing...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week- ...codes and POA indicators to inpatient accounts, ensuring accurate DRG/APR-DRG assignment and documentation alignment. Collaborate with... ..., and help reduce denials. AHIMA/APAC certs and 1 year experience required; remote work options available. #J-18808-Ljbffr UI HealthRemote job
$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a Remote DRG Validation Auditor for one of our clients to sit 100% remote. The... ...reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for...Remote work$90k - $105k
...individual for a Clinical DRG Auditor who is responsible for... ...payment methodologies including MS-DRG, AP-DRG and APR-DRG. Your role in our... ...or auditing experience with expert knowledge of ICD-10 Official... ...should expect in this role Remote within the U.S. May be...Remote workFull timeContract workFlexible hours- ...Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct CCIs, MUE edits, and medical necessity edits while applying ICD-10-PCS and DRG rules to inpatient records. You will query providers, analyze records...Remote job
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have at least... ...electronic medical record systems. ~ Familiarity with MS word, MS Excel, MS Outlook, etc. ~ MUST have a CCS or...Remote workImmediate startWork from home$45 - $50 per hour
...Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented... ...long-term potential and is located in US(Remote). Pay Range: $45 - $50/hour. Traveler... ...completeness and accuracy Assign and validate MS-DRGs Develop compliant physician...Remote workContract workLocal areaImmediate start- Highmark Health is seeking a senior coding auditor to evaluate medical records for accuracy of DRG, OPPS and outpatient billing. You will generate findings, train staff, and guide improvements across system entities. You will interact with external auditors and consultants...
- ...A leading healthcare organization in Boston is seeking a 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...Remote work
- ...Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials in Towson, MD. The role requires mastery of inpatient coding guidelines, MS-DRG methodology, and payer policies. The ideal candidate has 2-5 years of inpatient...
- ...is seeking a seasoned medical coding and DRG specialist to review and validate DRG assignments... .... You will audit medical records, provide expert judgment on reimbursement, and collaborate... ...to identify and prevent overpayments. Remote-friendly, full-time role with...Remote jobFull time
- A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including...Remote workMonday to Friday
- CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews on medical records. The ideal candidate will... ...-10 coding and have a strong clinical knowledge. This remote role involves auditing, ensuring accurate billing, and...Remote job
$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates to work virtually full-time, except for required... ...minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience,...Full timeWork at officeLocal area$65k - $116.75k
...medical records, draft appeals of denied and underpaid claims, and ensure accurate coding of DRG revisions using ICD-9/10 CM & PCS, CPT, HCPCS, and NCCI guidance. This is a remote, independent, production-driven role requiring RN with 5 years of inpatient experience and...Remote job- Elliot Hospital is seeking a Hospital Inpatient Coder to assign ICD-10 and DRG codes for inpatient services in accordance with guidelines and payer requirements. This remote-friendly role supports revenue integrity and requires collaboration with coding leadership to resolve...Remote job
- ...medical records and code inpatient encounters. You will determine principal and secondary diagnoses and procedures, ensure accurate DRG assignments, and act as a liaison for provider queries. Responsibilities include coding accuracy, productivity, and continuous education...Remote job
- ...compliant patient records and reimbursement. Requirements include a 2-year HIM program, 5 years acute care coding experience, and RHIT/RHIA/CCS/CCS-P/CPC/CIC/COC certifications. Proficiency with UHDDS sequencing and DRG/APC concepts is essential. #J-18808-Ljbffr LehighbarRemote job
- ...A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least...Remote workContract work
- A leading healthcare company is seeking an Inpatient Medical Coding Auditor to join their team remotely. The role involves reviewing inpatient hospital claims for proper reimbursement, analyzing medical data, and ensuring accuracy in coding. Candidates should have relevant...Remote work
- ...Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued.... ...seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring... ...of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses...
$122.24k - $183.36k
...unless accommodation is granted as required by law. The DRG Clinical Auditor Principal is responsible for auditing inpatient medical... ...very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex...Daily paidFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule. You will assign ICD-10-CM/PCS codes, sequence and abstract from patient records, and oversee coding quality. The position emphasizes accuracy, productivity, and collaboration...Remote jobFlexible hours
- ...DRG Quality Advisor Nurse- Remote Date: Jul 29, 2026 Location: Any city... ...methodologies, including MS-DRG, AP-DRG, and APR-DRG, outpatient coding (... ...coders, or clinical DRG auditors. Maintain current knowledge... ...as a subject matter expert as needed for business...Remote workContract workTemporary workWork from homeFlexible hours
- ...Review team within Payment Integrity, ensuring accurate DRG assignments and audit outcomes. This remote role drives quality, efficiency, and adherence to... ...partners. The ideal candidate has 6+ years MS-DRG/APR-DRG coding and 3+ years DRG review experience, with...Remote job
$85k - $90k
...employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated... ...specifically Excel Preferred Skills Appeals experience a plus APR-DRG experience a plus Client communication experience a plus...Work at office- ...deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review suite, sourcing from ICD-10,... ...and supports DRG Coding and Clinical Validation (MS/APR) efforts across multiple projects; in-office and hybrid/remote options #J-18808-Ljbffr...Remote workWork at office
- Gainwell Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental United States. The position focuses on QA audits... ...and coding guidelines. You will leverage RN licensure, MS-DRG/APR-DRG knowledge, and ICD-10-CM/PCS expertise to drive...Remote job
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