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.
- UnitedHealth Group invites a Clinical DRG RN auditor to join our telecommuting team from anywhere in the United States. The role focuses on MS-DRG and APR-DRG coding audits, validating ICD-10-CM/PCS code assignments, and producing clear rationales. You will use CMS guidelines...Remote job
- 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
$92.88k - $160.22k
Location: Chicago, Illinois, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-08-10DRG Coding Auditor - MS-DRG and APR-DRGVirtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach...SuggestedFull timeWork at officeLocal area- ...healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for... ...Candidates should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive...Remote work
- ...based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims... ..., including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes significantly...Remote jobFlexible hours
- ...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
- ...DRG Validation Auditor Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility... ...an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position...Remote work
- ...Corporation is seeking a Senior Inpatient Auditor to enhance our Payment Integrity team. This vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing... ...and superior coding knowledge. This fully remote position supports a dynamic environment...Remote job
$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor for one of our clients to work 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- A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote work
- ...national healthcare organization is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and requires certification in RHIA, RHIT, or...Remote workContract workFlexible hours
- UnitedHealth Group's Optum is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding and CMS guidelines to inpatient claims. Remote work is available nationwide; you will identify overpayments and document audit rationales to support findings. Requirements include...Remote job
- 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
- ...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
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is... ...DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement... ...Ability to work independently in a remote environment and deliver exceptional...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package$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- UnitedHealth Group seeks a Clinical DRG RN auditor to verify MS-DRG/APR-DRG coding and CMS guidelines, identify overpayments, and document audit rationales... ...integrity. This telecommuter position allows remote work from anywhere in the United States, with competitive...Remote job
- ...records, determining principal and secondary diagnoses, principal and secondary procedures, and related indicators for accurate MS-DRG/APR DRG assignments. The role requires identifying POA, SOI and ROM indicators to ensure proper hospital reimbursement, while adhering...
$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$75k - $110k
ExlService Holdings, Inc. is seeking a DRG Auditor III for a fully remote opportunity in the United States. You will audit DRG codes, review medical records, and ensure accurate coding while collaborating with healthcare teams. The role offers remote work from a home office...Remote jobWork from homeHome office- ...an experienced IP Coder to perform inpatient coding, including DRG assignment and validation. You will work with the CDI team, Coding... ..., and strong knowledge of medical terminology and anatomy. Remote work is available with secure, high-speed internet requirements....Remote work
$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 $85,000 to $95,000 plus competitive benefits, 401(k) match, and PTO. You will review inpatient...Remote jobFull time- Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews for inpatient records. You will apply ICD-... ...accurate classifications and compliant documentation. This remote role offers a salaried schedule, opportunities for...Remote job
$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess a nursing degree or equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical...Remote jobFlexible hours- Enjoin is seeking a DRG Integrity Analyst (DIA) for a PRN, remote role. You will serve as the first level of clinical and coding review for inpatient encounters, identifying DRG opportunities, risks, and documentation gaps. You’ll screen cases to determine high-value opportunities...Remote jobReliefFlexible hours
- ...Specialist to apply ICD-10-CM/PCS codes and POA indicators to inpatient accounts, and to assign DRGs/APR-DRGs while collaborating with CDI to ensure accurate documentation. This remote role requires knowledge of coding guidelines and ongoing education. The position emphasizes...Remote job
- ...Coding Appeals Specialist to review and write appeals for inpatient DRG denials, applying ICD-10-CM/PCS, HCPCS, NCCI, CMS and CMG coding... ...and a willingness to travel to client sites as needed; remote work options available. A high school diploma is required along...Remote job
- 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
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