Remote Clinical DRG Auditor RN
UnitedHealth Group
- Remote job
UnitedHealth Group is looking for a Clinical DRG RN Auditor. This role involves auditing inpatient claims using MS-DRG and APR-DRG coding methodologies. Successful candidates will utilize their knowledge of ICD-10 guidelines and demonstrate analytical skills while working in a remote environment. You'll enjoy benefits including paid time off, medical coverage options, and a sign-on bonus for external applicants. The position offers flexibility to telecommute from anywhere within the U.S. #J-18808-Ljbffr UnitedHealth Group
$70k - $80k
...analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with... ...skills, attention to detail, and experience in DRG audits. Competitive salary range is $70k -...Remote job$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology... ...at the same time Ability to work independently in a remote environment and deliver exceptional results Demonstrate...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- ...company in Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring... .... This position offers competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance HealthRemote jobFlexible hours
- Israelvcforum is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to audit inpatient medical records and ensure compliance with coding and documentation standards. This role allows for virtual full-time work, with required in-person training sessions...Remote jobFull time
$82.23k - $155.81k
Elevance Health seeks a Diagnosis Related Group Clinical Validation Auditor-RN to conduct audits on inpatient medical records, ensuring documentation accuracy and compliance. This remote role requires a current Registered Nurse license and extensive experience in claims...Remote job$90k - $120k
...Job Title: RN DRG Coding Validator / Auditor Location: Remote / Virtual (U.S. Based) Position Type: Full-Time, Direct Hire Salary Range... ...Nurse with a passion for data integrity, clinical accuracy, and medical coding? We are seeking a dual...Remote workFull timeTemporary workLocal areaImmediate startWork from homeHome officeFlexible hoursShift workWeekend work- ...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify acquired Performant and we are... ...Experience with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary. Strong... ...the ability to work independently in remote setting with minimum supervision and direction...Remote workFlexible hours
$82.23k - $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...Full timeWork experience placementWork at officeLocal area$81.85k - $155.09k
Anticipated End Date: 2025-09-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables...Full timeTemporary workWork experience placementLocal area1 day per week$38.92 - $60.33 per hour
...HOSPITAL facility. This job is REMOTE. FTE: 1.000000 Standard... ...weekends Job Summary: The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits... ...minimum of 3 years of experience in Clinical Documentation Integrity and/or inpatient...Remote workHourly payTemporary workShift workWeekend work$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review... ...of care. This role will apply coding and clinical principles based on industry standards and... ...support findings Qualifications An active RN professional license in good standing Clinical...Remote jobWork at office$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon Payment... ...will work in a hybrid model (remote and office). The ideal candidate... ...medical-expense spending. The DRG Coding Auditor Principal is responsible... ...Coding Guidelines, Coding Clinics, and the ICD-10 Alphabetic and...Remote workDaily paidWork at officeLocal area1 day per week- ...healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records,... ...quality assurance guidelines. This role requires an active RN license and the ability to analyze claims data and regulations...Remote job
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... ...Maintain quality of reviews and make sure the true clinical picture is captured, along with ensuring chart review...Remote workImmediate startWork from home- Santa Barbara Cottage Hospital seeks a Complex Claims Clinical Reviewer for a remote position. Responsibilities include conducting prepayment and post... ...by 5 to 7+ years of experience with ICD-10 and MS-DRG. Strong knowledge of medical claims systems and relevant certifications...Remote jobWork from home
$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,000.00 per year Must... ...to travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license... ...equivalent experience ~4+ years of DRG and/or Medical Record Audit...Remote work- ...This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to coders...Remote work
$55.1k - $99k
...Role: Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position is primarily... ...travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license... ...experience ~4+ years of DRG and/or Medical Record Audit experience...Remote workPermanent employmentFull time$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess... ...experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The job...Remote jobFlexible hours$55.1k - $99k
...Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor... ...Trainer position that is primarily remote with a small travel... ...the Diagnosis Related Group (DRG) and Medical Record Audit Programs... ...experience in a hospital setting RN, PA, MD, APRN, DO or MBBS...Remote workFull timePart timeWork at officeFlexible hours- Walker Healthforce, LLC is seeking an RN Inpatient Hospital Auditor for a remote 6-month contract in New Jersey. The ideal candidate should possess a valid RN license, CCS ORRHIT/RHIA certification, and have at least 3 years of experience in an acute care hospital. Responsibilities...Remote jobContract work
$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups... ...necessity rules. This is a remote position. Essential Functions... ...& Experience: LVN or RN license in the state of employment...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- RN Inpatient Hospital Auditor - Remote (New Jersey) - 6‑month contract, 3+ years experience - Start date: ASAP... ...health care facility. Experience with DRG validation, ICD‑10‑CM training and... ...keeping up with new innovations in clinical data review and company cost containment...Remote jobWeekly payDaily paidContract workLocal areaImmediate start
$68.57k - $104.84k
...CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG)... ...medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...EDUCATION & EXPERIENCE: LVN or RN license in the state of employment...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$55.1k - $99k
...Overview: We are seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing and deliver... ...healthcare standards. Requirements: ~ RN, PA, MD, APRN, DO, or MBBS license.... ...care. Notes: Primarily remote position with limited travel (New...Remote work$85k - $95k
...are seeking a Senior Inpatient Auditor to join our dynamic Payment... ...involves conducting comprehensive MS-DRG and APR-DRG coding reviews to... ..., backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations... ...to work independently in a remote environment while maintaining...Remote workDaily paidFull timeFlexible hours- ...Clinical Validation Nurse At MedReview, our mission is to bring accuracy... ...integrity solutions including DRG Validation, Cost Outlier and... ...Registered Nurse with active RN licensure required CCS (... ...applications at the same time Remote Work Requirements: High...Remote workFull timeMonday to Friday
- ...Job Title: Clinical Nurse Auditor – Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our... ...reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified...Remote workFull timeWork at office
$78.5k - $90k
...of experienced medical auditors and coders performing retrospective... ...Payers. You will work remotely in a fast paced and... ...and cross train in all clinical departments/areas.... ...Active unrestricted RN license in good standing... ...coding, HCPS/CPT coding, DRG and medical billing...Remote workFor contractorsWork at officeWork from homeHome officeShift work$27.59 - $56.63 per hour
JOB DESCRIPTION This position will offer remote work flexibility, but the selected... ...standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an... ...education and experience. • Registered Nurse (RN). License must be active and restricted...Remote jobHourly payWork experience placementLive inWork at officeMonday to Friday
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