Remote DRG Audit Lead MS/APR-DRG & Compliance
Ex Services
- Remote job
Ex offers a DRG Manager role that leads planning, coordination, and execution of DRG audit activities, ensuring client SLAs and operational goals are met. This role directs a team of auditors responsible for MS-DRG and APR-DRG reviews to assure accurate coding and reimbursement outcomes. Ideal candidates demonstrate strong leadership and analytical skills, with expertise in Coding Guidelines, Coding Clinic, and audit tools, and a solid understanding of CMS regulations and payer requirements. #J-18808-Ljbffr Ex Services
$500 per month
...End Date:2026-10-12 Position Title:DRG Coding Auditor - MS-DRG and APR-DRG Job Description:Sign On Bonus: $... ...DRG Coding Auditor is responsible for auditing inpatient medical records and... ...advance our strategy but will also lead to personal and professional growth...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week$500 per month
...1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates... ...Coding Auditor is responsible for auditing inpatient medical records and... ...advance our strategy but will also lead to personal and professional growth...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week$86.56k - $155.81k
...Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG & APR-DRG) Virtual: This role enables associates... ...Auditor - RN is responsible for auditing inpatient medical records to ensure clinical... ...to advance our strategy but will also lead to personal and professional growth for...SuggestedFull timeTemporary workWork experience placementWork at officeLocal area1 day per week$103.64k - $161.54k
...Description The Director, CERIS DRG Audit Program is a strategic... ..., and regulatory compliance. The Director leads teams of clinical and coding... ...Extensive knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS, Medicare... ...with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$90k - $110k
...Job Title: DRG Revenue Integrity Auditor (Inpatient Coding Auditor) Employment Type:... ...received. Their work impacts hospital billing, compliance with federal regulations, and overall... ...must have strong inpatient coding and/or auditing experience. What This Role Does (Plain Language...SuggestedPermanent employmentFull timeLocal areaMonday to FridayFlexible hours$85k - $110k
...Diagnostic Related Group (DRG) DRG Validation Auditor... ..., and capture audit data Investigate and resolve coding compliance issues, inappropriate coding... ...~ Strong knowledge of MS-DRG and APR-DRG reimbursement methodologies... ...and adaptable to remote or on-site work environments...Remote workWork at office- ...Now Hiring: Remote DRG Validator 100% Remote Multiple Openings... ...with a passion for accuracy, compliance, and revenue integrity? We'... ...What You'll Do: ✔ Perform MS-DRG and APR-DRG validation reviews for inpatient... ...medical records ✔ Audit ICD-10-CM/PCS coding, DRG assignment...Remote workWork at officeImmediate start
- ...CorroHealth seeks a DRG Revenue Integrity Auditor to validate inpatient DRGs and ensure coding accuracy. You will review charts, assess POA indicators, SOI, ROM, CMI, and HCC capture, applying ICD-10-CM/PCS and guidelines from CMS, NCDs, LCDs, and payer policies. Ideal...Remote workRelocation package
- ...assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain... ...Coding concepts for facility diagnosis and procedure coding and DRG assignmentLegal and policy directives pertinent to codingBe familiar...Remote workWorldwide
- CERIS, a division of CorVel Corporation, is seeking a DRG Clinical Auditor in Fort Worth, TX to perform DRG validation and coding reviews of medical records. You will determine correct DRG/coding per review methodologies and support clinical/policy/regulatory decisions,...
- CERIS, a division of CorVel Corporation, is seeking a DRG Clinical Auditor to perform DRG validation reviews of medical records and... ...candidates have RN/LVN licensure, CCS or CIC certification, DRG auditing experience, and knowledge of Medicare/Medicaid payer rules. #J-...
- Enjoin is seeking a DRG Integrity Analyst to perform initial chart screening for inpatient encounters, identifying DRG opportunities and risks in a fast-paced, remote setting. The role requires strong DRG methodology knowledge, coding screening experience, and attention...Remote job
$90k - $110k
...are seeking a talented individual for a DRG Quality Advisor Nurse who is... ...for performing ongoing quality assurance audits, complex clinical review validation, and... ...multiple payment methodologies, including MS-DRG, AP-DRG, and APR-DRG, outpatient coding (APC/EAPG), while...Remote workFull timeContract workWork from homeFlexible hours- ExL Service seeks a senior leader to manage a team of DRG quality analysts responsible for reviewing auditor-completed MS-DRG and APR-DRG work, validating audit accuracy, and ensuring accurate coding and reimbursement outcomes. The role may supervise additional quality...Remote job
- ...Join a Team of Industry-Leading Experts and Help Shape the Future of... ...available** What You'll Do The DRG Revenue Integrity Auditor (DRG-... ...Group (DRG) validation and quality audits on inpatient medical records to... ...used work apps, such as MS Word, MS Excel, MS Outlook, Teams...Remote workWork experience placementLocal areaRelocation packageFlexible hours
- ...DRG Validator Healthcare Coding & Consulting Services... ...is a full-time, fully remote opportunity for a highly... ...validation, inpatient auditing, and complex inpatient coding... ...of 3 years of recent APR-DRG/DRG coding... .../PCS coding guidelines, MS-DRG/APR-DRG assignment,...Remote workFull time
- ...and deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review suite,... ...compliant content and supports DRG Coding and Clinical Validation (MS/APR) efforts across multiple projects; in-office and hybrid/remote options #J-18808-Ljbffr 3M HEALTHCARERemote jobWork at office
- ...Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued.... ...populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis... ...knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses...
$85k - $95k
...MedReview is a leading provider of payment... ...seeking an experienced DRG Reviewer to join... ...in a fast-paced remote environment.... ...accurate application of MS-DRG and APR-DRG methodologies.... .... Maintain compliance with organizational... ...validation, coding audits, or payment integrity...Remote workWork at officeFlexible hours$85k - $90k
...healthcare. We are a leading authority in... ...solutions, including DRG Validation, Cost Outlier... .... This is a fully remote position.... ...years’ experience in MS-DRG and APR-DRG validation in... ...inpatient coding, auditing. Payment integrity... ...other regulatory compliance guidelines and mandates...Remote work$85k - $90k
...DRG Reviewer At MedReview, our mission... .... We are a leading authority in payment... .... This is a fully remote position. Candidates... ...years' experience in MS-DRG and APR-DRG validation in... ...inpatient coding, auditing. Payment integrity... ...other regulatory compliance guidelines and mandates...Remote work- ...Payment Integrity Drg Coding & Clinical... ...understanding of the current MS-DRG, and APR-DRG payment... ...I Analyzes and audits acute inpatient... ...other regulatory compliance guidelines and mandates... ...of Conduct, and leading to the Lifetime... ...be opportunity for remote work within all jobs...Remote workWork experience placement
$100k - $110k
...documentation accuracy, strengthen compliance, and ensure patient... ...that support accurate MS-DRG assignment and... ...initiatives. This is a fully remote position requiring... ...hospital coding, coding audit, and/or CDI experience... ...denials Experience with APR, 30-day readmission,...Remote workLocal areaMonday to Friday$86.56k - $129.84k
...by law. The Patient Safety DRG Clinical Validation Auditor is responsible for auditing inpatient medical records to... ...experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of... ...our strategy but will also lead to personal and professional growth...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...SummaryResponsible for leading coding teams, coder... ...reviews utilizing auditing software and... ...knowledge of coding and compliance guidelines to... ...PCS codes as well as DRG assignment.Essential... ...Participates in on site, remote and/or external... ...process.Knowledge of MS DRG prospective...Remote workWork at officeLocal area
- ...facility. This job is REMOTE. FTE: 1.000000 Standard... ...coding team through coding audits, education, and mentorship.... ...auditing coding accuracy, DRG assignment, and compliance while providing... ...performing inpatient coding with MS-DRG assignment required. A...Remote workTemporary workShift workWeekend work
- ...: 2026-10-02Universal Health Services, Inc. is seeking an experienced inpatient coder to perform all services of IP coding, ensuring DRG accuracy and timely coding.The role involves working with the CDI team and other departments to improve utilization and maintain privacy...Remote work
- ...Job Description Job Description DRG Auditor We’re seeking an experienced DRG Revenue Integrity Auditor to review inpatient hospital... ...for a coding professional who can work independently, explain audit findings clearly, and help improve documentation and coding...Remote job
$74k - $135k
...engagements involving coding and billing audits, disputes, claims analysis, investigations, compliance reviews, and litigation support... ...professional settings.Evaluate MS-DRG, APR-DRG, APC, ASC, and professional... ...balance and help employees lead fulfilling lives.Learn more...Full timeContract workLocal areaFlexible hours- 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
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