Remote MS-DRG/APR-DRG Coding Auditor
ANTHEM INSURANCE COMPANIES INC
Anthem Insurance Companies Inc is seeking a DRG Coding Auditor specialized in MS-DRG and APR-DRG to audit inpatient medical records and generate high-quality recoverable claims across lines of business. The role requires advanced ICD-10 coding expertise, clinical guideline application, and the ability to document audit findings clearly. Virtual/work-from-home options are available with required in-person training sessions. California preferred locations considered.
#J-18808-Ljbffr- ...Location: Florida, New York, United StatesCompany: Elevance HealthPosted: Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-DRG/AP-DRG assignments across all lines of business. The role focuses on generating high-quality...Remote workRelocation
$92.88k - $160.22k
...Sign On Bonus: $1,500 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 sessions, providing maximum flexibility and autonomy. This approach promotes productivity...SuggestedFull timeWork experience placementWork at officeLocal areaRelocation package$92.88k - $160.22k
...New York, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: Anticipated End Date: Position Title:DRG Coding Auditor - MS-DRG and APR-DRGJob Description:Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group... ...join our team! This role offers a fully remote work experience with possible 10%... ...What You’ll Do: Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package$73k - $98.7k
...passionate and experienced DRG Auditor looking for an opportunity to... ...! This role offers a fully remote work experience with possible... ...engagements.) A brief coding/auditing assessment may be included... ...Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure...Remote workFull timeWork experience placementWork from homeHome office$73k - $98.7k
...Our partner is looking for a DRG / Inpatient Auditor III based in the United... ...auditing environment in a fully remote capacity. In this role, you... ...expertise in inpatient coding, DRG reimbursement methodologies... ...will conduct comprehensive MS-DRG and APR-DRG reviews, develop well-...Remote workFull timeWork at office$85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception... ...performing DRG validation (clinical/coding) reviews of medical records and/or... ...payment methodologies including MS-DRG, AP-DRG and APR-DRG. Responsibilities...Remote jobFull timeContract workFlexible hours$35 - $63 per hour
...Growing together.In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10... ...same timeAbility to work independently in a remote environment and deliver exceptional...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area- ...Optum is seeking a Clinical DRG RN auditor who will validate ICD-10-CM/PCS codes and DRG assignments for inpatient claims... ...reimbursements.The role supports remote work from anywhere in the U.S.... ...strong coding knowledge, including MS-DRG/APR-DRG, ICD-10 guidelines, and CMS...Remote work
- ...Healthcare Coding & Consulting Services (HCCS) is seeking experienced DRG Validators to join our growing team. We offer full-time and part-time remote roles for qualified coding professionals with APR-DRG/DRG experience and inpatient auditing expertise. Candidates must...Remote workFull timePart time
- ...Healthcare Coding & Consulting Services (HCCS) is seeking experienced IP Auditors to join our growing team. This is a fully remote opportunity for highly skilled coding professionals with extensive APR-DRG/DRG experience and inpatient auditing in Level II or higher centers...Remote work
- ...audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition.... ...Skills: 1. Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses / procedures...Remote workCasual workShift work
- Elevance Health is seeking a DRG Coding Auditor to ensure accurate, compliant inpatient reimbursement... ...-health care for our members. In this remote role, you will perform detailed... ...records and ICD-10-CM/PCS codes to validate MS-DRG/APR-DRG assignments and identify...Remote workFull time
- ...Stanford Health Care is seeking an Inpatient Coding Specialist II to review medical records,... ...and procedure codes, and ensure correct MS-DRG/APR-DRG grouping under CMS guidelines.... ...encoder, CDIS, and related tools. This is a remote, full-time position within the USA. #J...Remote workFull time
- ...Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. The role covers... ...MUEs, and medical necessity edits, with a focus on MS-DRG/APR-DRG assignment and accurate ICD-10-PCS coding. The position includes frequent interaction with...Remote work
- ...a skilled Clinical Documentation Specialist/Code reviewer to audit inpatient records, ensure accurate ICD-10 coding and DRG assignments, and collaborate with CDSs and coders... ...support DRG integrity and appeals processes. Remote work options available for qualified...Remote work
- ...Healthcare Coding & Consulting Services (HCCS) seeks experienced IP Auditors for full-time or part-time, fully remote roles. Candidates should have DRG validation, inpatient auditing, and complex inpatient coding experience within a Level II Trauma Center or higher....Remote workFull timePart time
- ...Inpatient Coder II to assign ICD-10-CM/PCS codes for acute inpatient, rehabilitation,... ...providers to improve documentation and assign MS-DRG/APR-DRG in alignment with guidelines, while... ...Associate’s degree in HIM. This role offers remote options for many states and opportunities...Remote job
- ...R1 RCM, Inc. is seeking a DRG Associate Auditor (Analyst) to validate coding updates that affect DRGs and potential reimbursement. You'll review cases, document... ...and proficiency with Epic, Cerner or Meditech, Excel and Teams. This is a remote US-based role. #J-18808-LjbffrRemote work
- ...Processing, Inc. (ADP) is seeking experienced IP Auditors for a fully remote role, available as full-time or part-time,... ...in the United States. Candidates should have DRG validation, inpatient auditing, and complex trauma coding experience. We offer direct-hire W-2...Remote workFull timePart time
- 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 jobRelocation package
- ...R1 RCM Inc. in the United States is seeking a DRG Associate Auditor (Analyst) to validate coding updates that affect DRGs and may impact reimbursement. You will pre-screen cases for the DRG Validation Auditing Team and document evidence-based recommendations. Candidates...Remote work
- ...Talent Acquisition Team is seeking a DRG Manager to lead DRG audit activities,... ...goals are met. You will manage a team of auditors handling MS‑DRG and APR‑DRG reviews, with strong CMS and... ...to support program success in a fully remote US-based environment. #J-18808-LjbffrRemote work
- ...Revenue Integrity Are you a passionate coding and revenue integrity professional who... ...bonus available** What You'll Do The DRG Revenue Integrity Auditor (DRG-A) performs comprehensive Diagnostic... ...with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc...Remote workWork experience placementLocal areaRelocation packageFlexible hours
- R1 RCM, Inc. is seeking a DRG Associate Auditor (Analyst) to validate coding updates that affect DRGs on claims and enhance reimbursement and compliance for clients. You will pre-screen cases and document evidence-based recommendations using industry references. The role...Remote job
- ...leading healthcare consulting firm is seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing while delivering staff... ...at least 1 year of clinical experience. This primarily remote position offers competitive benefits and workplace flexibility...Remote work
$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates to work virtually... ...by integrating medical chart coding principles, clinical guidelines,... ...experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of...Full timeWork experience placementWork at officeLocal area- ...Savista is seeking an Inpatient Coder to review clinical documentation and assign ICD-10-CM/PCS codes for Facility Inpatient records, ensuring accurate MS-DRG calculations for reimbursement. The role supports data integrity and compliance with HIPAA while collaborating...Remote work
- ...GHR Travel Nursing is seeking an experienced Inpatient Coder to work remotely on a 13-week contract, focusing on ICD-10-CM/PCS coding and MS-DRG assignments for complex inpatient cases. This role requires 3+ years of facility coding experience and strong knowledge of coding...Remote workWeekly payContract workDay shift
- ...Virtual Vocations Inc. is seeking a remote Inpatient and Outpatient Facility Medical Coder... ...review documentation and assign accurate codes across ICD-10-CM/PCS, CPT, and HCPCS... ...Level-1 Trauma experience, and mastery of MS-DRG assignment for inpatient and outpatient records...Remote work
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