Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Inpatient DRG Auditor — Hybrid/Remote Ready

Zelis Healthcare Inc.

Boston, MA
  • Remote job

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 validation and readmission reviews while documenting findings and managing claims. An excellent compensation package and benefits are provided, underscoring our commitment to employee well-being. #J-18808-Ljbffr Zelis Healthcare Inc.

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Inpatient DRG Auditor — Hybrid/Remote Ready in Boston, MA vacancy
  • Stryker 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...  ...superior coding knowledge. This fully remote position supports a dynamic environment... 
    Remote job

    Stryker Corporation

    Minneapolis, MN
    17 hours ago
  • $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 job
    Flexible hours

    Machinify

    New York, NY
    17 hours ago
  • Humana Inc is seeking an Inpatient Medical Coding Auditor to join their coding disputes team. This remote position involves reviewing DRG and ICD-10-CM coding for accuracy while collaborating with coding professionals to achieve compliant outcomes. The ideal candidate... 
    Remote job

    Humana Inc

    New York, NY
    4 days ago
  • $48.13k - $81.23k

     ...Our partner is looking for a DRG Validation Auditor I based in the United...  ...accuracy and integrity of inpatient hospital billing through detailed...  ...This is a detail-oriented, remote-friendly role suited for...  ...environment supporting remote or hybrid arrangements (role... 
    Remote job
    Full time
    Flexible hours

    jobgether

    United States
    3 days ago
  • $71.1k - $97.8k

     ...our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes...  ...Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments...  ...WORK STYLE: Work at home, remote. While this is a remote...  ...To ensure Home or Hybrid Home/Office associates' ability... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Humana, Inc.

    Nashville, TN
    3 days ago
  • $26.44 - $36.06 per hour

     ...across the enterprise. The Inpatient Coding Auditor will be responsible for the...  ...ensure coding accuracy and DRG accuracy of a minimum of 95%...  ...ACDIS standards #LI-CM1 #LI-Remote The estimated pay range...  ...kind of person who stands ready to jump in, roll up your sleeves... 
    Remote work
    Hourly pay
    Permanent employment
    Work at office
    Local area
    Immediate start
    Flexible hours
    Day shift

    Huron Consulting Group

    Chicago, IL
    1 day ago
  • A healthcare data solutions company seeks an Inpatient Auditing Specialist to conduct coding audits and provide educational support. This fully remote role requires 3+ years of coding experience, a related degree, and good organizational skills. The successful candidate... 
    Remote job
    Relocation package

    Datavant

    Columbus, OH
    4 days ago
  • A healthcare data solutions provider is seeking an Inpatient Auditing Specialist who will perform audits on medical records and ensure compliance with DRGs. This fully remote role requires 3+ years of coding and auditing experience and offers a flexible schedule. Responsibilities... 
    Remote job
    Flexible hours

    Datavant

    Raleigh, NC
    2 days ago
  • A leading healthcare company is seeking a qualified Inpatient Medical Coding Auditor to analyze and code clinical information from medical records. This is a remote position with the possibility of travel to company offices for training. Candidates must have significant... 
    Remote job

    Humana Inc

    Oklahoma City, OK
    2 days ago
  • Professional Credit Service is hiring an experienced Inpatient Medical Coding Auditor to perform audits of acute inpatient medical records. This role...  ...of auditing experience. This full-time position offers remote work, competitive pay, and excellent benefits including health... 
    Remote job
    Full time

    Professional Credit Service is a

    New York, NY
    4 days ago
  • A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider... 
    Remote job

    Humana Inc

    Hartford, CT
    3 days ago
  • 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 job

    Humana Inc

    Raleigh, NC
    3 days ago
  • A leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement...  ...and excellent communication skills. The position is remote, but may require occasional travel for training, offering... 
    Remote job

    Humana Inc

    Phoenix, AZ
    3 days ago
  • 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 job
    Contract work

    Walker Healthforce, LLC

    New York, NY
    17 hours ago
  • $113.77k - $215.57k

     ...Diagnosis Related Group Coding Auditor Principal - Carelon Payment...  ...This position will work in a hybrid model (remote and office). The ideal candidate...  ...-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid... 
    Remote work
    Daily paid
    Work at office
    Local area
    1 day per week

    Elevance Health

    Indianapolis, IN
    17 hours ago
  • $75k - $95k

     ...Senior Auditor - Hybrid To Apply Now - email your resume to [email protected] Who:...  ...Environment: Hybrid (3 days in office, 2 days remote) in a medium-sized firm serving...  ...fit for an experienced audit professional ready to take on more responsibility in nonprofit... 
    Remote work
    Work at office
    Local area

    NorthPoint Search Group Inc

    Atlanta, GA
    17 hours ago
  •  ...the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate...  ...outcomes. Responsibilities Essential Functions Reviews inpatient medical records post-discharge and pre-bill, audits the accuracy... 
    Remote work

    University of Utah

    United States
    3 days ago
  • Inpatient Medical Coding Auditor - PPI Coding Disputes Reports to the manager and reviews DRG, ICD-10-CM, and PCS coding assignments for accuracy within the coding disputes team....  ...opportunities. Work Arrangement Work from home, remote. Occasional travel to Humana offices for... 
    Remote work
    Bi-weekly pay
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana Inc

    New York, NY
    4 days ago
  •  ...Job Description The Auditor/Educator Inpatient Coding performs internal Inpatient coding audits and coordinates Inpatient coder education in...  ...PCS Proficient in Diagnosis Related Groups structure (MS-DRG, APR-DRG), and Inpatient Prospective Payment System... 
    Remote work
    Full time
    Work at office

    Centra Health

    United States
    17 hours ago
  • $95 - $185 per hour

     ...About the job IT Auditor Cloud and Cyber -New York, NY -Hybrid IT Auditor Cloud and Cyber -New York, NY -Hybrid...  .... You will deliver examiner ready workpapers and clear issues that drive...  ...Contract Hybrid New York NY or Remote US W2 or 1099 How to apply:... 
    Remote work
    Hourly pay
    Contract work

    FinTrust Connect LLC

    New York, NY
    17 hours ago
  • $97.8k

     ...advancement within a Fortune 100 company Flexible remote work environment with occasional travel...  ...Expect (Job Responsibilities): Review inpatient hospital claims to ensure proper...  ...experience in one of these qualifications MS-DRG coding/auditing experience Proficiency... 
    Remote work
    Immediate start
    Flexible hours

    Humana Inc

    Columbus, OH
    2 days ago
  • $96.46k - $144.69k

    Overview Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid. The Clinical Revenue Auditor for the Mount Sinai Health...  ...Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist... 
    Remote work
    Full time
    Traineeship
    Local area

    Mount Sinai Medical Center

    New York, NY
    17 hours ago
  •  ...incentives Ongoing mentorship, development, leadership programs...and more! Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: Reviews inpatient medical... 

    Emory Healthcare

    Atlanta, GA
    3 days ago
  • The University of Minnesota School of Nursing is looking for a Clinical DRG RN auditor. This position involves auditing inpatient claims using MS-DRG and APR-DRG coding methodologies. Candidates need an Associate's degree and an unrestricted RN license, along with strong... 
    Remote job
    Relocation package
    Flexible hours

    University of Minnesota School of Nursing

    Minneapolis, MN
    17 hours ago
  • Texas Health Institute is seeking a Clinical DRG RN auditor who will leverage expertise in MS-DRG and APR-DRG coding to audit inpatient claims. This role entails validating ICD-10 codes and DRG assignments while working remotely from anywhere in the U.S. The ideal... 
    Remote job
    Relocation package

    Texas Health Institute

    Minneapolis, MN
    2 days ago
  • Optum is hiring a Clinical DRG RN auditor to verify DRG coding accuracy and reimbursements while telecommuting from anywhere in the U.S....  ...this role, you'll use your ICD-10 coding expertise to audit inpatient claims, identify overpayments, and support your findings with... 
    Remote job

    Registered Nurse

    Minneapolis, MN
    2 days ago
  • $85k - $90k

     ...employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and...  ...validate accuracy of DRG assignments and/or medical necessity for inpatient level of care. This role will apply coding and clinical principles... 
    Remote job
    Work at office

    Trend Health Partners

    New York, NY
    17 hours ago
  • RN Inpatient Hospital Auditor - Remote (New Jersey) - 6‑month contract, 3+ years experience - Start date: ASAP - Worker type: W2. Core Requirements...  ...hospital or other health care facility. Experience with DRG validation, ICD‑10‑CM training and education. Requires RN... 
    Remote job
    Weekly pay
    Daily paid
    Contract work
    Local area
    Immediate start

    Walker Healthforce, LLC

    New York, NY
    17 hours ago
  • $100k

     ...prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors...  ...home office Travel to multiple audit locations  Hybrid position - work from home and complete remote audits 2-3 days per week  Job Requirements:  Associate... 
    Remote work
    Weekly pay
    Local area
    Immediate start
    Work from home
    Home office
    2 days per week
    3 days per week

    ARMStrong Insurance Services

    Syracuse, NY
    9 days ago
  • $100k

     ...prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors...  ...person and $300,000 per accident or $300,000 combined Hybrid position - work from home and complete remote audits 2-3 days per week  Compensation and... 
    Remote work
    Weekly pay
    Local area
    Immediate start
    Work from home
    Home office
    2 days per week
    3 days per week

    ARMStrong Insurance Services

    Rome, NY
    9 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Inpatient DRG Auditor — Hybrid/Remote Ready. Be the first to apply!