Remote Clinical Validation Auditor RN (DRG)
NACBA
- Remote job
NACBA is seeking a Clinical DRG RN auditor who will utilize expertise in MS-DRG and APR-DRG coding to audits inpatient claims. The role requires strong knowledge of ICD-10 guidelines and excellent analytical skills. Enjoy flexibility to telecommute within the U.S. and a competitive benefits package. Preferred candidates will have extensive experience in clinical coding and a commitment to quality work. Join NACBA and make a significant impact in healthcare! #J-18808-Ljbffr NACBA
$34.23 - $61.15 per hour
Stryker Corporation is hiring a Clinical DRG RN auditor to work remotely within the U.S. This role requires expert knowledge in MS-DRG/APR-DRG coding... ...responsibilities include auditing inpatient claims and validating ICD-10 codes. Ideal candidates will possess a valid RN...Remote jobHourly pay$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization... ...and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes,... ...Ability to work independently in a remote environment and deliver exceptional...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package$34.23 - $61.15 per hour
UnitedHealth Group is seeking a Clinical DRG RN auditor to enhance health outcomes by utilizing expert coding knowledge. The role offers the flexibility to telecommute and involves conducting MS-DRG and APR-DRG coding reviews in a high-volume production environment. The...Remote jobHourly pay- ...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
- Crains Cleveland is seeking a Clinical DRG RN auditor to apply expert knowledge of MS-DRG coding methodologies in auditing inpatient claims. This role offers telecommuting opportunities from anywhere in the U.S. and requires strong analytical skills and clinical expertise...Remote job
- The University of Minnesota School of Nursing is offering a Clinical DRG RN auditor position that allows for telecommuting from anywhere in... ...systems. This position involves auditing inpatient claims, validating diagnosis and procedure codes, and ensuring compliance with...Remote jobRelocation package
$82.23k - $155.81k
Title 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. Alternate...Full timeWork 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$107.6k - $147.95k
...pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the... ...You’ll Make in this Role As an Auditor / DRG validator - RN, you will have the opportunity to tap... ...prerequisites to entry. Work location: Remote USA Travel: May include up to 25% domestically...Remote workFull timeH1bWork at officeRelocation packageFlexible hours- ...integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. Benefits Parallon offers a total... ...standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills...Remote jobFull timeTemporary workPart timeWork from homeFlexible hours
$82.23k - $155.81k
...Title: 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 inperson training sessions, providing maximum flexibility and autonomy...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week$70k - $95k
...getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are... ...accurately and fairly. This is a fully remote position where you’ll use your... ...review medical records, validate billed DRG codes, and help identify overpayments....Remote workFull time$85k - $90k
...leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is... ...claim information to validate accuracy of DRG assignments and... ...This role will apply coding and clinical principles based on industry... ...findings Qualifications An active RN professional license in good...Remote workWork at office- ...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 (Certified... ...at the same time Remote Work Requirements: High speed...Remote workFull timeMonday to Friday
- SafetyCall International is seeking a Clinical DRG RN Auditor to join their team. The position requires expertise in MS-DRG and APR-DRG coding methodologies, and responsibilities include conducting coding audits to ensure accuracy. The role allows for flexibility to telecommute...Remote jobRelocation package
- CGI Njoyn is seeking a Remote MSDRG Auditor to review medical records for accuracy in coding and reimbursement. The ideal candidate will... ...experience, with expertise in ICD-10-CM/PCS and strong clinical validation skills. This role requires effective communication and detailed...Remote job
$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon... ...in a hybrid model (remote and office). The ideal... ...-expense spending. The DRG Coding Auditor Principal... ...Coding Guidelines, Coding Clinics, and the ICD-10... ...audit findings letters. Validates accuracy and quality standards...Remote workDaily paidWork at officeLocal area1 day per week$80k - $90k
...Responsibilities*** Performs clinical reviews on medical records to... ...with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary.* Strong... ...to work independently in remote setting with minimum supervision... ...Qualifications*** Active unrestricted RN license #J-18808-Ljbffr...Remote workFlexible hours- ...position focused on leading audits of hospital billing and coding practices. Responsibilities include desk audits, bill verification, DRG validation, and credit balance reviews. The role also involves supporting audit protocol development and providing guidance on ICD-10-CM...
- ...Remote Clinical Nurse Auditor The Clinical Nurse Auditor is a vital member of the... ...determine medical necessity, validate prior authorizations, conduct... ...issues in conjunction with the DRG Validation Team as assigned.... ...: Registered Nurse (RN) with active, unrestricted licensure...Remote jobWork at office
- ...A prominent healthcare consulting firm is seeking a Remote MSDRG Auditor to review medical records for coding accuracy and reimbursement compliance... ...current AHIMA credentials. Responsibilities will include validating ICD-10 codes and ensuring compliance with government and...Remote workFull time
$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... ...Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The...Remote workFlexible hours- A healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical validation and utilization review to ensure accurate DRG assignment and support healthcare quality. Candidates...Remote job
- RADcube is seeking a detail-oriented Registered Nurse Clinical Auditor for a remote position focused on evaluating medical record reviews and billing... ...audit documentation. Candidates should preferably hold an RN license and have at least one year of Medicaid claims review...Remote job
- ...seeking a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and... ...Indiana Health Coverage Programs. This remote role requires evaluating provider compliance... .... Applicants should preferably hold an RN license, coding certification, and have...Remote job
- ...for a detail-oriented Registered Nurse Clinical Auditor to conduct medical record reviews and billing... ...Indiana Health Coverage Programs. This remote position requires evaluating care... ...documentation. The ideal candidate holds an RN license, has at least one year of relevant...Remote job
- RADcube is seeking a detail-oriented Registered Nurse Clinical Auditor for a remote position with occasional travel in Indiana. The role involves conducting... ...Coverage Programs. Key qualifications include a preferred RN license, coding certification (CCS or CPC), and at least...Remote job
$68.57k - $104.84k
...Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related... ...responsible for performing DRG validation (clinical/coding) reviews... ...rules. This is a remote position. ESSENTIAL FUNCTIONS... ...EDUCATION & EXPERIENCE LVN or RN license in the state of...Remote workFull timeWork at officeFlexible hours- RN Inpatient Hospital Auditor - Remote (New Jersey) - 6‑month contract, 3+ years experience - Start date: ASAP... ...care facility. Experience with DRG validation, ICD‑10‑CM training and education.... ...up with new innovations in clinical data review and company cost containment...Remote jobWeekly payDaily paidContract workLocal areaImmediate start
- 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
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