Remote DRG Coding Auditor - MS-DRG/APR-DRG
Elevancehealth
Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-07Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-09-04Location: Maryland, United StatesCompany: ElevancehealthPosted: 2026-08-31Location: Maryland, United StatesCompany: Elevance HealthPosted: 2026-08-19Elevance Health is seeking a DRG Coding Auditor to ensure accuracy in MS-DRG and APR-DRG classifications across inpatient records, spanning all lines of business. The role blends clinical review with coding expertise to audit and generate high-quality recoverable claims for the company and its clients.The position offers hybrid/virtual work with in-person onboarding, and requires strong ICD-10 knowledge and DRG auditing experience.#J-18808-Ljbffr
- Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate... ...ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-... ...internal teams. The role offers hybrid/remote work with required in-person training....Remote job
$92.88k - $160.22k
Location: Chicago, Illinois, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-08-31DRG Coding Auditor - MS-DRG and APR-DRGVirtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week$500 per month
Location: Costa Mesa, California, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-09-01DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual...SuggestedFull timeWork at officeLocal area- Elevance Health seeks a DRG Coding Auditor to audit inpatient records and generate high-quality recoverable claims for all lines of business. You will perform clinical reviews to assess coding accuracy and DRG assignments, specializing in DRG coding via medical records...Remote job
- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote job
$92.88k - $160.22k
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, supports work-life integration...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...DRG Validation Auditor Required Skills & Experience: 5-7+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims... ...necessity criteria, and coding terminology. Expert... ...our clients to sit 100% remote. This person should...Remote work
$90k - $105k
...individual for a Clinical DRG Auditor who is responsible for... ...performing DRG validation (clinical/coding) reviews of medical records... ...methodologies including MS-DRG, AP-DRG and APR-DRG. Your role in our... ...should expect in this role Remote within the U.S. May be...Remote workFull timeContract workFlexible hours$45 - $50 per hour
...Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a... ...potential and is located in US(Remote). Pay Range: $45 - $50/... ...accuracy Assign and validate MS-DRGs Develop compliant... ...Experience with 3M CDI and coding applications. ICU, Critical...Remote workContract workLocal areaImmediate start- ...granted as required by law The DRG Clinical Auditor Principal is responsible for auditing... .... Specializes in review of DRG coding via medical record and attending physician... ...coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and...Daily paidFull timeWork at office
- ...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...Remote work
- ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible... ...'s true clinical picture, based on codes assigned by facility coders, and in... ...record (EMR) systems. Proficiency in MS Word, Excel, Outlook, Teams, and other...Remote work
- ...reviewing medical reports to ensure accurate coding and billing, with communication to other... .... Candidates should hold CPC/APCC/CMBS/DRG coder certification and have experience in... ...or professional bill review, ideally with remote work experience. Healthcare background preferred...Remote jobWork experience placement
- Huron Consulting Group is seeking an Inpatient Coding Auditor to join our team to ensure coding accuracy and DRG assignments across client projects. The role involves auditing inpatient coders, calibrating audits with offshore counterparts, and supporting reporting with...Remote job
$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 at officeLocal area- Ardent Health is seeking a Hospital Auditor to review inpatient and outpatient records for... ...documentation gaps, validating coding accuracy, and assessing hospital practices... ...integrity. The position requires strong MS DRG/APR DRG experience, ICD-10-CM/PCS expertise,...
- Zubi Talent Group is hiring a remote Coding Quality Review (CQR) Specialist responsible for conducting audits of medical coding. The role requires strong experience in MS-DRG coding and a commitment to accuracy and compliance. Minimum qualifications include RHIA, RHIT,...Remote job
- Medasource is seeking a Clinical Documentation Specialist (CDS) to join their remote team. The ideal candidate will possess 2-3+ years of experience, a strong understanding of MS-DRG coding concepts, and the ability to work effectively in a virtual environment. This full...Remote jobFull time
- ...seeks an experienced Inpatient Reimbursement Coding Specialist to join Health Information... ...to inpatient accounts, ensuring accurate DRG/APR-DRG assignment and documentation alignment... ...certs and 1 year experience required; remote work options available. #J-18808-Ljbffr...Remote job
- ...Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued. Belong.At... ...an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring... ...of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses...
$122.24k - $183.36k
...granted as required by law. The DRG Clinical Auditor Principal is responsible for auditing... ...clients. Specializes in review of DRG coding via medical record and attending... ...coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and...Daily paidFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...Boca Raton seeks a Clinical Documentation Integrity DRG Validator—REMOTE, FT—to improve inpatient documentation quality... ...years of inpatient experience, and deep knowledge of MS-DRG and APR-DRG. You will collaborate with coding teams and support the Epic CDI transition slated...Remote job
- ...a senior leader to supervise the Coding & Clinical Review team within Payment Integrity, ensuring accurate DRG assignments and audit outcomes. This remote role drives quality, efficiency, and... ...The ideal candidate has 6+ years MS-DRG/APR-DRG coding and 3+ years DRG review...Remote job
- ...Our partner is looking for a Nurse Coder DRG Auditor III based in United States. This role... ...serves as a subject matter expert in clinical coding, claims auditing, and payment integrity.... ...Excel. Experience with appeals, APR-DRG, client communication, concept development...Full timeWork at office
- Gainwell Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental United... ...focuses on QA audits, DRG validation, coding audits, and ensuring compliance... ...guidelines. You will leverage RN licensure, MS-DRG/APR-DRG knowledge, and ICD-10-CM/PCS...Remote job
- ...Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct... ...edits while applying ICD-10-PCS and DRG rules to inpatient records. You will query... ...management with a focus on high-quality coding and compliant billing practices. #J-1880...Remote job
$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review... ...inpatient level of care. This role will apply coding and clinical principles based on industry... ...Skills Appeals experience a plus APR-DRG experience a plus Client communication...Work at office- ...Consulting Group Inc.Posted: 2026-08-31Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality.You will communicate findings via phone, email, and...
- ...deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review... ..., 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
$90k - $110k
...Job Title: DRG Revenue Integrity Auditor (Inpatient Coding Auditor) Employment Type: Full-Time, Permanent Salary Range: $90,000 – $110,000 per year Schedule: Monday–Friday, regular business hours (flexible scheduling can be discussed during interviews) Position Overview...Permanent employmentFull timeLocal areaMonday to FridayFlexible hours
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