Remote Coding Quality Review Lead - MS-DRG Audits
kozmetickesluzby.vecnakraska.sk - Jobboard
- Remote job
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, or CCS certification, along with a decade of coding experience in a hospital setting. The ideal candidate will lead coding reviews and support coder education while ensuring adherence to coding policies. #J-18808-Ljbffr kozmetickesluzby.vecnakraska.sk - Jobboard
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...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced... ...Responsibilities: Adherence to all coding guidelines and CDI best... ...sequencing. Maintain quality of reviews and make sure the true... .... ~ Familiarity with MS word, MS Excel, MS...Remote workQualityImmediate startWork from home- ...Reston, VA. We seek a Medical Review Coder Specialist to review... ...guidelines. You will perform MS-DRG assignments and chart reviews... ...CERT policy compliance and high-quality coding.Ideal candidates hold CCS/CIC... ...with strong confidentiality. Remote/home-office security...Remote workQualityHome office
$41 - $46 per hour
...Ambulatory Surgery, Lead & Supervisor (... ...Contract) Remote (U.S.-based) —... ...remote medical coding positions are... ...ICD-10-CM/PCS, MS-DRG, inpatient professional... ...9 equiv.) 1 QA review of the coder... ...quarterly VA audits; correct audit... ...the monthly quality assurance/improvement...Remote workQualityDaily paidFull timeContract workLocal areaMonday to Friday$80k - $95k
...Global is seeking a Remote DRG Validation Auditor... ...and/or inpatient coding and has a high... ...understanding of the MS-DRG, AP-DRG, and APR... ...responsible for auditing inpatient medical... ...and generating high-quality recoverable claims... ...clinical reviews of medical records...Remote workQuality$70k - $80k
...Related Group (DRG) Auditor III Join... ...offers a fully remote work experience... ...provide industry-leading training, career... ...excellence in DRG auditing. If you're... ...Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure... ...or exceed EXL’s quality and productivity...Remote workQualityFull timeWork experience placementReliefWork from homeHome officeRelocation package$45 - $50 per hour
...Consultant (CDI) DRG Validation /... ...is located in US(Remote). Pay Range:... ...inpatient chart reviews Review provider... ...Assign and validate MS-DRGs Develop... ...Management and Quality teams... ...with 3M CDI and coding applications.... ...Our client is a leading Healthcare Industry...Remote workQualityContract workLocal areaImmediate start- LOCATION: Remote - This is a home based, virtual position... ...and post-payment audits of DRG coding and clinical documentation... ...records and generating high-quality recoverable claims by reviewing medical records and... ...and ICD-10 PCS codes and MS-DRGs. Utilizing evidence...Remote jobQualityLive inWork from homeMonday to Friday
$68.57k - $104.84k
..., TX is seeking a DRG Quality Control/Clinical Auditor... ...(clinical/coding) reviews of medical records... ...rules. This is a remote position. ESSENTIAL... ...Conduct audits to ensure accurate... ...Proficient in both MS and APR DRG methodology... ...II, III, Senior, Lead, etc.) new hires may...Remote workQualityMinimum wageFull timeWork at officeLocal areaFlexible hours$185.37k - $308.95k
Associate Director, Medical Review Lead, MSRM Who we are At... ...compliance, and high-quality safety data to support... ...including narratives, coding, seriousness, expectedness... ...Strong computer skills (MS Office). Ability to... ...the ability to be either remote in the US or hybrid in...Remote workQualityTemporary workWork from homeFlexible hours3 days per week$86k - $115k
...experienced and innovative DRG Clinical & Coding Educator who is... ...for clinical reviewers, DRG validators,... ..., APR-DRG, MS-DRG, assignment,... ...payment integrity audit methodologies.... ...with Operations, Quality, and Leadership teams... ...role Location: Remote within the United...Remote workQualityFull timeFlexible hours$90k - $105k
...for a Clinical DRG Auditor who is responsible... ...(clinical/coding) reviews of medical records... ...proprietary systems to audit medical records,... ...including MS-DRG, AP-DRG and APR... ...productivity and quality performance standards... ...expect in this role Remote within the U.S....Remote workQualityFull timeContract workFlexible hours$100k - $110k
...deep clinical and coding expertise with advanced... ...medical record reviews to identify coding... ...support accurate MS-DRG assignment and... ...supports denial and quality-related initiatives... .... This is a fully remote position requiring... ...hospital coding, coding audit, and/or CDI...Remote workQualityLocal areaMonday to Friday- ...DRG Revenue Integrity Auditor About the Role... ...Group (DRG) validation and quality audits on inpatient charts.... ...role ensures that all reviewed charts accurately reflect... ...picture, based on codes assigned by facility coders... ...systems. Proficiency in MS Word, Excel, Outlook,...Remote workQuality
- ...compliance, the part-time PRN DRG Revenue Integrity... ...perform validation and quality audits on inpatient medical records, focusing on DRG coding accuracy and adherence... ...regulations while working remotely. Key responsibilities:... ...work Proficiency in MS Word, Excel, Outlook, and...Remote workQualityPart timeRelief
- ...and deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review... ...scalable, compliant content and supports DRG Coding and Clinical Validation (MS/APR) efforts across multiple projects; in-office and hybrid/remote options #J-18808-Ljbffr...Remote workWork at office
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...often (in days) to receive an alert: DRG Nurse Reviewer Appeals and Hearings- Remote Date: Aug 30, 2026 Location: Any... ...using approved clinical and coding guidelines and documents appeal determinations... ...maintaining production goals and quality standards. Prepares case files...Remote jobQualityFull timeWork from homeRelocation packageFlexible hours$500 per month
...HealthPosted: 2026-09-01DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,... ...Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the... ...for performing clinical reviews of medical records and other...QualityFull timeWork at officeLocal area$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation... ...what matter most - quality of care and... ...medical claims audit reviews. As a MR Nurse... ...Payers. You will work remotely in a fast paced and... ...10, CPT-4 or HCPCS coding. Knowledge of... ...HCPCS/CPT coding, DRG and medical billing...Remote workQualityFor contractorsWork at officeWork from homeHome officeShift work$63.74k - $95.26k
...Diagnostic Related Groups (DRG) Clinical Auditor... ...(clinical/coding) reviews of medical records... ...documentation Conduct audits to ensure accurate... ...Rules Assist Quality Control team and... ...II, III, Senior, Lead, etc.) new hires... ...regulations as applicable. #LI-Remote...Remote workQualityMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the... ...position focuses on QA audits, DRG validation, coding audits, and ensuring compliance... ...leverage RN licensure, MS-DRG/APR-DRG knowledge,... ...outcomes, mentor reviewers, and support process improvements...Remote jobQuality
- Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure... ...compliance and high-quality documentation. The role... ...clinical judgment, coding accuracy, and regulatory...Remote jobQualityWork from home
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...HealthPosted: 2026-08-31DRG Coding Auditor - MS-DRG and APR-DRGVirtual:... ...is responsible for auditing inpatient medical... ...and generating high quality recoverable claims for... ...performing clinical reviews of medical records and... ...strategy but will also lead to personal and...QualityFull timeTemporary workWork experience placementLocal area1 day per week- 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 jobQuality
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- Optum360 is a remote-friendly leader in coding operations seeking a Senior Coding... ...the region and drive quality metrics, standardization, and audits to exceed SLAs. The... ...teams to improve prebill reviews and reimbursement. You... ...to mentor staff and lead #J-18808-Ljbffr Texas...Remote jobQuality
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