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

Remote Coding Quality Review Lead - MS-DRG Audits

kozmetickesluzby.vecnakraska.sk - Jobboard

Houston, TX
  • 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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Coding Quality Review Lead - MS-DRG Audits in Houston, TX vacancy
  • $79k - $99.75k

     ...comprehensive inpatient DRG reviews based on industry...  ...inpatient coding guidelines and rules...  ...Document all aspects of audits including...  ...productivity and quality standards Recommend...  ...auditing ICD-10 CM, MS-DRG and APPR-DRG...  ...foster a hybrid and remote friendly culture,... 
    Remote work
    Quality
    Full time
    Work at office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Morristown, NJ
    1 day ago
  • $90k - $110k

     ...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 work
    Quality
    Immediate start
    Work from home

    CareNational

    Plano, TX
    5 days ago
  • UnitedHealth Group is seeking a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding, ICD-10 guidelines, and AHA Coding...  ...guidance for inpatient claims. Remote work from anywhere in the U.S. is...  ...coding with a strong focus on quality. RN license, associates degree, and... 
    Remote job
    Quality
    Relocation package

    Texas Health Institute

    Minneapolis, MN
    4 days ago
  • Trinity Health in Livonia, MI is seeking a Coding Quality Specialist to perform coding quality reviews, support DRG accuracy, and develop coder education based on audit results and regulatory changes. Onsite and/or remote work options are available. The role requires CCS... 
    Remote work
    Quality

    Trinity Health

    Livonia, MI
    5 days ago
  • $80k - $90k

     ...organization. Machinify is a leading healthcare...  ...-leading speed, quality, and accuracy. We’...  ...Performs clinical reviews on medical records...  ...on medical review audit work completed by...  ...HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary.*...  ...independently in remote setting with minimum... 
    Remote work
    Quality
    Flexible hours

    Performant

    Florida, NY
    4 days ago
  • $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 work
    Quality
    Full time
    Work experience placement
    Relief
    Work from home
    Home office
    Relocation package

    EXL Health

    New York, NY
    3 days ago
  • Humana Inc. in Austin, TX seeks a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy and DRG assignment. You will report to the Manager, Payment Integrity and collaborate with clinical reviewers and... 
    Remote job

    Humana Inc

    Austin, TX
    5 days ago
  •  ...healthcare technology firm in Boston is seeking a Quality Assurance Specialist to perform inpatient DRG validation audits. The role requires at least 5 years of experience in reviewing ICD-10 claims and an understanding of coding standards. Responsibilities include... 
    Remote job
    Quality
    Full time

    Zelis Healthcare Inc.

    Boston, MA
    2 days ago
  • A leading health insurance provider based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for proper reimbursement...  ...or CCS certification with MS-DRG experience. This remote position allows for flexible... 
    Remote work
    Flexible hours

    Humana

    Olympia, WA
    5 days ago
  • Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient in the United States (Columbus, OH area) to support payment integrity efforts. You will review inpatient records, ensure accurate DRG assignment, and educate providers while collaborating with clinical... 
    Remote job

    Humana Inc

    Columbus, OH
    5 days ago
  •  ...in Nashville invites a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with...  ...into compliant codes, participate in audits, and collaborate with clinical reviewers... 
    Remote job

    Humana Inc

    Nashville, TN
    5 days ago
  • $185.37k - $308.95k

     ...Associate Director, Medical Review Lead, MSRM At Agios, we...  ...compliance, and high-quality safety data to support...  ...including narratives, coding, seriousness, expectedness...  ...computer skills (MS Office). Ability to...  ...the ability to be either remote in the US or hybrid in... 
    Remote work
    Quality
    Temporary work
    Work from home
    Flexible hours
    3 days per week

    Agios

    Cambridge, MA
    19 hours ago
  • $95k - $120.65k

     ...comprehensive inpatient DRG Quality Assurance reviews in an effort to increase...  ...based on industry standard coding guidelines and the clinical...  ...+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims...  .... We foster a hybrid and remote friendly culture, and all... 
    Remote work
    Quality
    Full time
    Work at office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Morristown, NJ
    5 days ago
  • $68.57k - $104.84k

     ...Clinical Review QC Auditor CERIS...  ...TX is seeking a DRG Quality Control/Clinical...  ...validation (clinical/coding) reviews of...  .... This is a remote position....  ...assigned Conduct audits to ensure...  ...Proficient in both MS and APR DRG methodology...  ..., III, Senior, Lead, etc.) new... 
    Remote work
    Quality
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel

    Fort Worth, TX
    2 days ago
  • $36.91 - $50.62 per hour

     ...space designed to promote well‑being and inspire your best work. Job Summary Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines. Coordinates with department leadership to ensure standards are met in accordance... 
    Remote job
    Quality
    Hourly pay
    Full time
    Shift work

    Adventist Health

    Roseville, CA
    5 days ago
  • $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 work
    Quality
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel Healthcare Corporation

    Fort Worth, TX
    9 days ago
  • $35 - $62.5 per hour

     ...Clinical DRG RN Auditor $10,000 SIGN...  ...knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology...  ...in the auditing of inpatient claims...  ...and APR-DRG coding reviews to verify the...  ...high emphasis on quality Provide clinical...  ...independently in a remote environment and... 
    Remote work
    Quality
    Hourly pay
    Daily paid
    Minimum wage
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Local area
    Relocation package

    Reliant Medical Group

    United States
    3 days ago
  •  ...seeking a Payment Integrity DRG Coding & Clinical Validation...  ...ICD-10/DRG expertise to review acute inpatient records and...  ...DRG assignments. You will audit claims, ensure CMS...  .... The role supports data quality and payment integrity, with remote work possible case-by-case... 
    Remote work
    Quality

    Capital District Physicians Health Plan Inc

    Albany, NY
    2 days ago
  •  ..., responsibility, integrity, quality and trust that are integral to...  .... EO/AA This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data...  ...Essential Functions Reviews inpatient medical records post... 
    Remote work
    Quality

    University of Utah

    United States
    1 day ago
  • $90k - $99k

    DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city, FL, US, 99999 Work Mode: Virtual...  ...using approved clinical and coding guidelines and documents appeal determinations...  ...maintaining production goals and quality standards. Prepares case files... 
    Remote job
    Quality
    Full time
    Work from home
    Flexible hours

    Gainwell Technologies

    Florida, NY
    1 day ago
  •  ...work. Job Summary: Reviews inpatient records to identify...  ...diagnosis and procedure codes performed during the patients...  ...Functions: Reviews MS-DRG, APR-DRG and payor denials...  ...patient financial services and quality. Performs inpatient audits including payor audits,... 
    Remote job
    Quality
    Work experience placement

    Adventist Health

    Roseville, CA
    3 days ago
  •  ...apply for the Coder Lead role at LCMC...  ...Coder Lead will code all patient types...  ...familiar with reviewing documentation to...  ...procedures codes, MS-DRGs and APCs....  ...HCPCS codes, MS-DRG, APR-DRG, POA, SOI...  ...exceeds coding quality and productivity...  ...Dickory - Full Time - Remote Would you like... 
    Remote work
    Quality
    Full time
    Work at office
    Local area
    Shift work

    LCMC Health

    New Orleans, LA
    3 days ago
  •  ...Credentialed Inpatient Auditor (Coding Quality Review / Educator) WFH (OK,...  ...HIM Coders Remote Eligibility Candidates...  ...from HSC coding staff Leads, coordinates and performs...  ...inpatient coding auditing experience strongly preferred...  ..., CPT-4, Modifiers, MS-DRGs, POA assignment... 
    Remote work
    Quality
    Full time
    Work at office
    Work from home

    OU Health

    Kansas City, MO
    1 day ago
  •  ...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 HEALTHCARE
    Remote job
    Work at office

    3M HEALTHCARE

    Convent Station, NJ
    3 days ago
  • UnitedHealth Group invites a Clinical DRG RN auditor to join our telecommuting team from anywhere in the United States. The role focuses on MS-DRG and APR-DRG coding audits, validating ICD-10-CM/PCS code assignments, and producing clear rationales. You will use CMS guidelines... 
    Remote job

    NACBA

    Minneapolis, MN
    4 days ago
  • UnitedHealth Group is seeking a Clinical DRG RN auditor to leverage expert coding knowledge in auditing inpatient claims. This remote role allows for flexibility within the U....  ...manage overpayments. Responsibilities include reviewing code assignments, providing rationale for... 
    Remote job

    Registered Nurse

    Lorain, OH
    4 days ago
  •  ...patient health. We combine quality data‑driven solutions...  ...care. The HSCRC Coding Reviewer will be a subject matter...  ..., clinical coding, auditing, and variables impacting...  ...10-CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding...  ...This is an office/remote position. While... 
    Remote work
    Quality
    Contract work
    Work at office

    DOMA Technologies

    Virginia Beach, VA
    1 day ago
  • $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 work
    Quality
    For contractors
    Work at office
    Work from home
    Home office
    Shift work

    Performant Healthcare, Inc.

    New York, NY
    3 days ago
  • HCA Healthcare is seeking a DRG Validation Auditor to perform internal quality assessments on coding staff to ensure compliance with coding guidelines and policies. This...  ...of 3 years of acute care coding experience and auditing experience, with preferred certifications such... 
    Remote job
    Quality
    Work from home

    HCA Healthcare

    Miami, FL
    3 days ago
  •  ...Claims Reviewer Location: Phoenix AZ 85053 (REMOTE) Duration: 6+ Months Pay...  ...inquiry, resolution, audit, and related functions...  ...Applies clinical, coding, and processing...  ...Program Integrity, Quality Management, and/or...  ...~ Experience using MS Word, Excel, and Office... 
    Remote work
    Quality
    Contract work
    For subcontractor
    Interim role
    Shift work

    Pacer Group

    Phoenix, AZ
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Coding Quality Review Lead - MS-DRG Audits. Be the first to apply!