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 4 days ago
Similar jobs that could be interesting for youBased on the Remote Coding Quality Review Lead - MS-DRG Audits in Houston, TX vacancy
  •  ...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 adherence to AHIMA...  ...ideal candidate has 6+ years MS-DRG/APR-DRG coding and 3+ years... 
    Remote job
    Quality

    Centene Corporation

    Kansas City, MO
    4 days ago
  • Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical...  ...accurate DRG assignment with MS-DRG and APR-DRG...  ...principles in medical record reviews, supporting high-quality recoveries and audit findings...  ...The role offers hybrid/remote work with required in-... 
    Remote job
    Quality

    Elevance Health

    Chicago, IL
    3 days ago
  • 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...  ...assignments. Responsibilities include clinical reviews of medical records, documenting audit... 
    Remote job
    Quality

    The Elevance Health Companies, Inc.

    Chicago, IL
    2 days 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
    3 days ago
  •  ...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 work
    Quality
    Home office

    Empower ai

    New York, NY
    2 days ago
  • $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 work
    Quality
    Daily paid
    Full time
    Contract work
    Local area
    Monday to Friday

    Allmed Staffing Inc

    Cleveland, OH
    5 days ago
  • $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 work
    Quality

    Insight Global

    South Jordan, UT
    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
    1 day ago
  • $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 work
    Quality
    Contract work
    Local area
    Immediate start

    Pyramid Inc.

    Oakland, CA
    21 hours ago
  • 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 job
    Quality
    Live in
    Work from home
    Monday to Friday

    Vaya Health

    New York, NY
    2 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

    United States
    2 days ago
  • $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 work
    Quality
    Temporary work
    Work from home
    Flexible hours
    3 days per week

    Kinsley Power Systems

    Cambridge, MA
    1 day ago
  • $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 work
    Quality
    Full time
    Flexible hours

    Gainwell Technologies LLC

    Texas
    22 days ago
  • $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 work
    Quality
    Full time
    Contract work
    Flexible hours

    Gainwell Technologies LLC

    Texas
    more than 2 months ago
  • $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 work
    Quality
    Local area
    Monday to Friday

    Enjoin

    Brooklyn, NY
    2 days ago
  •  ...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 work
    Quality

    The Judge Group

    The Colony, TX
    3 days ago
  •  ...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 work
    Quality
    Part time
    Relief

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...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 work
    Work at office

    3M HEALTHCARE

    Convent Station, NJ
    1 day ago
  • $95k - $110k

     ...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 job
    Quality
    Full time
    Work from home
    Relocation package
    Flexible hours

    Gainwell Technologies

    Florida, NY
    5 days ago
  • $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... 
    Quality
    Full time
    Work at office
    Local area

    Elevancehealth

    Indianapolis, IN
    3 days 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
    1 day ago
  • $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 work
    Quality
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel Healthcare Corporation

    Fort Worth, TX
    12 days ago
  •  ...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 job
    Quality

    Gainwell Technologies

    Kansas City, MO
    2 days ago
  • 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 job
    Quality
    Work from home

    Machinify, Inc.

    New York, NY
    3 days ago
  •  ...Medical Center is seeking a Coding Manager/DRG Validator to oversee inpatient...  ...reimbursement, ensuring data quality and compliance across the HIM...  ...entails staff training, compliance reviews, and collaboration with...  ...CPT-4, ICD-10-CM-PCS, and DRG/MS-DRG groupers, with #J-18808-... 
    Quality

    2600 White Plains Hospital Medical Center

    Los Angeles, CA
    3 days ago
  •  ...Clinical Bill Review Analyst V?lenz Health...  ...reduce costs, improve quality, and elevate the...  ...billing practices and coding guidelines. You'll...  ...: ~3+ years of auditing, claims, review and...  ...: Experience in DRG validation. Knowledge...  ...: This is a fully remote position, and we'll... 
    Remote work
    Quality
    Immediate start
    Flexible hours

    Valenz Health

    Phoenix, AZ
    21 hours ago
  • $92.88k - $160.22k

     ...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... 
    Quality
    Full time
    Temporary work
    Work experience placement
    Local area
    1 day per week

    Elevancehealth

    Chicago, IL
    7 hours ago
  • 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
    Quality

    Huron Consulting Group

    Seattle, WA
    5 days ago
  • Lifepoint Health is seeking an Remote Inpatient Coding Quality Specialist to review accounts for accuracy in coding and documentation...  ...business hours. The successful candidate will audit coding professionals against AHIMA standards, DRG/IPPS/OPPS guidelines, and CPT codes,... 
    Remote job
    Quality
    Relocation package

    Memorial Physician Practices

    Brentwood, TN
    4 days ago
  • 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 job
    Quality

    Texas Health Institute

    Eden Prairie, MN
    2 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!