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
$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 workQualityFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$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 workQualityImmediate startWork from home- 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 jobQualityRelocation package
- 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 workQuality
$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 workQualityFlexible hours$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- 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
- ...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 jobQualityFull time
- 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 workFlexible hours
- 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
- ...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
$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 workQualityTemporary workWork from homeFlexible hours3 days per week$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 workQualityFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$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 workQualityMinimum wageFull timeWork at officeLocal areaFlexible hours$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 jobQualityHourly payFull timeShift work$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$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 workQualityHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- ...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 workQuality
- ..., 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 workQuality
$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 jobQualityFull timeWork from homeFlexible hours- ...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 jobQualityWork experience placement
- ...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 workQualityFull timeWork at officeLocal areaShift work
- ...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 workQualityFull timeWork at officeWork from home
- ...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
- 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
- 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
- ...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 workQualityContract workWork at office
$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- 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 jobQualityWork from home
- ...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 workQualityContract workFor subcontractorInterim roleShift work
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