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
- A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible for reviewing and coding inpatient hospital claims, ensuring accuracy... ...coding with a focus on MS-DRG, certifications like RHIA...Remote workWork from home
- Lead HIM Hospital Coder/Auditor... ...Observation)Remote## Position Summary... ...include reviewing all diagnosis... ...and procedural coding in ICD-10-CM/... ...for accurate DRG assignment. This... ...compliance audits and provide coder... ...and other quality reports... ...Expertise in MS-DRG Optimization...Remote workQualityFull time
- ...seeking an Inpatient Medical Coding Auditor to review hospital claims for reimbursement accuracy. This remote role requires strong attention... ...experience in medical coding audits and the ability to work... ...environment focused on wellness and quality healthcare. #J-18808-LjbffrRemote workQuality
- A leading health services company is seeking an Inpatient Medical Coding Auditor to review hospital claims. This remote position requires expertise in medical coding, specifically MS-DRG. The ideal candidate will hold a relevant certification with at least four years of...Remote workFlexible hours
- A leading health insurance company is seeking an experienced Inpatient Medical Coding Auditor to work remotely. Responsibilities include reviewing inpatient hospital claims for reimbursement, extracting... ...certification is required, along with MS-DRG coding experience. The...Remote work
- A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and managing provider... ..., RHIT or CCS Certification and MS-DRG coding experience. The position...Remote work
$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$95k - $120.65k
...comprehensive inpatient DRG Quality Assurance reviews in an effort to increase... ...utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic... ...+ 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$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- 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
$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- ...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
$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor... ...a hybrid model (remote and office). The... ...expense spending. The DRG Coding Auditor... ...responsible for auditing inpatient... ...Specializes in review of DRG coding via... ...APR-DRG, AP-DRG, MS-DRG or TRICARE methodology... ...accuracy and quality standards as set...Remote workQualityDaily paidWork at officeLocal area1 day per week$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$90k - $99k
...DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city, FL, US, 99999 Work Mode... ...redeterminations using approved clinical and coding guidelines and documents appeal... ...maintaining production goals and quality standards. Prepares case files...Remote workQualityFull timeWork from homeFlexible 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$85k - $90k
...such, we are a leading authority in payment... ...including DRG Validation, Cost... ...and Readmission reviews. Under the direction... ...claims for both coding accuracy as well... ...’ experience in MS-DRG and APR-DRG... ...inpatient coding, auditing. Payment... ...different tasks easily. Remote Work...Remote work$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 claims... ...a hybrid and remote friendly culture,...Remote workQualityFull timeWork at officeLocal areaVisa sponsorshipFlexible hours- ...Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing to manage appeals. This position allows remote work throughout the U.S., except... .... A valid RN license and coding experience are required, along with a commitment to quality care. #J-18808-Ljbffr Registered...Remote jobQualityWork at office
$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$85k - $90k
...and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and... ...care. This role will apply coding and clinical principles... ..., CIC Coding validation/auditing experience Well-developed... ...validation experience a plus Quality Assurance experience a...Remote workQualityWork at office- ...Global is seeking experienced DRG Auditors to join a remote healthcare organization. The... ...Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal... ...Responsibilities Conduct thorough chart reviews to validate that assigned...Remote workQuality
- An Emergency Medicine Coding Team Lead manages a team of medical... ...issues, conducting audits, providing training and... .... The role drives quality and efficiency while staying... ...on regulations. Remote position for USA‑based... ..., conduct performance reviews, and provide coaching...Remote workQuality
$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 jobQualityHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- Overview Lead Ambulatory Surgery Facility Coder - Remote Join to apply for the Lead... ...Coder Lead will code all patient... ...be familiar with reviewing documentation to... ...procedures codes, MS-DRGs and APCs.... ...HCPCS codes, MS-DRG, APR-DRG, POA, SOI... ...exceeds coding quality and productivity...Remote jobQualityWork at officeLocal area
- Coder Lead The Coder Lead will code all patient types as needed; inpatient... ...and procedure codes, MS‑DRGs, and APCs. Code... ...or exceed coding quality and productivity standards... ...coding, and MS‑DRG or APC grouping. Proficiency... ...concurrent coding reviews and in assisting and...Remote jobQualityWork at officeShift work
$85k - $100k
...conducting comprehensive MS-DRG and APR-DRG coding reviews to ensure the... ...and utilize industry-leading tools to maximize overpayment... ...and well-supported audit findings, backed by... ...or exceed company quality and productivity... ...independently in a remote environment while maintaining...Remote workQualityDaily paidFull timeFlexible hours$78.5k - $90k
...Machinify is a leading healthcare intelligence... .... The Medical Review Nurse (Home... ...medical claims audit reviews on Home... ...0,000. Work is remote in a fast paced... ...CPT‑4 or HCPCS coding. Knowledge of... ...maintain high quality work while meeting... .../CPT coding, DRG and medical...Remote workQualityFor contractorsWork at officeHome officeShift 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
$269.5k - $425.5k
...Overview Medical Director - Clinical Review / DRG - Remote. Optum is a global organization that... ...Documentation Review with expertise in DRG coding and clinical operations. The position... ...Provide consistent high-quality DRG-based clinical reviews within the...Remote workQualityMinimum wageFull timeWork experience placementLocal area
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