Remote RN DRG Auditor — Clinical Validation & Coding
University of Minnesota School of Nursing
- Remote job
The University of Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in MS-DRG and APR-DRG coding to audit inpatient claims, ensuring accuracy and compliance with coding guidelines. You will enjoy remote work flexibility and be part of a culture that values inclusivity. The position offers a comprehensive benefits package including health insurance, 401(k), and paid time off. #J-18808-Ljbffr University of Minnesota School of Nursing
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum... ...of the MS-DRG and APR-DRG coding/reimbursement methodology... ...proprietary tools, you will validate ICD-10 diagnosis and procedure... ...to work independently in a remote environment and deliver...Remote workHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and APR-DRG coding methodologies. In this role, you will audit inpatient claims, utilizing... ...for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while...Remote job
$70k - $80k
...analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with... ...skills, attention to detail, and experience in DRG audits. Competitive salary range is $70k -...Remote job- UnitedHealth Group is seeking a Clinical DRG RN auditor to apply MS-DRG and APR-DRG knowledge, validate ICD-10 diagnoses and DRG... ...will use CMS guidelines, AHA Coding Clinic guidance, and proprietary... ...support findings. You will work remotely from anywhere in the U.S., performing...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.S., focusing on accurate DRG assignment to help improve health outcomes and manage overpayments...Remote job
$82.23k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full... ...Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in...Full timeWork at officeLocal area- ...Focusing on Coding & Clinical Chart Validation, the full-time Clinical Auditor RN will conduct audits of outpatient and specialty claims, ensuring coding accuracy and... ...coding terminology Expert knowledge of coding guidelines including DRG, ICD-10, CPT, and HCPCS codes...Remote workFull time
- 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 work-from-home position allows for productivity and accuracy standards to be maintained while improving...Remote jobWork from home
- UnitedHealth Group seeks a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding and validate ICD-10-CM/PCS for inpatient claims. You will identify overpayments using CMS guidelines and AHA Coding Clinic citations, writing clear rationales and moving claims through workflow...Remote job
- 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
$86.56k - $129.84k
...Elevance Health Companies, Inc. is seeking a Patient Safety DRG Clinical Validation Auditor to work virtually full-time, facilitating in-person... ...documentation accuracy. Candidates must possess a current RN license and have at least 10 years of experience in claims...Remote jobFull time$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position Type... ...auditing role will focus on Coding & Clinical Chart Validation... ...), Pharmacy and/or Inpatient DRG claims. Draws on advanced coding...Remote workHourly payFull timeContract workWork at officeImmediate start$82.23k - $155.81k
...Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually... ...and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week$85k - $95k
..., accountability, and clinical excellence to healthcare... ...solutions including DRG Validation, Cost Outlier and Readmission... ...to work within our coding department. Candidate... ...Nurse with active RN licensure required CCS... ...applications at the same time Remote Work Requirements High...Remote workFull timeMonday to Friday- .../AA This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to...Remote work
- ...in Ontario, CA, seeks an Inpatient Coder Auditor to verify inpatient documentation and assign ICD-10/PCS, CPT, and HCPCS codes accurately. The senior role leads DRG validation and supports CDS and medical staff to enhance clinical documentation. Candidates should have...Full timeDay shift
- UnitedHealth Group's Optum is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding and CMS guidelines to inpatient claims. Remote work is available nationwide; you will identify overpayments and document audit rationales to support findings. Requirements include...Remote job
- UnitedHealth Group is seeking a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding, ICD-10 guidelines, and AHA Coding Clinic guidance for inpatient claims. Remote work from anywhere in the U.S. is supported. You will prepare rationales, use encoder tools, and ensure...Remote jobRelocation package
$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess a nursing degree or... ...Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The...Remote jobFlexible hours- ...A healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical validation and utilization review to ensure accurate DRG assignment and support healthcare quality. Candidates...Remote work
- ...detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months of hire.... ...Responsibilities include performing comprehensive DRG validation and readmission reviews while documenting...Remote work
- ...Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews for inpatient records... .... You will apply ICD-10-CM/PCS coding guidelines to ensure accurate... ...and compliant documentation. This remote role offers a salaried schedule,...Remote work
$55.1k - $99k
...Job Overview Clinical Coding Auditor & Trainer – Remote, NY, US. The position is primarily remote... .... Required Qualifications RN, PA, MD, APRN, DO, or MBBS... ...experience 4+ years of DRG and/or Medical Record Audit... ...experience in a hospital setting Valid/Current CPC or CIC...Remote workPermanent employmentFull time- ...is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and...Remote jobWork at officeFlexible hours
- Optum is seeking a Clinical DRG RN auditor to join their team remotely from anywhere in the United States. This role requires expertise in MS-DRG and APR-DRG coding and reimbursement methodologies, along with a commitment to ensuring accurate coding for inpatient claims...Remote job
$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic... ...for performing DRG validation (clinical/coding) reviews of medical... ...rules. This is a remote position.... ...Experience: LVN or RN license in the state...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$68.57k - $104.84k
...Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related... ...responsible for performing DRG validation (clinical/coding) reviews of medical... ...necessity rules. This is a remote position. ESSENTIAL... ...& EXPERIENCE: LVN or RN license in the state of...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- Humana Inc is seeking an Inpatient Medical Coding Auditor to join their coding disputes team. This remote position involves reviewing DRG and ICD-10-CM coding for accuracy while collaborating with coding professionals to achieve compliant outcomes. The ideal candidate...Remote job
- A healthcare recruitment agency is seeking a Clinical Coding Auditor & Trainer for a primarily remote role, requiring travel to New York twice a year. The successful candidate will be responsible for developing training programs and conducting quality auditing for the...Remote job
- Centene Corporation is seeking a Remote DRG Reviewer (MO Licensed) to conduct MS-DRG and APR-DRG coding and clinical validation reviews, ensuring accurate DRG assignments for reimbursement. The role requires advanced ICD-10-CM/PCS coding expertise and is full-time remote...Remote jobFull time
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