Remote DRG Quality Auditor & Clinical Reviewer
CorVel Corporation
New York, NY
- Remote job
A healthcare management firm seeks a remote DRG Quality Control/Clinical Auditor to perform validation and review of medical records. The ideal candidate will have extensive experience in ICD-10 coding and clinical knowledge. Responsibilities include conducting audits, ensuring accurate reimbursements, and documenting clinical findings. A minimum of 2 years of recent relevant experience is required along with a valid LVN or RN license. Comprehensive benefits package available. #J-18808-Ljbffr CorVel Corporation
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote DRG Quality Auditor & Clinical Reviewer in New York, NY vacancy
- ...healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical... ...accurate DRG assignment and support healthcare quality. Candidates must possess an MD/DO with an active U.S...Remote job
$68.57k - $104.84k
CorVel Corporation is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews in Fort Worth, TX. The ideal candidate will have a strong clinical... ...with necessary coding certifications. This remote position offers a competitive pay range of $68,5...Remote jobFull time- ...Empower AI: As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform... ...input for claims review. Make clinical judgment decisions based on clinical... ...of Medicare DRG claims. Meeting quality and production standards. Ensuring...Remote workFor contractorsCasual workWork at officeLocal area
Empower AI Inc.
United States2 days ago - ...codes and determining the MS-DRG and APR-DRG assignment of in patient... ...Communicates effectively with clinical staff, physicians and office... ...meets or exceeds coding quality and productivity standards established... ...with concurrent coding reviews. Knowledge of privacy and security...Remote workWork experience placementWork at officeLocal areaShift work
LCMC Health
United States3 days ago - ...Eden Prairie, MN, seeks a full-time coder to manage ICD-10 CM and DRG coding. This role offers a chance to enhance health outcomes... ...will be responsible for adhering to coding standards and ensuring quality performance. The ideal candidate should have strong coding skills...Remote jobHourly payFull timeWork from home
- RemoteFetch is seeking a Medical Coding Specialist to review and analyze patient medical records for accurate coding and reimbursement.... ...and coding systems. Attention to detail and familiarity with MS-DRG is essential for success in this role. #J-18808-Ljbffr RemoteFetchRemote job
$23.41 - $41.83 per hour
Optum is seeking a full-time professional coder specializing in Inpatient DRG Coding. The role involves assigning ICD-10 codes accurately and maintaining coding guidelines. Candidates should hold a High School Diploma/GED and a professional coding certification with at...Remote jobHourly payFull time- A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement...Remote jobFull time
- ...ambulatory and provider based clinics. This individual will mentor,... ...staff. Must be familiar with reviewing documentation to assign appropriate... ...0-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM... ...Consistently meets or exceeds coding quality and productivity standards...Remote workWork at officeLocal areaShift work
LCMC Health
United States3 days ago - ...procedural codes, determine MS‑DRG and APR‑DRG assignments for... ...Communicate effectively with clinical staff, physicians, office staff... ...Consistently meet or exceed coding quality and productivity standards... ...Experience with concurrent coding reviews. Knowledge of privacy and...Remote jobWork experience placementWork at officeShift work
- Texas Health Institute is looking for a full-time coding professional to perform inpatient DRG Coding, ensuring adherence to coding guidelines. The role offers flexibility for telecommuting from anywhere in the U.S. Ideal candidates should have over 3 years of experience...Remote jobFull time
- ...experienced Medical Coding Specialist to work remotely. The ideal candidate will have a minimum... .... Responsibilities include abstracting clinical information, assigning accurate codes,... ...role is crucial for facilitating accurate DRG-based reimbursement and requires a thorough...Remote job
$87.69k - $131.54k
...Clinical Documentation Specialist III The Clinical Documentation... ...responsible for improving the overall quality and completeness of clinical... ...a Diagnosis-Related Group (DRG) payer under Medicare. 3.... ...Federal payer regulations. 8. Reviews clinical issues with coding staff...Remote workFull timeTraineeshipWork at officeLocal areaShift workMount Sinai Hospital
United States3 days ago- Stryker Corporation in Eden Prairie, MN, seeks a full-time coding specialist to manage ICD-10 CM and DRG coding for facility services. You'll work 40 hours per week from any location within the U.S., contributing to revenue management in healthcare. With at least 3 years...Remote jobFull time
- ...Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding Be familiar with proper reference materials, standards and...Remote workWorldwide
Sutherland
United States3 days ago $70k - $93k
...Health, is seeking an experienced Clinical Diagnosis-Related Group (DRG) Quality Analyst. This is a remote office opportunity. The... ...performed by the Clinical DRG auditors to ensure that EXL's standard... ...analyst undertakes a quality review of random and targeted clinical...Remote workWork at officeEXL
United States1 day ago- ...purpose of this position is to utilize clinical expertise to review medical records against established... ...contract requirements. Location: Remote (U.S.-based) Licensure Requirement:... ...demands Collaborate with Supervisor on quality monitoring and improvement activities...Remote workContract workWork at officeMonday to FridayWeekend workWeekday work
Astyra Corporation
Indianapolis, IN11 days ago - ...'s more than a career, it's a calling Remote Locations Alabama, Florida, Georgia, Illinois... ...Summary Performs concurrent analytical reviews of clinical and coding data to improve physician... ...associated Diagnosis Related Group (DRG) assignments, case‑mix index, severity...Remote workHourly payFlexible hoursShift workDay shift
- ...Job Summary: The Coding Quality Auditor ensures the accuracy, completeness, and compliance of coded clinical data through comprehensive review of inpatient medical records. This position... ...Information Management. Prior auditing, DRG validation, and denial management...Work at officeMonday to Friday
Upstate University Hospital
Syracuse, NY2 days ago - A healthcare organization is seeking a Senior HB Coder for a remote position. The candidate will focus on ICD-10-CM/PCS coding, and must have at least 3 years of experience. Responsibilities include navigating health records, validating coding, and ensuring compliance...Remote job
$47 - $56 per hour
Senior Auditor Quality - CCCR Job Locations US-Remote ID 2026-18251 Category Audit - Healthcare... ...independent audit claims review. Displays professional... ...Responsibilities Performs clinical quality assurance review... ...auditing...ideally in a DRG / Clinical Validation Audit...Remote jobFull timeWork at officeImmediate startFlexible hours- Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient... ...role is the expert in clinical documentation and... ...adjustment, mortality review, hospital acquired conditions... .... Assess DRG, primary diagnosis (P...Remote jobFull timeLocal areaRelocation package
- 0090 Presbyterian System Services is hiring for a remote coding position in Santa Fe, NM. The role requires reviewing medical records, coding diagnoses and procedures accurately to ensure compliance with regulations and reimbursement guidelines. Candidates must have a high...Remote job
- ...coding and a high school diploma or GED. Proficiency in Microsoft tools and a commitment to accuracy (95%+) are essential. This position offers an opportunity for remote work, contributing to the well-being of every patient served. #J-18808-Ljbffr Wellstar Health SystemRemote job
$23.41 - $41.83 per hour
...appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services... ...data elements during the chart review process when coding, as needed Adhere... ...required levels of performance in both coding quality and productivity as established by Optum...Remote workHourly payMinimum wageFull timeWork experience placementLive inLocal areaMonday to FridayWeekend work$25.5 - $36.49 per hour
...compliance with federal regulations. The ideal candidate should have a High School Diploma and 2+ years of coding experience. This remote position offers flexible working hours and competitive pay ranging from $25.50 to $36.49 per hour. Join us in our mission to provide...Remote jobHourly payFlexible hours- A healthcare provider is seeking a Coder II who will review and accurately code diagnostic and procedural information for reimbursement using ICD-10-CM and CPT coding. This fully remote position requires candidates to have at least three years of coding experience in a...Remote job
- Texas Health Institute seeks a Senior Inpatient Medical Coder to provide coding services directly to providers. This remote position involves ensuring high standards for documentation processes are met in accordance with ICD-10 coding guidelines. The role requires 3+ years...Remote jobRelocation package
- ...inpatient encounters. The role involves reviewing medical records, ensuring compliance with regulations, and collaborating with clinical teams. Candidates should have at least 2... ...high school diploma. This position offers remote work Monday to Friday and includes comprehensive...Remote jobMonday to Friday
- ...institution in Tampa is looking for a HIM Coder 2 to perform coding responsibilities in a fully remote capacity. This role involves reviewing medical records, collaborating with clinical teams, and ensuring coding accuracy and compliance with regulations. Candidates must hold...Remote jobFull timeMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote DRG Quality Auditor & Clinical Reviewer. Be the first to apply!
Related searches
- warehouse quality control associate New York, NY
- quality auditor New York, NY
- quality system auditor New York, NY
- supplier quality specialist New York, NY
- quality review specialist New York, NY
- quality associate New York, NY
- quality systems specialist New York, NY
- quality specialist New York, NY
- quality control associate New York, NY
- quality assurance auditor New York, NY