Remote Clinical DRG Auditor RN
The Virginia Society of CPAs
- Remote job
The Virginia Society of CPAs is seeking a Clinical DRG RN auditor to apply expert knowledge of MS-DRG and APR-DRG coding methodologies. This role allows telecommuting within the U.S. and involves thorough auditing of inpatient claims, ensuring compliance with coding guidelines. Key qualifications include an unrestricted RN license, experience with MS DRG/APR DRG coding, and expertise in ICD-10 coding. The position offers competitive pay with a potential sign-on bonus for external applicants. #J-18808-Ljbffr The Virginia Society of CPAs
- Optum is hiring a Clinical DRG RN auditor to verify DRG coding accuracy and reimbursements while telecommuting from anywhere in the U.S. In this role, you'll use your ICD-10 coding expertise to audit inpatient claims, identify overpayments, and support your findings with...Remote job
- Texas Health Institute is seeking a Clinical DRG RN auditor who will leverage expertise in MS-DRG and APR-DRG coding to audit inpatient claims... ...validating ICD-10 codes and DRG assignments while working remotely from anywhere in the U.S. The ideal candidate will have a strong...Remote jobRelocation package
- Stryker Corporation is seeking a Clinical DRG RN Auditor who will work remotely to validate DRG assignments and reimbursements. This role requires deep expertise in ICD-10 coding and offers flexibility to telecommute from anywhere in the U.S. The ideal candidate will have...Remote jobRelocation package
$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$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology... ...at the same time Ability to work independently in a remote environment and deliver exceptional results Demonstrate...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- ...company in Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring... .... This position offers competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance HealthRemote jobFlexible hours
- Israelvcforum is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to audit inpatient medical records and ensure compliance with coding and documentation standards. This role allows for virtual full-time work, with required in-person training sessions...Remote jobFull time
$90k - $120k
...Job Title: RN DRG Coding Validator / Auditor Location: Remote / Virtual (U.S. Based) Position Type: Full-Time, Direct Hire Salary Range... ...Nurse with a passion for data integrity, clinical accuracy, and medical coding? We are seeking a dual...Remote workFull timeTemporary workLocal areaImmediate startWork from homeHome officeFlexible hoursShift workWeekend work- ...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify acquired Performant and we are... ...Experience with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary. Strong... ...the ability to work independently in remote setting with minimum supervision and direction...Remote workFlexible hours
$81.85k - $155.09k
Anticipated End Date: 2025-09-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables...Full timeTemporary workWork experience placementLocal area1 day per week$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 full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. Alternate...Full timeWork at officeLocal area$38.92 - $60.33 per hour
...HOSPITAL facility. This job is REMOTE. FTE: 1.000000 Standard... ...weekends Job Summary: The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits... ...minimum of 3 years of experience in Clinical Documentation Integrity and/or inpatient...Remote workHourly payTemporary workShift workWeekend work- ...for a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and billing... .... The ideal candidate should have an RN license, coding certification, and at... ...Medicaid claims review experience. This remote position requires occasional travel within...Remote job
$68.57k - $104.84k
...CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG)... ...medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...EDUCATION & EXPERIENCE: LVN or RN license in the state of employment...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review... ...of care. This role will apply coding and clinical principles based on industry standards and... ...support findings Qualifications An active RN professional license in good standing Clinical...Remote jobWork at office$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon Payment... ...will work in a hybrid model (remote and office). The ideal candidate... ...medical-expense spending. The DRG Coding Auditor Principal is responsible... ...Coding Guidelines, Coding Clinics, and the ICD-10 Alphabetic and...Remote workDaily paidWork at officeLocal area1 day per week- ...healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records,... ...quality assurance guidelines. This role requires an active RN license and the ability to analyze claims data and regulations...Remote job
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... ...Maintain quality of reviews and make sure the true clinical picture is captured, along with ensuring chart review...Remote workImmediate startWork from home$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,000.00 per year Must... ...to travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license... ...equivalent experience ~4+ years of DRG and/or Medical Record Audit...Remote work- Santa Barbara Cottage Hospital seeks a Complex Claims Clinical Reviewer for a remote position. Responsibilities include conducting prepayment and post... ...by 5 to 7+ years of experience with ICD-10 and MS-DRG. Strong knowledge of medical claims systems and relevant certifications...Remote jobWork from home
- ...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 coders...Remote work
$55.1k - $99k
...Role: Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position is primarily... ...travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license... ...experience ~4+ years of DRG and/or Medical Record Audit experience...Remote workPermanent employmentFull time$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group (DRG)... ...join our team! This role offers a fully remote work experience with possible 10% travel... ...supported audit findings , backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess... ...experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The job...Remote jobFlexible hours$55.1k - $99k
...Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor... ...Trainer position that is primarily remote with a small travel... ...the Diagnosis Related Group (DRG) and Medical Record Audit Programs... ...experience in a hospital setting RN, PA, MD, APRN, DO or MBBS...Remote workFull timePart timeWork at officeFlexible hours- Walker Healthforce, LLC is seeking an RN Inpatient Hospital Auditor for a remote 6-month contract in New Jersey. The ideal candidate should possess a valid RN license, CCS ORRHIT/RHIA certification, and have at least 3 years of experience in an acute care hospital. Responsibilities...Remote jobContract work
- RN Inpatient Hospital Auditor - Remote (New Jersey) - 6‑month contract, 3+ years experience - Start date: ASAP... ...health care facility. Experience with DRG validation, ICD‑10‑CM training and... ...keeping up with new innovations in clinical data review and company cost containment...Remote jobWeekly payDaily paidContract workLocal areaImmediate start
$68.57k - $104.84k
CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG)... ...medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...EDUCATION & EXPERIENCE LVN or RN license in the state of employment...Remote workFull timeWork at officeFlexible hours$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position Type Full-Time Overview This auditing... ...(APC, PNPP), Pharmacy and/or Inpatient DRG claims. Draws on advanced coding expertise and...Remote workHourly payFull timeContract workWork at officeImmediate start$55.1k - $99k
...Overview: We are seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing and deliver... ...healthcare standards. Requirements: ~ RN, PA, MD, APRN, DO, or MBBS license.... ...care. Notes: Primarily remote position with limited travel (New...Remote work
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