Remote DRG Audit Lead & Quality Analyst
EXL Service Holdings, Inc.
New York, NY
- Remote job
EXL Service Holdings, Inc. is seeking an experienced Clinical Quality Analyst for a remote position. The analyst will manage the accuracy of clinical Diagnosis-Related Group (DRG) audits and mentor auditors while ensuring compliance with company standards. The ideal candidate will have at least 5 years of clinical validation auditing experience, a strong understanding of medical terminology, and excellent decision-making skills. This role offers a chance to enhance process improvements and audit performance. #J-18808-Ljbffr EXL Service Holdings, Inc.
Vacancy posted 10 hours ago
Similar jobs that could be interesting for youBased on the Remote DRG Audit Lead & Quality Analyst in New York, NY vacancy
- ...inpatient claims for coding accuracy and DRG assignment. You report to the Manager, Payment... ...with clinical reviewers and data analysts. The role requires RHIA/RHIT/CCS/CIC certification... ...DRG knowledge and CDI/SOI concepts. Remote/hybrid work options are available within...Remote job
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have at... ...appropriate code assignment and code sequencing. Maintain quality of reviews and make sure the true clinical picture is...Remote workImmediate startWork from homeCareNational
Plano, TX2 days ago- ...CorroHealth Inc, based in Wisconsin, is seeking a DRG Revenue Integrity Auditor to perform audits on inpatient charts. This remote position will ensure compliance with federal laws and coding accuracy while providing training to new hires. The ideal candidate should have...Remote work
CorroHealth Inc
Wausau, WI4 days ago - 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
Humana
Denver, CO2 days ago - A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible... ...have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work...Remote workWork from home
Humana
Carson City, NV4 days ago - ...A leading healthcare organization in Boston is seeking a 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...Remote work
Zelis Healthcare
Boston, MA1 day ago - A leading health services company is seeking an experienced Inpatient Medical... ...Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications... ..., or CCS, and proficiency in MS-DRG coding, claims interpretation, and...Remote workWork at officeFlexible hours
Humana
Albany, NY2 days ago - ...Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews for inpatient records. You... ...ensure accurate classifications and compliant documentation. This remote role offers a salaried schedule, opportunities for professional...Remote work
Xtend Healthcare
New York, NY2 days ago - A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and... ...have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers...Remote work
Humana
Pierre, SD2 days ago - A leading health insurance provider based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves... ...qualifications, including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes...Remote workFlexible hours
Humana
Olympia, WA2 days ago $23.89 - $42.69 per hour
...Coding Quality Analyst Optum is a global organization that delivers care, aided by technology... ...experience ~3+ years of experience with DRG methodology ~3+ years of outpatient... ...of experience in ED, Telemetry, CCU ~ Auditing experience ~ Experience with Microsoft...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area- ...experienced Senior Test / QA Analyst to support a prominent... ..., and enterprise quality assurance methodologies... ...proven track record of leading testing efforts across... ...contracted provider rates, DRG/APR-DRG methodologies,... ...hours. Location: 100% Remote (US-based)...Remote workDaily paidFull time
HJ Staffing
Huntington Beach, CA3 days ago - ...Payment Integrity team. This vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing accuracy in... ..., the CCS credential, and superior coding knowledge. This fully remote position supports a dynamic environment and offers impressive benefits...Remote job
$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess... ...degree or equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical records,...Remote jobFlexible hours$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to... ...Examples: CCS, CPC, CIC Coding validation/auditing experience Well-developed verbal and written... ...bill validation experience a plus Quality Assurance experience a plus Management experience...Remote workWork at officeTrend Health Partners
New York, NY5 days ago$89.6k - $149.3k
...Hybrid Audit Role This role will be hybrid (4 days/week onsite and 1 day remote) based out of: Buffalo NY, Wilmington DE, or Bridgeport... ...or willing to relocate. Leads and executes audits across their... ...to reporting and produce quality deliverables in accordance with...Remote workWork experience placementRelocationWilmington Trust
Bridgeport, CT4 days ago$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to... ...This role offers a fully remote work experience with... .... We provide industry-leading training, career development... ...excellence in DRG auditing. If you're looking for... .... Meet or exceed EXL’s quality and productivity standards...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package- Remote Position Scope of Position After inpatient medical records are... ...(MIM), the Inpatient Coding Quality Analyst serves as a subject matter expert... ...ICD‑10‑CM/PCS coding and MS‑DRG/APR‑DRG assignment through both random and targeted audits of inpatient medical records....Remote workWork at office
- ...Coding Auditor to join their coding disputes team. This remote position involves reviewing DRG and ICD-10-CM coding for accuracy while collaborating with... ...CCS certification, with experience in inpatient coding audits. Benefits include health coverage, paid time off, 401(k)...Remote job
$60.6k - $106.84k
...WE'RE DOING This position is for a Quality Analyst within the Undersea Warfare market segment... .../Blackbelt - Procedural/Process Auditing Experience - Tableau Experience - Solumina... ...future openings. Ability to Work Remotely: Part-time Remote Telework: The...Remote workFull timeTemporary workPart timeWork experience placementWork at officeRelocationFlexible hoursShift workNight shift3 days per weekLockheed Martin - US
Liverpool, NY15 days ago- Centene Corporation is seeking a Remote DRG Reviewer (MO Licensed) to conduct MS-DRG and APR-DRG coding and clinical validation reviews,... ...collaborate with the Medical Director on complex cases, prepare audit findings, and evaluate claims for regulatory and policy compliance...Remote jobFull time
- Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and... ...coding methodologies. In this role, you will audit inpatient claims, utilizing your expertise... ...your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing...Remote job
- ...Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use... ...expertise in MS-DRG and APR-DRG coding to audit inpatient claims, ensuring accuracy and... ...with coding guidelines. You will enjoy remote work flexibility and be part of a culture...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
- A leading healthcare data company is looking for an Inpatient Auditing Specialist to conduct audits on medical records and ensure compliance with coding guidelines. This fully remote role allows you to impact patient care positively. Candidates should have at least 3 years...Remote job
- 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...Remote job
- UnitedHealth Group is seeking a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding... ...Clinic guidance for inpatient claims. Remote work from anywhere in the U.S. is supported... ...ensure accurate coding with a strong focus on quality. RN license, associates degree, and 2+...Remote jobRelocation package
- ...Sagility combines industry-leading technology and... ...promote excellent call quality, contact handling and documentation... ...title: Quality Analyst Job Description:... ...Responsibilities: Remotely monitors customer... ...daily / weekly / monthly audit targets are met. Ensure...Remote workImmediate startWork from home
Sagility
United States1 day ago $15 per hour
...Turing is seeking an AI Quality Analyst based in New York to evaluate a new personalization feature for Gemini. The ideal candidate will possess proficiency in Polish and demonstrate exceptional analytical thinking to assess AI model responses effectively. The role involves...Remote workHourly payFor contractorsTuring Inc
New York, NY2 days ago- 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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote DRG Audit Lead & Quality Analyst. Be the first to apply!
Related searches
- internal audit associate New York, NY
- compliance audit manager New York, NY
- audit manager New York, NY
- night audit manager New York, NY
- night audit supervisor New York, NY
- director internal audit New York, NY
- audit director New York, NY
- audit associate New York, NY
- external audit manager New York, NY
- senior audit manager New York, NY