Remote DRG Validation Auditor | Healthcare Claims
CGI Njoyn
CGI Njoyn is seeking a Remote MSDRG Auditor to review medical records for accuracy in coding and reimbursement. The ideal candidate will have at least five years of inpatient coding experience, with expertise in ICD-10-CM/PCS and strong clinical validation skills. This role requires effective communication and detailed rationale for coding decisions. The position offers a competitive salary ranging from $58,000 to $114,900, benefits including insurance options, retirement contributions, and paid time off. #J-18808-Ljbffr
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL... ...auditing of inpatient claims. Employing both... ...proprietary tools, you will validate ICD-10 diagnosis and procedure... ...perform data entry Healthcare claims experience... ...independently in a remote environment and deliver...Remote jobClaimsHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation 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 equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical...Remote workClaimsFlexible hours$95k
...Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based... ...records and generating high-quality recoverable claims for the benefit of our client and their clients....Remote workClaims$85k
...Job Description DRG Coding Reviewer - Auditor (Remote) Compensation and Benefits... ...Position Summary A leading healthcare organization is seeking... ...support inpatient coding validation and payment integrity... ...Duties: Review inpatient claims to validate ICD-10 coding...Remote workClaimsFull timeShift work- ...seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient... ...substantial experience in coding and claims auditing. This position offers competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance HealthRemote jobClaimsFlexible hours
$85k - $90k
...reduction, ultimately improving access to healthcare. We achieve this by aligning the... ...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments and/or...Remote workClaimsWork at office- ...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 disputes... ...or CCS Certification and MS-DRG coding experience. The position...Remote workClaims
- A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be... ...and coding inpatient hospital claims, ensuring accuracy for reimbursement... ...coding with a focus on MS-DRG, certifications like RHIA or CCS...Remote workClaimsWork from home
$81.85k - $155.09k
...Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description... ...Diagnosis Related Group (DRG) paid claims. How you will make an impact:... ...lives and communities - and making healthcare simpler. We are a Fortune 25 company...ClaimsFull timeTemporary workWork experience placementLocal area1 day per week$85k - $95k
...and clinical excellence to healthcare. As such, we are a leading authority... ...solutions including DRG Validation, Cost Outlier and Readmission... ...consider nurses with inpatient claims auditing experience or case... ...at the same time Remote Work Requirements High speed...Remote workClaimsFull timeMonday to Friday$58k - $114.9k
A leading healthcare compliance firm is seeking a Remote MSDRG Auditor to validate medical records for coding and reimbursement accuracy. Candidates must possess current AHIMA credentials and a minimum of five years in inpatient coding. The successful applicant will leverage...Remote work- ...A prominent healthcare consulting firm is seeking a Remote MSDRG Auditor to review medical records for coding accuracy and reimbursement compliance. This position... ...AHIMA credentials. Responsibilities will include validating ICD-10 codes and ensuring compliance with...Remote workFull time
$85k - $90k
...and clinical excellence to healthcare. As such, we are a leading... ...integrity solutions including DRG Validation, Cost Outlier and Readmission... ...reviews of inpatient claims for both coding accuracy as... ...different tasks easily. Remote Work Requirements:...Remote workClaimsFull time$125k - $140k
...Machinify is seeking a DRG Manager to enhance clinical solutions and lead... ...have over 5 years' experience in healthcare billing and coding, and expertise in claims auditing. Responsibilities include... ...leadership, and policy development. This remote position offers a competitive...Remote workClaims$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon... ...in a hybrid model (remote and office). The ideal... ...-expense spending. The DRG Coding Auditor Principal... ...inpatient medical records on claims paid based on... ...audit findings letters. Validates accuracy and quality standards...Remote workClaimsDaily paidWork at officeLocal area1 day per week- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity... ...and audits acute inpatient claims. Integrates medical chart... ...by supporting the Lifetime Healthcare Companies' mission and values... ...may be opportunities for remote work on all jobs posted by...Remote workClaimsWork experience placement
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should...Remote workClaims
$86.56k - $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... ...in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact: Analyzes and audits claims...ClaimsFull timeLocal area- ...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 workClaimsFlexible hours
- ...A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant...Remote workClaimsFlexible hours
- A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records and ensuring... ...reimbursement for inpatient hospital claims. Ideal candidates will have at least four...Remote workClaimsContract work
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement from the comfort of your home. This crucial role involves extracting clinical information from medical records, assigning...Remote workClaims
- ...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 Microsoft Office....Remote workClaimsWork at officeFlexible hours
- ...A major healthcare services provider is seeking an Inpatient Medical Coding Auditor to review hospital claims for reimbursement accuracy. This remote role requires strong attention to detail and certifications (RHIA, RHIT, CCS). Candidates should have experience in medical...Remote workClaims
- ...A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider...Remote workClaims
- ...A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely, reviewing inpatient hospital claims for proper reimbursement and ensuring accurate coding. Responsibilities include analyzing medical records and contributing to overall...Remote workClaimsWork at office
- A leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate... ...involves reviewing hospital claims and making crucial coding decisions... ...skills. The position is remote, but may require occasional travel...Remote workClaims
$71.1k - $97.8k
...A leading healthcare company is seeking an Inpatient Medical Coding Auditor to analyze clinical data and ensure accurate coding for reimbursement. This remote position involves reviewing inpatient hospital claims, requiring RHIA, RHIT, or CCS certification. Ideal candidates...Remote workClaims- ...To support healthcare auditing needs, the full-time Clinical DRG Validation Auditor will lead audits of hospital billing and coding... ...assignment, all while working remotely from New Jersey, Pennsylvania,... ...coordinate referrals for improper claim payments Compile audit...Remote workClaimsFull time
$80k - $95k
...Insight Global is seeking a Remote DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and... ...inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are...Remote workClaims
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