Remote DRG Clinical Reviewer for Validation & Coding
Med Review Inc
- Remote job
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 must possess an MD/DO with an active U.S. license and board certification, along with 5+ years in clinical practice. This influential position offers a structured workflow and diverse cases, aiming to enhance healthcare outcomes. #J-18808-Ljbffr Med Review Inc
- ...Overview The Coding Senior will apply ICD‑10‑CM/PCS... ...codes, determine MS‑DRG and APR‑DRG assignments... ...required modifiers. Validate charges by comparing them... ...Communicate effectively with clinical staff, physicians,... ...with concurrent coding reviews. Knowledge of...Remote workWork experience placementWork at officeShift work
- ...diagnosis and procedures codes, MS-DRGs and APCs... ...all required modifiers. Validates charges by comparing charges... ...effectively with clinical staff, physicians and office... ...coding and MS-DRG or APC grouping and components... ...with concurrent coding reviews. Knowledge of privacy and...Remote workWork experience placementWork at officeLocal areaShift work
- ...Job Description The Coding Senior will be responsible... ...and determining the MS-DRG and APR-DRG assignment... ...required modifiers. Validates charges by comparing... ...Communicates effectively with clinical staff, physicians and... ...with concurrent coding reviews. Knowledge of...Remote workWork experience placementWork at officeLocal areaShift work
- 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
- ...healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training... .... The role primarily offers remote work with some travel to New York... ...annually. Candidates should have a valid clinical license and experience in DRG and Medical Record Audits. This...Remote jobFull time
- Kodiak Solutions is looking for an Inpatient DRG Validator & Coding Analyst to perform inpatient coding reviews and support various service lines. This remote position requires a CCS credential and over 5 years of relevant coding experience. The candidate will analyze medical...Remote job
- ...Boston is seeking a Quality Assurance Specialist to perform inpatient DRG validation audits. The role requires at least 5 years of experience in reviewing ICD-10 claims and an understanding of coding standards. Responsibilities include conducting quality assurance reviews...Remote jobFull time
$85k - $95k
...accuracy, accountability, and clinical excellence to healthcare... ...solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking a... ...validation to work within our coding department. Candidate... ...applications at the same time Remote Work Requirements High...Remote workFull timeMonday to Friday- A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including...Remote workMonday to Friday
- Optum in 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 while working from home. You will be responsible for adhering to coding standards and ensuring quality performance. The ideal candidate...Remote jobHourly payFull timeWork from home
- ...agency is seeking a Certified Medical Coder to work remotely. This role involves reviewing medical records and coding diagnoses and procedures using ICD-9-CM and CPT-4... ...should have extensive experience in inpatient and DRG auditing, knowledge of medical coding systems, and...Remote 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
$30 - $40 per hour
...healthcare transformation initiative. This remote role offers a chance for long-term... ...will have strong experience in inpatient coding and relevant certifications. Responsibilities include coding medical records, validating DRGs, and ensuring compliance with regulations...Remote job$23.89 - $42.69 per hour
Texas Health Institute is seeking a skilled medical coder to work remotely. The position involves coding inpatient services at Optum and requires at least 3 years of experience with DRG coding and ICD-10 standards. Successful candidates will enjoy competitive compensation...Remote jobHourly pay- 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
- ...Inpatient Medical Coder DRG Specialist - Remote In this role, we will look to you to analyze and interpret complex records in order to identify... ...will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when...Remote job
- ...Inpatient Coder (Remote) Full-time • Work From Home... ...Job Summary As a Coding Integrity Specialist III... ...WORK FROM HOME, you will review and evaluate hospital... ...sequence, edit and/or validate the appropriate ICD-10-... ...performs coding and/or code/DRG validation across...Remote workFull timeWork from home
- ...partner is looking for a Clinical Documentation... ...documentation, support proper coding, and ensure... .... Working in a remote healthcare environment, you will review inpatient and outpatient records to validate diagnoses, procedures... ...appropriate DRG, APC, and HCC assignment...Remote workWeekday work
$45 - $50 per hour
...need for a talented Clinical Documentation Improvement... ...is located in U.S(Remote). Please review the job description... ...accuracy Assign and validate MS-DRGs Develop... ...Experience with DRG assignment Experience... ...with 3M CDI and coding applications. ICU...Remote workContract workLocal areaImmediate start- ...Clinical Documentation Integrity (CDI) Specialist... ...located in U.S (Remote). Key... ...and retrospective reviews of inpatient medical... ...with physicians, coding professionals, case... ...documentation accuracy. Validate principal... ...CC/MCC capture, MS-DRG assignments, and clinical...Remote workContract workLocal areaImmediate start
- ...than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Summary... ...: Performs concurrent analytical reviews of clinical and coding data to improving physician documentation... ...associated Diagnosis Related Group (DRG) assignments, case-mix index, severity...Remote workHourly payFlexible hoursShift workDay shift
$30 - $40 per hour
...Location (City, State): Remote (U.S.) Industry:... ...bringing coding operations back in... ..., ICD-10-PCS, and DRG assignment. Key... ...Responsibilities Review inpatient medical... ...Assign and validate Diagnosis-Related... ...Collaborate with Clinical Documentation Integrity...Remote workPermanent employmentContract workLocal areaMonday to Friday- 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
$125k - $140k
Machinify is seeking a DRG Manager to enhance clinical solutions and lead a team within... ...experience in healthcare billing and coding, and expertise in claims... ...overseeing clinical claims reviews, team leadership, and policy development. This remote position offers a...Remote job- ...for performing advanced coding and abstracting of... ...Classification of Diseases Clinical Modification System (ICD... ...Related Group (DRG) assignment. Certified... ...combination of in-office and remote work at the department'... ...Possession of current valid certification as a Certified...Remote workDaily paidTemporary workWork at officeLocal areaShift workRotating shiftWeekend workDay shift2 days per week
- ...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... ...with coding guidelines. You will enjoy remote work flexibility and be part of a culture...Remote job
$85k - $95k
A leading healthcare provider is seeking a Registered Nurse with a strong background in clinical validation to join their coding department. This full-time position offers telecommute flexibility within the United States. Candidates must have at least two years of clinical...Remote jobFull time- 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... ...overpayments. Responsibilities include reviewing code assignments, providing rationale...Remote job
$82.23k - $155.81k
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to ensure clinical documentation accuracy for inpatient... ...license with substantial experience in claims auditing and ICD coding. Elevance Health provides a comprehensive benefits package...Remote job- 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
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