Remote Certified Medical Auditor - DRG & Coding Insights
Virtual Vocations Inc
- Remote job
DaMar Staffing offers a full-time remote Certified Medical Auditor (SC) role focused on validating DRGs, APCs, and Never Events while coordinating rate adjustments with claims teams. The position requires creating monthly and quarterly trend reports, managing records retrieval with HIPAA compliance, and serving as a resource for coding issues; a strong background in medical records and coding is essential. #J-18808-Ljbffr Virtual Vocations Inc
$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply... ...offers a fully remote work experience... ...MS-DRG and APR-DRG coding reviews to ensure... ...description for this job Medical insurance Vision... ...Single Path CERTIFIED OUTPATIENT MEDICAL... ...way. Experts add insights directly into each...Remote workMedicalFull timeWork experience placementReliefWork from homeHome officeRelocation package$23.66 - $37.36 per hour
...Shift Work Arrangement Remote Department Medical Coding & Data Management -... ...for a detail-oriented Certified Medical Coding Auditor to join our Inpatient Coding... ...audit plans, providing insightful analysis of findings,... ...diagnosis-related groups (DRG), and coding guidelines...Remote workMedicalHourly payImmediate startMonday to FridayFlexible hoursShift workDay shift- To support healthcare services, the full-time remote Certified Medical Auditor (SC) will perform validation reviews of Diagnosis Related Groups (DRG), Ambulatory Procedure Codes (APC), and Never Events, while coordinating rate adjustments and providing trend reports. Key...Remote workMedicalFull timeWork experience placement
- ...will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and... ...company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity,...Remote workMedicalTemporary workCasual workWork at office
- Elevance Health is seeking a DRG Coding Auditor to ensure accurate, compliant inpatient reimbursement... ...-health care for our members. In this remote role, you will perform detailed... ...and prospective DRG audits, reviewing medical records and ICD-10-CM/PCS codes to validate...Remote workMedical
- ...currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities:... ...evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that...Remote workMedicalWork at officeLocal area
$95k
...Overview This DRG Validation Auditor role is focused on our Cross Claim Clinical... ...determinations without a medical record. The ideal candidate... ...both a strong inpatient HIM/coding background and an understanding... ...is selected. #LI-Remote #LI-JB1 #senior...Remote workMedicalHourly payFull timeReliefWork at officeImmediate startShift workNight shiftWeekend workAfternoon shift- Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims and ensure correct DRG assignments for proper reimbursement. The role... ...and clear communication with internal teams. Remote/work-at-home arrangement with occasional travel...Remote jobMedicalWork from home
- ...Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and accurate DRG assignments. This role emphasizes MS-DRG... ...and cost-conscious payer processes in a remote work setting. Ideal candidates will hold...Remote jobMedical
- RADcube is seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. You... ...CMS, AHIMA, and Indiana Medicaid standards. Remote role with occasional travel to Downtown...Remote jobMedical
- ...Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for... ...in a results-driven setting. This remote role may require occasional travel to Humana... ...analyzes records to ensure accurate DRG assignments and cost-effective payments...Remote jobMedical
$68k - $88k
Medical Review Auditor (Fraud Waste and Abuse) Join to apply... ...of medical coding and health plan policies... ...Credential: Certified Professional Coder... ...CPT, HCPCS, APC, DRG, Revenue Codes, NCDs... ...Auditor - Remote Remote: Full Time... ...way. Experts add insights directly into each...Remote workMedicalHourly payFull timeContract workPart timeWork experience placementImmediate startWork from home$85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) We are seeking... ...is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the...Remote jobMedicalFull timeContract workFlexible hours- The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG)... ...clinical picture from the codes assigned by the facility’s... ...reviews, stays up to date with medical and coding guidelines,... ...available. Quality of life with a remote predictable, full‑time...Remote workMedicalFull timeWork experience placementRelocation package
- Macpower Digital Assets Edge Private Limited is seeking a Training and Quality Auditor to develop and conduct DRG and Medical Record Audit programs. The role is primarily remote with biannual travel to New York and requires RN/MD-level clinical experience. Responsibilities...Remote jobMedical
- ...leading healthcare consulting firm is seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing while delivering staff training... ...least 1 year of clinical experience. This primarily remote position offers competitive benefits and workplace flexibility...Remote jobMedical
$35 - $63 per hour
...this position as a Clinical DRG RN auditor , you will apply your expert... ...knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology... ...review to ensure accuracy of medical coding and utilize clinical... ...Ability to work independently in a remote environment and deliver...Remote workMedicalHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area$67k - $76k
...Work Arrangement : Remote Compensation Range: $6... ...Your Mission: As our next Medical Coding Auditor , you will be responsible... ...data analysis, reporting, and insight generation. Education:... ...certification (CCA, CPMA, or Certified Professional Medical Auditor...Remote workMedicalFull time$40 - $60 per hour
...Inpatient Coding Auditor Compensation Hourly Rate: $40... ...60 per hour Location: Remote Position Summary As... ...10-CM, ICD-10-PCS, MS-DRG, APR-DRG, and CPT/HCPCS... ...and/or major academic medical centers U.S.-based... ...Services is Joint Commission certified, reflecting a...Remote workMedicalHourly payContract workFlexible hoursShift work- ...Coding Auditor The Coding Auditor is a professional auditing... ...role designed for a certified professional coder.... ...foundation in primary medical coding and a keen eye... ...HCPCS, Revenue Codes, DRG codes, and ICD-10 from... ...development initiatives ~ Remote work eligible...Remote workMedicalHourly payFlexible hours
$60.1k - $98.7k
...a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use... ...records, validate billed DRG codes, and help identify overpayments... ...clients turn data into insights, streamline operations,...Remote workMedicalFull time$35 - $45 per hour
...Outpatient Coding Auditor Hourly Rate: $35.00 – $45.00 per hour Location: Remote Position Summary As an Outpatient... ...0-CM, ICD-10-PCS, MS-DRG, APR-DRG (when... ...through review of medical documentation and diagnostic... ...is Joint Commission certified, reflecting a...Remote workMedicalHourly payDaily paidFull timeContract workTemporary workFlexible hoursShift work- ...This job is REMOTE. FTE: 1.00000... ...The Inpatient Auditor supports the quality... ...of the inpatient coding team through coding... ...coding accuracy, DRG assignment, and compliance... ...experience in an academic medical facility. Previous... ...DESCRIPTION: Certified RHIA/RHIT, CCS,...Remote workMedicalTemporary workShift workWeekend work
$57.4k - $99k
...The Outpatient Facility Coding Auditor integrates medical coding principles and objectivity... .... ~ This is a remote position; however, candidates... ...(CCS Preferred): CPC (Certified Professional Coder) CCS... ...Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards...Remote workMedicalTemporary workWork at officeLocal area$73k - $98.7k
...a passionate and experienced DRG Auditor looking for an opportunity to... ...team! This role offers a fully remote work experience with... ...onsite engagements.) A brief coding/auditing assessment may be included... ...our clients turn data into insights, streamline operations,...Remote workFull timeWork experience placementWork from homeHome office$35 - $42 per hour
...Now Hiring for a Remote Inpatient Medical Coder!! This opportunity is fully remote... ...HAVE 1+ years of INPATIENT coding experience to be qualified!!... ...ensure the most appropriate DRG assignment, coders partner with... ...& Licensure: -Certified RHIA/RHIT or CCS. #centralpriority...Remote workMedicalContract workTemporary workImmediate start- ...integrity reviewers to join our team. You will review medical reports to ensure correct coding and billing, and collaborate with client offices to resolve... ...standards, strong communication, and a fast-paced, remote-friendly environment with opportunities for growth within...Remote jobMedical
- Universal Health Services (IPM) seeks a Coding Auditor for a remote role to ensure ICD-10, CPT-4, and HCPCS coding is supported by clinical documentation and CMS guidelines. You will review documentation, educate providers, and report findings to the Coding Manager with...Remote jobMedical
- OP/ED/OBS Coding Auditor Be a part of a world-class academic... ...department. This is a remote, work from home... ...followed and appropriate DRG or APC assignments have... ...Communicates and educates Medical Staff as needed to... ...Administrator (RHIA), or Certified Coding Specialist (CCS...Remote workMedicalFull timeWork from homeShift workDay shift
- Alignment Healthcare is seeking a Remote Risk Adjustment Compliance Auditor to conduct provider and coder reviews ensuring accurate risk adjustment... ...include a minimum of 3 years of professional coding experience in a medical group or health plan setting, a Bachelor’s degree...Remote jobMedical
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Certified Medical Auditor - DRG & Coding Insights. Be the first to apply!




