Average salary: $132,140 /yearly
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$127k
Elevance Health is seeking a DRG Coding Auditor to ensure accurate, compliant inpatient reimbursement and support whole-health care for our members. In this remote role, you will perform detailed retrospective and prospective DRG audits, reviewing medical records and ICD...CmsRemote workElevance Health
Chicago, IL22 hours ago$3,148 per week
...medical necessity evaluation, discharge planning, and prior authorization. Candidates must also be knowledgeable of HIPAA guidelines and CMS regulations. Work history verification and documentation of the last 7 years are necessary for compliance. Requirements...CmsFull timeContract workRemote workShift work3 days per weekCynet Health
San Francisco, CA11 hours ago- ...-based physical therapy practice guidelines, Medicare regulations, and Conditions of Participation Complete and master scoring of CMS-required OASIS assessments; collaborate with the Quality team on necessary adjustments Perform point-of-care documentation, recording...CmsWeekly payFull timeContract workWork at officeImmediate startWork from homeMonday to FridayShift workAfternoon shift
Concentric Healthcare Staffing
Missoula, MT1 day ago - Mosaic Life Care is seeking a CDI RN to join our remote CDI team and support clinical documentation integrity across eligible states. You will review admissions, assign ICD-10-CM/PCS, and assist in DRG determinations with physician advisor input. The role emphasizes...CmsRemote work
Mosaic Life Care
Denver, CO4 days ago - Mosaic Life Care seeks a Clinical Documentation Integrity (CDI) Specialist to review and optimize clinical documentation across admissions. You will assign and update ICD-10-CM/PCS codes, determine DRG baselines, and query providers to ensure documentation supports severity...CmsRemote work
Mosaic Life Care
United States3 days ago - Job Description Job Description ****Must be located in CA! Will work remote but still attend trainings in LA and need to pick up equipment**** JOB REQUIREMENTS: -Experience: 1 year of CM exp - work comp exp required -CA LVN License -Certs: BLS -**FLU VACCINE...CmsRemote workShift workWeekend work
IMCS Group Inc
Beverly Hills, CA16 days ago - Advocate Health is seeking an experienced inpatient coder to join the 10407 Enterprise Revenue Cycle team in Kansas City. You will perform high-complexity inpatient coding using ICD-10-CM/PCS, CPT, and HCPCS, ensuring accurate documentation and regulatory compliance. The...CmsRemote work
Advocate Health
Kansas City, MO5 days ago - Advocate Health is seeking an experienced inpatient coder to assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes for complex cases. You will follow coding guidelines, work within revenue cycle processes, and support CDI and quality teams. The role requires a coding ...CmsRemote work
Advocate Health
United States3 days ago - Mosaic Life Care is seeking a CDI Reviewer to perform basic to intermediate clinical documentation reviews and collaborate with providers for accurate coding. The role includes ICD-10-CM/PCS coding and DRG determinations, and denial appeal support. The position requires...CmsRemote work
Mosaic Life Care
Richmond, VA3 days ago - UnitedHealth Group is seeking a Clinical Documentation Improvement Specialist to work remotely from anywhere in the U.S. The role focuses on reviewing clinical records for accuracy and coding alignment, and collaborating with physicians to improve documentation. Candidates...CmsRemote work
UnitedHealth Group
United States3 days ago - Mosaic Life Care is seeking a CDI reviewer to perform initial and intermediate clinical documentation integrity reviews. You will work with providers to clarify documentation and ensure accurate ICD-10-CM/PCS coding and DRG assignment. Responsibilities include reviewing...CmsRemote work
Mosaic Life Care
United States4 days ago - ...improve quality and compliance. Responsibilities include resolving documentation gaps, coordinating with the coding/revenue cycle teams, and supporting audits. The position emphasizes quality improvement and adherence to CMS guidelines, with a remote day #J-18808-LjbffrCmsRemote work
Adventist HealthCare
United States4 days ago - ...Friday. The nurse will ensure prior authorization requests meet contractual requirements, participate in UM Care Programs, and apply CMS and Medi-Cal guidelines. Requirements include a CA RN license, a Nursing degree, and 5+ years in patient care with prior UM/Case...CmsTemporary workPart timeRemote workMonday to Friday
Central California Alliance for Health
United States2 days ago - ...efforts. The role involves maintaining accurate provider records, coordinating outreach, and ensuring regulatory compliance across NCQA/CMS standards. The position offers remote work with a regional Newport Beach, CA office, with a salary range of $36,410.00 to $54,612.50...CmsWork at officeRemote work
Guardian Life
United States4 days ago $31 - $46.25 per hour
...productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits...CmsFull timePart timeWork experience placementRelocation packageShift workNight shiftWeekend workAvera Health
Aberdeen, SD19 hours ago- Datavant is seeking experienced inpatient coders for a fully remote role. You will assign diagnoses and procedures using ICD-10-CM and ICD-10-PCS, ensure accurate code abstraction from records, and lead coding quality reviews. The position emphasizes strong documentation...CmsRemote work
Datavant
Atlanta, GA5 days ago - Datavant is seeking experienced inpatient coders to join our remote team. You will assign ICD-10-CM and ICD-10-PCS codes, audit outputs, and support documentation improvement from your home workspace. Ideal candidates have at least 3 years inpatient coding experience...CmsRemote work
Datavant
United States1 day ago - Advocate Health is seeking an experienced inpatient coder to join the 10407 Enterprise Revenue Cycle team. The role focuses on complex inpatient documentation, applying ICD-10-CM/PCS, CPT and HCPCS codes in a timely, compliant manner. Requires an Associate's Degree ...CmsRemote work
Advocate Health
Lincoln, NE3 days ago - Cedars Sinai is seeking a Hospital Inpatient Coder to assign ICD-10-CM/PCS codes across inpatient stays, ensuring accurate DRG determinations and compliance with guidelines. This role involves reviewing documentation, abstracting data for reporting, and collaborating with...CmsRemote work
Cedars-Sinai
United States4 days ago $22.5 - $41.25 per hour
...productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits...CmsFull timePart timeWork experience placementShift workDay shiftAvera Health
Aberdeen, SD19 hours ago- ...productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits...CmsFull timePart timeWork experience placementShift workDay shift
Avera Health
Aberdeen, SD4 hours agonew - ...documentation reflecting patient status. You will query providers, verify ICD-10-CM/PCS and CPT coding, and support QA initiatives across CMS guidelines. Role requires MD/DO/FMG/RN/Pharmacist/PT or equivalent, RHIA/RHIT or related degree, and 5+ years inpatient clinical...CmsFull timeRemote workDay shift
Adventist HealthCare
United States1 day ago - ...coordinating with care teams to ensure appropriate care. The role requires an active MD/DO license in the United States, 1+ year UM experience, and a strong understanding of managed care and CMS guidelines. Competitive pay and comprehensive benefits are offered. #J-18808-Ljbffr...CmsFull timeRemote work
CVS Health
Salem, OR5 days ago - Mosaic Life Care is seeking a Registered Nurse with CDI expertise to perform initial to intermediate clinical documentation integrity reviews. You will work under the Manager, coordinating with providers to resolve documentation issues, support appeals, and participate...CmsRemote work
Mosaic Life Care
Clifton, TX4 days ago - ...cases should be boarded as inpatient instead of outpatient. You will also review the CPTs that were boarded for meeting inpatient on the CMS inpatient list and the InterQual inpatient list based on payer criteria used. Hours are Monday - Friday from 8:30am until 5pm with...CmsFull timeRemote workMonday to Friday
Populance
United States4 days ago - ...District Physicians Health Plan Inc in New York seeks an experienced Case Manager to conduct program activities in line with NYS DOH, CMS, NCQA standards. You will identify members, educate, support, coach, and coordinate care with providers and community resources to...CmsRemote work
Capital District Physicians' Health Plan
Albany, NY5 days ago - ...and outpatient services, coordinating with care teams to ensure appropriate care. The position requires an MD/DO, 1+ year UM experience with Medicare/Medicaid, and knowledge of CMS/MCG guidelines. Benefits are competitive and focused on quality care. #J-18808-LjbffrCmsFull timeRemote work
Oak Street Health, part of CVS Health
United States4 days ago - ...support risk adjustment and HCC reporting. Ideal candidates will have experience with medical record review, coding compliance, and CMS guidelines, ensuring diagnoses are supported by clinical evidence. Opportunities to work with providers and healthcare teams to...CmsRemote work
Jobrapido
United States5 days ago - Advocate Health seeks an experienced inpatient coder to review complex medical records and assign ICD-10-CM/PCS, CPT, and HCPCS codes for inpatient services. You will follow official guidelines, ensure accurate coding for reimbursement, and collaborate with CDI and Quality...CmsRemote work
Advocate Health
United States5 days ago - Advocate Health is seeking a skilled Inpatient Coder for its 10407 Enterprise Revenue Cycle – Coding Production Operations. The role involves coding complex inpatient records using ICD-10-CM/PCS, CPT, and HCPCS, with emphasis on accuracy and compliance. The position requires...CmsFull timeRemote work
Advocate Health
Bismarck, ND3 days ago
