Get new jobs by email
- ...Unfortunately, we are not in a position to sponsor work visas at this time. About The Role Alaffia is seeking an experienced Clinical DRG Auditor to join our Payment Integrity team. In this role, you will perform inpatient Diagnosis-Related Group (DRG) validation audits and...SuggestedRemote workVisa sponsorshipWork visaFlexible hours
- ...incentives Ongoing mentorship and leadership programs And more! Job Description The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI Quality and Education. He/she performs all the requirements of the...SuggestedTemporary work
- ...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...SuggestedRemote workFlexible hours
Humana
Denver, CO11 hours ago - ...JOB SUMMARY: The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. The DRG - A will perform chart reviews and will ensure that all reviewed charts capture the patient’s true clinical picture...SuggestedWork experience placementWork at officeImmediate startRemote workRelocation package
NACBA
Minneapolis, MN11 hours ago - ...leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital... .... Candidates should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive...SuggestedRemote work
Humana
Pierre, SD11 hours ago - A healthcare organization is seeking a DRG Revenue Integrity Auditor to perform validation and quality audits on inpatient charts. Responsibilities include conducting chart reviews, ensuring accurate coding, and training new hires. Ideal candidates will have 5+ years in...SuggestedRemote work
NACBA
Minneapolis, MN11 hours ago - ...A healthcare services company is seeking an Inpatient Facility Coding Auditor. This remote position requires expertise in DRG-based auditing and a minimum of 5 years coding experience, including inpatient coding and auditing. Responsibilities include reviewing health records...SuggestedRemote work
iMedX
Edgewater, MD2 days ago - ...services company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider... ...certifications such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft Office. Strong communication...SuggestedWork at officeRemote workFlexible hours
Humana
Albany, NY11 hours ago - A healthcare technology firm is seeking a Quality Assurance Specialist to conduct comprehensive reviews of inpatient DRG claims in New Jersey. You will utilize coding guidelines and clinical evidence to ensure accuracy for client savings. Preferred qualifications include...SuggestedRemote work
- ...healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible... ...will have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work...SuggestedRemote workWork from home
Humana
Carson City, NV1 day 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 DRG...SuggestedRemote job
$95.17k - $149.56k
A leading health company seeks an Inpatient DRG Validator to audit medical records and generate high-quality claims. This role requires strong ICD-10 coding expertise and a background in claims auditing. Candidates must possess relevant certifications and significant experience...SuggestedRemote job$95.17k - $149.56k
Elevance Health is seeking an Inpatient DRG Validator for a virtual role, responsible for auditing inpatient medical records and generating accurate claims. Ideal candidates will possess at least an AA/AS degree or 5 years of experience, alongside expert knowledge in ICD...SuggestedRemote job$95.17k - $149.56k
A healthcare company is seeking an Inpatient DRG Validator to work virtually with flexible hours. This position involves auditing inpatient medical records and performing clinical reviews to ensure coding accuracy. Candidates should have at least 5 years of experience in...SuggestedRemote jobFlexible hours- Alaffia Health in New York, NY, is looking for a Clinical DRG Auditor to enhance payment integrity through the review and validation of inpatient claims. The ideal candidate should hold an RN or LPN license and have at least 3 years of experience in clinical DRG validation...SuggestedRemote jobFlexible hours
- A healthcare auditing organization is seeking a DRG Validation Auditor to join its team in Wisconsin. This role involves reviewing inpatient claims for accuracy, ensuring compliance with ICD-10-CM/PCS guidelines, and communicating effectively with stakeholders. Candidates...Remote work
$86.56k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor-RN. In this virtual role, you will audit inpatient medical records to ensure accuracy in clinical documentation and DRG billing. The ideal candidate will possess a current RN license and a...Remote jobFlexible hours$81.85k - $155.09k
Anticipated End Date: 2025-09-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables...Full timeTemporary workWork experience placementLocal area1 day per week$85k - $90k
MedReview, located in New York, is seeking a DRG Reviewer to analyze inpatient claims for coding accuracy. You will validate reported ICD-10-CM/PCS codes and collaborate with physician reviewers as necessary. The ideal candidate should have at least 3 years of experience...Remote job- ...customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented DRG Nurse Auditor with clinical case management experience to be responsible for analyzing clinical claim denials, drafting detailed appeal...Work at officeLocal area
$85k - $90k
...accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the DRG Operations Department leaders, the DRG Reviewer will...Remote work$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‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach...Full timeWork experience placementLocal area- Froedtert Health is looking for an RN Diagnosis-Related Group (DRG) Auditor in Milwaukee, Wisconsin. This role includes conducting audits of inpatient medical records to ensure compliance with standards and accurate outpatient reimbursement. Candidates must have a minimum...Remote job
Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Int[...]
$113.77k - $215.57k
Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity Location: Alternate locations may be considered... ..., and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical...Daily paidWork at officeLocal areaRemote work1 day per week- ...A company is looking for an Inpatient DRG Auditor / Coder (RN and Non RN). Key Responsibilities Perform inpatient DRG auditing and coding reviews Analyze disease processes and clinical indicators affecting DRG assignment Review audit outcomes and implement corrective...Remote work
Virtual Vocations Inc
United States2 days ago - A leading healthcare provider is seeking a DRG Nurse Auditor in Richmond, Virginia. This role involves analyzing clinical claim denials, drafting detailed appeal letters, and performing DRG validation reviews. Candidates should possess an RN or LPN license, ideally with...
$85k - $95k
A healthcare solutions provider is seeking a Clinical DRG Auditor for a remote position. The role involves auditing medical records and validating DRG assignments. Candidates should have an active RN licensure, relevant coding certifications, and over 3 years of clinical...Remote jobFlexible hours$42 - $50 per hour
...Job Description Job Description Inpatient DRG Auditor Role Overview We are hiring an Inpatient DRG Auditor for a fully remote contract-to-hire opportunity. This role focuses on 100% pre-bill audits of inpatient coding completed by offshore coding staff. This is...Contract workLocal areaRemote workMonday 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 workCGI Technologies and Solutions, Inc.
Dallas, TX4 days ago$35 - $45 per hour
A leading health data platform is seeking an Inpatient Auditing Specialist to conduct coding audits and provide coder education. This fully remote role requires 5+ years of experience in inpatient coding and a focus on customer satisfaction. Candidates must possess coding...Hourly payRemote workDatavant
Pierre, SD11 hours ago
