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  • 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 ensure that all reviewed charts capture the patient’s true clinical picture from the codes assigned... 
    Suggested
    Full time
    Work experience placement
    Remote work
    Relocation package

    Stryker Corporation

    Denver, CO
    2 days 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... 
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    Remote job

    NACBA

    Minneapolis, MN
    1 day ago
  • A large not-for-profit health insurer is seeking a Sr. DRG Coding Integrity Auditor to ensure compliance with coding regulations and audit accuracy of claims. This remote role requires extensive experience in coding and auditing within healthcare. As a candidate, you should... 
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    Remote job

    EmblemHealth

    New York, NY
    2 days ago
  • A leading nursing school is looking for a Clinical DRG RN auditor to work remotely within the U.S. You will leverage your coding expertise to review and validate inpatient claims, ensuring compliance with ICD-10 guidelines. This role requires strong communication skills... 
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    Remote job

    University of Minnesota School of Nursing

    Eden Prairie, MN
    3 days ago
  • A healthcare solutions company in Denver is seeking a DRG Revenue Integrity Auditor to perform audits on inpatient charts, ensure coding compliance, and provide training to new hires. The ideal candidate has over five years of experience in an acute care setting. Responsibilities... 
    Suggested
    Remote job

    Stryker Corporation

    Denver, CO
    1 day ago
  • 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... 
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    Remote job
    Flexible hours

    Humana Inc

    Denver, CO
    3 days ago
  • $69.4k

     ...for this position starts at $69,400 annually. Final compensation will be determined based on experience. The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance... 
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    Work at office
    Local area
    Remote work

    U.S. Bankruptcy Court - District of CT

    Denver, CO
    14 hours 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... 
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    Remote job

    Zelis Healthcare Inc.

    Boston, MA
    3 days ago
  • A healthcare organization located in Denver, Colorado, is seeking a DRG Revenue Integrity Auditor to ensure proper coding and compliance within inpatient charts. The role entails conducting quality audits, analyzing clinical data, and providing necessary training to new... 
    Suggested
    Remote job
    Flexible hours

    Stryker Corporation

    Denver, CO
    2 days ago
  • $68.04k - $118.8k

     ...at the top of this page. Access your employee profile to view internal job postings and explore new opportunities. Sr. DRG Coding Integrity Auditor (Remote) Responsible for upholding the standard for code review functions in the setting of business/industry/legislative... 
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    Remote job
    Work experience placement
    H1b
    Visa sponsorship

    EmblemHealth

    New York, NY
    2 days ago
  • $68.57k - $104.84k

    A healthcare company is hiring a Clinical Review Auditor to perform DRG validation and coding reviews on medical records. This remote role requires a strong understanding of ICD-10 coding, communication skills, and clinical knowledge. Ideal candidates will possess a CCS... 
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    Remote job

    CERIS

    Fort Worth, TX
    4 days ago
  • A healthcare services company is seeking a DRG Coder/Clinical Auditor for a remote position. The role involves reviewing medical records for billing accuracy, conducting audits, and requires an Associate degree in nursing along with CCS or CIC qualifications. Ideal candidates... 
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    Remote job

    CorVel Corporation

    Fort Worth, TX
    3 days ago
  • Job Description Be a part of a world-class academic healthcare system at UChicago Medicine as a Coding Auditor - DRG/APC Coordinator for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater... 
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    Full time
    Remote work
    Work from home
    Shift work

    University of Chicago Medical Center

    Chicago, IL
    1 day ago
  • A healthcare technology company is seeking a professional responsible for conducting inpatient DRG reviews. The role involves validating DRG accuracy based on coding guidelines and clinical evidence. Candidates should possess a healthcare degree and experience in coding... 
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    Zelis Healthcare, LLC

    Atlanta, GA
    14 hours ago
  • A health organization is seeking a Clinical DRG RN auditor to apply expertise in MS-DRG and APR-DRG coding/reimbursement. The role includes conducting coding reviews, validating codes, and writing rationales for audit findings. A successful candidate will have an RN license... 
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    Remote job

    UnitedHealth Group

    Minneapolis, MN
    14 hours ago
  • $81.85k - $155.09k

    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 associates to work virtually full... 
    Full time
    Temporary work
    Work experience placement
    Local area
    1 day per week

    Elevance Health

    Atlanta, GA
    4 days ago
  •  ...advance health equity on a global scale. Join us to start Caring. Connecting. Growing together . In this position as a Clinical DRG RN auditor , you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official... 
    Temporary work
    Remote work
    Relocation package

    University of Minnesota School of Nursing

    Eden Prairie, MN
    3 days ago
  • $81.85k - $155.09k

    Overview Anticipated End Date: 2026-03-09 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 role... 
    Work at office
    Local area
    1 day per week

    Elevance Health

    Grand Prairie, TX
    4 hours agonew
  •  ...company is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. Responsible for auditing inpatient records to ensure...  ...and extensive experience in claims auditing, particularly with DRG codes. The position offers a hybrid work model, balancing remote... 
    Remote job

    Elevance Health

    Tampa, FL
    1 day ago
  • $34.23 - $61.15 per hour

     ...serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together . Clinical DRG RN Auditor In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/... 
    Hourly pay
    Daily paid
    Minimum wage
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Local area
    Remote work
    Relocation package

    Optum

    Minneapolis, MN
    4 days ago
  • $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

    MedReview Inc.

    New York, NY
    3 days ago
  • $34.23 - $61.15 per hour

    A healthcare organization is seeking a DRG/CVA Validation Auditor RN to conduct coding reviews and validate hospital claims. This remote role requires substantial knowledge of MS-DRG, APR-DRG coding, and ICD-10 guidelines. Candidates should have an associate's degree and... 
    Remote job
    Hourly pay
    Relocation package

    NACBA

    Minneapolis, MN
    3 days ago
  • $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 paid
    Work at office
    Local area
    Remote work
    1 day per week

    Elevance Health

    Indianapolis, IN
    4 days ago
  • A leading healthcare organization is seeking a DRG RN Auditor to work remotely from anywhere in the U.S. The role requires expertise in MS-DRG and APR-DRG coding, along with ICD-10 guidelines. Candidates should possess at least 3 years of coding experience in a hospital... 
    Remote job
    Relocation package

    NACBA

    Minneapolis, MN
    14 hours ago
  • $71.1k - $97.8k

    A major healthcare company is seeking an Inpatient Medical Coding Auditor to extract clinical information from medical records and assign procedural terminology and medical codes. The role offers remote work flexibility and requires RHIA, RHIT or CCS Certification with... 
    Remote job

    Humana Inc

    Annapolis, MD
    14 hours ago
  • 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 proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four... 
    Remote job
    Contract work

    Humana Inc

    Richmond, VA
    2 days ago
  • $58k - $114.9k

    Remote Senior Inpatient Auditor – MS-DRG & Clinical Validation Position Description CGI is seeking a high-caliber MS-DRG Auditor to join our Healthcare Compliance Team. In this role, you will be a key defender of payment accuracy, reviewing complex medical records... 
    Work at office
    Local area
    Remote work
    Shift work
    Knoxville, TN
    a month ago
  • $85k - $95k

     ...on bonuses are available for highly qualified candidates.   Summary We are seeking a talented individual for a   Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate... 
    Full time
    Contract work
    Remote work
    Relocation package
    Flexible hours

    Gainwell Technologies LLC

    Texas
    a month ago
  • A leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement processes. This role involves reviewing hospital claims and making crucial coding decisions while working in a metrics-driven... 
    Remote job

    Humana Inc

    Phoenix, AZ
    2 days ago
  • 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 job

    Humana Inc

    Hartford, CT
    2 days ago