Average salary: $121,786 /yearly

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  • $69.4k

     ...The pay 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,... 
    Suggested
    Work at office
    Local area
    Remote work

    U.S. Bankruptcy Court - District of CT

    Denver, CO
    21 hours ago
  • A healthcare consulting company is hiring a Clinical Validation and Hospital Bill Auditor in Columbia, SC. This full-time remote position involves performing clinical validations and hospital bill audits. The ideal candidate is a Registered Nurse (RN) with a minimum of... 
    Suggested
    Remote job
    Full time

    NACBA

    Columbia, SC
    4 days ago
  • $81.85k - $155.09k

    A leading health solutions company is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records ensuring accurate documentation supports billed conditions. This role requires a current RN license and extensive experience in claims... 
    Suggested
    Remote job

    Elevance Health

    Las Vegas, NV
    1 day ago
  • $69.4k

    A leading healthcare revenue cycle management provider in Denver is seeking an Inpatient/DRG Validation Coding Auditor. This role involves performing documentation and coding audits on acute inpatient services, identifying errors and compliance issues to optimize reimbursements... 
    Suggested

    U.S. Bankruptcy Court - District of CT

    Denver, CO
    1 day ago
  • A leading health care provider in Cleveland seeks a Clinical Documentation Integrity Specialist. This role focuses on improving medical documentation accuracy and compliance with healthcare regulations. Candidates should possess a Bachelor's degree in nursing or equivalent...
    Suggested

    The MetroHealth System (Cleveland, OH)

    Cleveland, OH
    2 days ago
  • $69.4k

    A healthcare technology company is seeking an Inpatient/DRG Validation Coding Auditor in Denver, Colorado. This role involves documentation and coding audits for acute inpatient services, focusing on compliance and coding accuracy. Ideal candidates will have over 5 years... 
    Suggested

    Stryker Corporation

    Denver, CO
    1 day ago
  • A healthcare consulting firm is seeking a Clinical Validation and Hospital Bill Auditor to perform validation reviews, hospital bill audits, and provide subject matter expertise in fraud investigations. The ideal candidate will be a Registered Nurse with over five years... 
    Suggested
    Remote job
    Full time

    U.S. Bankruptcy Court - District of CT

    Columbia, SC
    4 days ago
  • $69.4k

    A leading healthcare revenue cycle management provider in Minnesota is seeking an Inpatient/DRG Validation Coding Auditor. This role involves conducting coding audits for inpatient services, ensuring compliance with coding standards, and providing education to coders.... 
    Suggested

    NACBA

    Minneapolis, MN
    1 day ago
  • $81.85k - $155.09k

    A leading health services company is hiring a Diagnosis Related Group Clinical Validation Auditor-RN for a virtual role with required in-person training. Candidates should have a valid RN license and significant experience in claims auditing and clinical documentation... 
    Suggested
    Remote job

    Elevance Health

    New York, NY
    4 days ago
  • A leading healthcare provider located in Cleveland, Ohio, is seeking a Clinical Documentation Integrity Specialist to enhance documentation accuracy and resolve discrepancies. The ideal candidate has a Bachelor's degree in nursing or relevant education, coupled with at ...
    Suggested

    MetroHealth

    Cleveland, OH
    21 hours ago
  • $81.85k - $155.09k

    A healthcare company is seeking a Diagnosis Related Group Clinical Validation Auditor responsible for auditing inpatient medical records to ensure accurate claims billing. The role allows virtual work and requires an active RN license alongside extensive experience in... 
    Suggested
    Remote job
    Flexible hours

    Elevance Health

    Washington DC
    21 hours ago
  • A healthcare company is seeking a Diagnosis Related Group Clinical Validation Auditor to audit inpatient medical records and ensure proper documentation for billing. The ideal candidate will have a current Registered Nurse license and at least 10 years of experience in... 
    Suggested
    Remote job

    Elevance Health

    Seattle, WA
    21 hours ago
  •  ...data analytics company is seeking a Quality Analyst IV - Clinical Validation Auditor for a remote position. The candidate must hold a...  ...clinical validation audits. Key responsibilities include reviewing DRG audits for accuracy and mentoring auditors. This role requires... 
    Suggested
    Remote job

    ExlService Holdings, Inc.

    Trenton, NJ
    1 day ago
  • A growing healthcare consulting firm is seeking a Clinical Validation and Hospital Bill Auditor to work remotely. The role involves performing clinical validation reviews, auditing healthcare claims, and providing subject matter expertise. Ideal candidates should be Registered... 
    Suggested
    Remote job
    Full time

    Stryker Corporation

    Columbia, SC
    4 days ago
  • A healthcare consulting firm is seeking a Clinical Validation and Hospital Bill Auditor to work remotely. The Auditor will conduct clinical validation reviews, analyze healthcare claims, and provide expert support on fraud and abuse investigations. Candidates must be a... 
    Suggested
    Remote job
    Full time
    Home office

    University of Minnesota School of Nursing

    New York, NY
    4 days ago
  • A global staff augmentation firm is seeking a candidate with expertise in medical record management to conduct validation reviews and coordinate rate adjustments. This role requires an associate degree in Nursing or Health Information Management and active RN licensure... 
    Work at office

    US Tech Solutions

    Columbia, SC
    4 days ago
  • A healthcare consulting firm is seeking a Clinical Validation and Hospital Bill Auditor to perform audits and provide clinical expertise. The ideal candidate will be a Registered Nurse with 5+ years of experience in clinical nursing, strong analytical skills, and excellent... 
    Remote job
    Full time
    Flexible hours

    Wisconsin Psychiatric Association Inc

    Columbia, SC
    4 days ago
  • A healthcare technology firm in 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... 
    Remote job
    Full time

    Zelis Healthcare Inc.

    Boston, MA
    3 days ago
  •  .... Summary Performs secondary clinical chart reviews, resolves DRG discrepancies, and educates clinical staff regarding opportunities...  ...coder or Physician (MD / DO) with CDI experience in DRG validation or DRG downgrade activities, or any equivalent combination of education... 
    Shift work

    MetroHealth

    Cleveland, OH
    1 day ago
  • Clinical Validation and Hospital Bill Auditor - Remote Amenity Consulting, LLC is recruiting for a Clinical Validation and Hospital Bill...  ...is responsible for 1) performing clinical validation review for DRG and Level of Care audits, 2) performing hospital bill audits... 
    Remote job
    Full time
    Contract work
    Work at office
    Home office
    Flexible hours

    University of Minnesota School of Nursing

    New York, NY
    4 days ago
  • $30 - $36 per hour

    A leading health insurance company in South Carolina is seeking an Auditor for Quality Medical. This role involves validation reviews of Diagnosis Related Groups and will require strong coding knowledge. The position offers a pay rate of $30-$36/hour, with a work schedule... 
    Monday to Friday

    WillHire

    Columbia, SC
    4 days ago
  • A leading health company in Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring compliance with billing documentation, and utilizing advanced coding expertise. Candidates must hold... 
    Remote job
    Flexible hours

    Elevance Health

    Denver, CO
    21 hours ago
  • A healthcare consulting firm is seeking a Clinical Validation and Hospital Bill Auditor. This remote full-time position requires a Registered Nurse with at least 5 years of experience in clinical nursing, alongside proficiency in auditing practices. The chosen candidate... 
    Remote job
    Full time
    Flexible hours

    Rhode Island Bar Assn.

    Columbia, SC
    1 day ago
  • Job Description Job Description Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCs  Assists in ensuring HSC coding staff adherence with coding...

    All Med Search

    Nashville, TN
    a month ago
  •  ...Job Description Job Description Our client located near Darien, Georgia is seeking an experience DRG Validator Support with extensive Inpatient Coder-CCS, CPC or CCS-P experience to join their team. 5+ years of INPATIENT Coding experience.   This position can be... 
    Permanent employment
    Remote work

    Radius Staffing Solutions

    Brunswick, GA
    5 days ago
  • $81.85k - $155.09k

     ...required by law. Job Summary The Diagnosis Related Group Clinical Validation Auditor is responsible for auditing inpatient medical records...  .... The role specializes in review of Diagnosis Related Group (DRG) paid claims. How You Will Make an Impact Analyzes and audits... 
    Full time
    Local area

    Elevance Health

    Seattle, WA
    3 days ago
  • $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 time
    Temporary work
    Work experience placement
    Local area
    1 day per week

    Elevance Health

    Denver, CO
    4 days ago
  • $81.85k - $155.09k

    Overview Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Anticipated End Date: 2025-10-03 Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) - Virtual role with... 
    Full time
    1 day per week

    Elevance Health

    New York, NY
    4 days ago
  •  ...PCS coding systems Proficiency in assigning DRGs (Both MS & APR DRG) and ensuring compliance with regulatory standards Excellent...  ...matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact ****@*****.***... 
    Flexible hours

    Guidehouse

    Indiana, PA
    4 days ago
  • As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code...  ...each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding... 
    Remote work
    Shift work

    Sarasota Memorial Hospital

    Los Angeles, CA
    1 day ago