Average salary: $121,786 /yearly
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- A leading healthcare organization in New York seeks a Coding Reviewer for DRG validation. The role involves ensuring the accuracy of diagnostic codes and compliance with healthcare regulations. Candidates must have a strong background in anatomy and coding, with 3-5 years...Suggested
$85k - $95k
...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. We are seeking a registered nurse with experience in clinical validation to work within...SuggestedFull timeRemote workMonday to Friday$85k - $95k
A leading healthcare provider is seeking a Registered Nurse with a strong background in clinical validation to join their coding department. This full-time position offers telecommute flexibility within the United States. Candidates must have at least two years of clinical...SuggestedRemote jobFull time- ...Reimbursement Manager to ensure coding accuracy and compliance. This role involves performing quality reviews of medical records, validating assigned ICD-10 codes, and collaborating with coding staff to develop training and policies. The ideal candidate has a strong...SuggestedRemote job
- ...position requires a minimum of five years of inpatient coding experience and current AHIMA credentials. Responsibilities will include validating ICD-10 codes and ensuring compliance with government and commercial reimbursement methodologies. Candidates must possess strong...SuggestedRemote jobFull time
- ...CMS requirements. The ideal candidate should possess proficiency in medical coding concepts and a graduate degree. This position requires a keen understanding of clinical documentation improvement and the ability to assign DRG classifications. #J-18808-Ljbffr GostravvySuggestedContract work
- 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...SuggestedRemote jobFlexible hours
- Optum is hiring a Clinical DRG RN auditor to verify DRG coding accuracy and reimbursements while telecommuting from anywhere in the U.S. In this role, you'll use your ICD-10 coding expertise to audit inpatient claims, identify overpayments, and support your findings with...SuggestedRemote job
$70k - $80k
A data analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote... ...analytical skills, attention to detail, and experience in DRG audits. Competitive salary range is $70k - $80k. #J-18808-Ljbffr...SuggestedRemote job$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...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week$79k - $99.75k
...post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines... ...clients.**What you will do:*** Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on...SuggestedFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours- ...established. In times of light training responsibilities, this position will perform retrospective inpatient coding reviews for DRG validation and compliance reviews. If you are an inpatient coder with a proven track record of excellent quality, this is an opportunity...Suggested
$54k - $68.4k
...Operations Analyst, DRG The Operations Analyst, DRG will provide daily operational support to the Expert Claims Review team, including the itemized bill review and DRG validation teams. Responsibilities include reporting, claims management, analysis, client savings...SuggestedFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$95k - $120.65k
...post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings... ...clients. What You'll Do: Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG...SuggestedFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours- Job Description Insight Global is seeking a highly skilled Inpatient DRG Coding Specialist to provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record...SuggestedWork at office
- 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...
- ...Wellness incentives Ongoing mentorship, development, leadership programs...and more! Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: Reviews inpatient...
- ...Für eine Tätigkeit in der Helios Albert-Schweitzer-Klinik Northeim GmbH suchen wir zum nächstmöglichen Zeitpunkt einen Mitarbeiter DRG-Pflege - Kardiologie (m/w/d) in Voll-/Teilzeit. Das erwartet Sie Sie übernehmen die zentrale Funktion im Stationsteam für die interprofessionelle...
- The University of Minnesota School of Nursing is looking for a Clinical DRG RN auditor. This position involves auditing inpatient claims using MS-DRG and APR-DRG coding methodologies. Candidates need an Associate's degree and an unrestricted RN license, along with strong...Remote jobRelocation packageFlexible hours
- A healthcare recruitment agency is seeking a Clinical Coding Auditor & Trainer for a primarily remote role, requiring travel to New York twice a year. The successful candidate will be responsible for developing training programs and conducting quality auditing for the Diagnosis...Remote job
- Stryker Corporation is seeking a Senior Inpatient Auditor to enhance our Payment Integrity team. This vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing accuracy in claims. Ideal candidates will have at least 6 years of related experience,...Remote job
- ...Miami, FL seeks a Clinical Coding Audit Specialist for a full-time role. The specialist will ensure accurate Diagnosis Related Group (DRG) assignments, oversee audits, and collaborate with clinical teams for compliance. The job requires an Associate's degree, preferably...Full time
- ...seeking a detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding... ...of hire. Responsibilities include performing comprehensive DRG validation and readmission reviews while documenting findings and managing...Remote job
- ...involves participating in a well-established inpatient coding training program and performing retrospective coding reviews for DRG validation and compliance. The ideal candidate will have at least three years of inpatient coding experience in a high complexity facility...
$23.41 - $41.83 per hour
Optum is seeking a full-time professional coder specializing in Inpatient DRG Coding. The role involves assigning ICD-10 codes accurately and maintaining coding guidelines. Candidates should hold a High School Diploma/GED and a professional coding certification with at...Remote jobHourly payFull time- Health Partners Management Group in Washington seeks an Inpatient Medical Coder to assign accurate ICD codes for inpatient stays. This role requires a minimum of five years of coding experience in multiple medical specialties. The ideal candidate will be certified and knowledgeable...
- Machinify is seeking a DRG QA/Trainer to oversee the quality assurance of DRG Reviewers. This role involves auditing work for accuracy and compliance, providing feedback, conducting training sessions, and collaborating with management to enhance audit accuracy and workflow...Remote job
- ...years of coding experience, a related degree, and good organizational skills. The successful candidate will review medical records, validate DRGs, and ensure compliance with coding standards while maintaining a collaborative team dynamic. Competitive compensation...Remote jobRelocation package
$90k - $99k
Gainwell Technologies LLC is seeking a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform appeal-related duties, including analyzing and responding to appeals, participating in hearings, and maintaining current clinical knowledge. The role requires an active...Remote jobFlexible hours- Centene Corporation in New York is seeking a qualified individual to manage Payment Integrity initiatives. This role demands leadership over a team focusing on potentially preventable readmissions, compliance, and payment accuracy. The ideal candidate should have a bachelor...Flexible hours