10 drg coding auditor jobs found in Chicago

Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-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 promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of...

Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable claims across lines of business, ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-10 guidelines and clinical documentation principles in medical record reviews, supporting high-quality recoveries and audit findings while collaborating with hospitals and internal teams. The role offers hybrid/remote work with required in-person training. #J-18808-Ljbffr

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.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 promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

Anticipated End Date: 2026-09-07 Position Title: DRG Coding Auditor - MS-DRG and APR-DRG Job Description: Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-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 promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient...

Sign On Bonus: $1,500; DRG Coding Auditor - MS-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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As part of our team, you’ll have the opportunity to contribute to better health care across the Northwestern Medicine system. We offer competitive benefits including tuition reimbursement and loan forgiveness, 401(k) matching, and lifecycle benefits. The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and regulatory standards. This role is the expert in clinical documentation and coding, working with the Clinical Documentation Team to ensure quality metrics meet high standards for NM Health System. The Coding Quality Auditor and...

OP/ED/OBS Coding AuditorBe a part of a world-class academic health-care system at UChicago Medicine as a OP/ED/OBS Coding Auditor in the HIM Coding/CDI department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area.In this role, the OP/ED/OBS Coding Auditor, under general direction, is responsible for reviewing and ensuring the accuracy and quality of coding assignments for all records requiring Ambulatory Payment Classification (APC) coding. This role ensures compliance with coding guidelines and standards to support optimal and timely reimbursement and ensure accurate quality reporting. The auditor collaborates with coding and billing teams to identify discrepancies, recommend corrections, and maintain high coding integrity across patient records.Essential Job FunctionsPerforms data quality reviews on inpatient and outpatient records to ensure proper coding & charging guidelines have been followed and appropriate DRG or...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

Revenue Cycle Coder III-Inpatient CodingInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

Job Summary and Responsibilities As our Revenue Cycle Coder III-Inpatient Coding, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality. Every day you will serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise. You will design, develop, and deliver comprehensive coding and CDI education programs, onboarding new staff, and conducting targeted training sessions across the health system. A key part of your role involves performing rigorous coding and DRG...