2 jobs found in Columbus, GA

A healthcare provider seeks a Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal. The role involves auditing inpatient medical records based on DRG methodology, requiring significant experience and certifications. Candidates should have in-depth knowledge of ICD coding and be responsible for generating complex audit findings. This hybrid position allows for some remote work, based near one of the company's locations. Competitive salary range from $113,772 to $215,568 based on qualifications. #J-18808-Ljbffr

Anticipated End Date 2025-04-21 Position Title Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Integrity Job Description Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Related Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company and its clients. Specializes in review of DRG coding via medical records and attending physician's statements provided by acute care hospitals on paid DRG, especially on very complex coding cases. Location Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. How you will make an impact Analyzes and...