550 drg coding auditor jobs found

Overview Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits 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 medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition....

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity 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. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, 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,...

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 or CIC certification along with auditing experience. The compensation range is $68,566 to $104,841, along with a comprehensive benefits package. #J-18808-Ljbffr

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 Chicagoland area.    In this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement.   Essential Job Functions   Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement  Provides DRG/APC and coding quality information and statistical reports to the Coding Manager  Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the...

Coding Auditor - DRG/APC Coordinator 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 Chicagoland area. In this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Essential Job Functions Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the assignment of...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture...

A leading health services company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft Office. Strong communication and detail orientation are essential for success in our supportive, flexible work environment, where candidates will also enjoy competitive benefits and potential bonuses. #J-18808-Ljbffr

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of...

A leading healthcare consulting firm is seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing while delivering staff training programs. The role emphasizes quality improvement and compliance across clinical and coding teams. Candidates should have a relevant license and an associate’s degree in nursing, coupled with 4+ years in auditing and at least 1 year of clinical experience. This primarily remote position offers competitive benefits and workplace flexibility. #J-18808-Ljbffr

A leading health data exchange company is seeking a Remote Inpatient Auditing Specialist. The ideal candidate has a minimum of 5 years of inpatient coding experience and is proficient with MS-DRG and APR-DRG. Responsibilities include conducting coding audits and providing coder education. This role offers flexibility and the opportunity to contribute significantly to healthcare decisions. The pay range is competitive, ranging from $35 to $45 per hour. #J-18808-Ljbffr

A leading health data platform company is seeking an Inpatient Auditing Specialist to perform coding audits and provide education. The ideal candidate should have over 5 years of inpatient coding experience with expertise in MS-DRG and APR-DRG coding. This fully remote role offers a flexible schedule and a supportive work environment with comprehensive benefits. Competitive pay offered between $35 and $45 per hour. #J-18808-Ljbffr

A healthcare data collaboration platform is looking for an Inpatient Auditing Specialist. This fully remote role requires expertise in coding audits using ICD-10-CM and CPT codes. The candidate will educate coders, prepare audit outcomes, and ensure compliance. A minimum of 3 years' experience is needed, along with appropriate academic credentials. The role offers a competitive salary range of $35-$45 per hour and a $2,500 sign-on bonus. #J-18808-Ljbffr

A leading health insurance company is seeking an Inpatient Medical Coding Auditor to extract and analyze clinical information from patient records, ensuring proper coding for reimbursement. This remote position requires a certification (RHIA, RHIT, or CCS) and experience with coding/auditing. The successful candidate will handle claims, contribute to cost reduction, and must have excellent communication skills. The role offers a competitive salary range of $71,100 to $97,800 per year along with a comprehensive benefits package. #J-18808-Ljbffr

A leading health services provider is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This position involves reviewing hospital claims for accuracy and ensuring correct coding practices are followed. Candidates must have RHIA, RHIT, or CCS certification and experience in auditing inpatient records. The role emphasizes a flexible schedule within typical business hours and the opportunity to contribute to a company dedicated to health and well-being for its employees and customers. #J-18808-Ljbffr

A leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to join their team. This remote position involves reviewing and auditing inpatient hospital claims, ensuring proper reimbursement, and maintaining accurate coding standards. Strong attention to detail and relevant certifications are required. The role offers a salary between $71,100 and $97,800 annually, along with comprehensive benefits focused on the well-being of employees and their families. #J-18808-Ljbffr

A leading healthcare provider in Richmond, VA is seeking a qualified individual for a role that includes performing DRG validation reviews and analyzing medical records. The ideal candidate will have RN or LPN licensure, experience with coding regulations like ICD-10, and strong Microsoft Office skills. This position offers a competitive compensation package, generous paid time off, and opportunities for career development within the organization. #J-18808-Ljbffr

A leading healthcare provider is seeking a detail-oriented Inpatient Medical Coding Auditor to extract clinical info from medical records and assign appropriate codes. This remote role involves reviewing inpatient claims and contributing to reimbursement accuracy. Ideal candidates will possess RHIA, RHIT, or CCS certifications and have substantial experience in coding/auditing. Strong communication skills and attention to detail are essential. The job offers competitive compensation and benefits, including a bonus incentive plan. #J-18808-Ljbffr

A healthcare organization is seeking a DRG Validation Specialist for a 100% remote opportunity. The ideal candidate will have advanced coding skills, strong organizational abilities, and experience in inpatient coding. Responsibilities include reviewing code assignments, processing recommendations, and ensuring compliance. The organization offers benefits supporting individual needs, including paid parental leave and flexible work policies. Join a supportive team dedicated to delivering quality care and improving community health. #J-18808-Ljbffr

A leading healthcare provider in New York is seeking a professional to validate acute inpatient coded charts, ensuring proper compliance with coding guidelines and federal regulations. The ideal candidate will possess a Bachelor's Degree in Nursing and a current New York State nursing license. Responsibilities include auditing charts, communicating DRG changes, and maintaining compliance with standards. This role offers a remote work option. #J-18808-Ljbffr

A leading healthcare provider is seeking an Inpatient Medical Coding Auditor to maintain accuracy in claims processing while working remotely, with occasional office travel. Responsibilities include extracting clinical data and conducting audits on inpatient claims to ensure proper reimbursement. Candidates must have RHIA, RHIT, or CCS certification for at least four years, as well as strong organizational and communication skills. This role offers a competitive salary and a comprehensive benefits package. #J-18808-Ljbffr

A leading health data platform is seeking an Inpatient Auditing Specialist to conduct coding audits and provide coder education. This fully remote role requires 5+ years of experience in inpatient coding and a focus on customer satisfaction. Candidates must possess coding certifications and familiarity with software like Epic and Cerner. The position promises competitive compensation between $35 and $45 per hour, along with a comprehensive benefits package. #J-18808-Ljbffr

A leading health insurance company is seeking an Inpatient Medical Coding Auditor to review hospital claims from home. The role requires expertise in medical coding and a deep understanding of claims processing. Responsibilities include ensuring accurate payments and handling provider disputes in a metrics-driven environment. Candidates should have relevant certifications and coding experience. The position offers competitive pay, a bonus incentive plan, and comprehensive benefits, promoting a focus on health and wellness for both employees and consumers. #J-18808-Ljbffr