16 drg coding auditor jobs found in Costa Mesa, CA

Anthem Insurance Companies Inc is seeking a DRG Coding Auditor specialized in MS-DRG and APR-DRG to audit inpatient medical records and generate high-quality recoverable claims across lines of business. The role requires advanced ICD-10 coding expertise, clinical guideline application, and the ability to document audit findings clearly. Virtual/work-from-home options are available with required in-person training sessions. California preferred locations considered.

DRG Coding Auditor - MS-DRG and APR-DRG Sign On Bonus: $1,500 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. Also responsible for performing clinical reviews of medical records and other...

Anthem Insurance Companies Inc is seeking a DRG Coding Auditor specialized in MS-DRG and APR-DRG to audit inpatient medical records and generate high-quality recoverable claims across lines of business. The role requires advanced ICD-10 coding expertise, clinical guideline application, and the ability to document audit findings clearly. Virtual/work-from-home options are available with required in-person training sessions. California preferred locations considered.

Anthem Insurance Companies Inc is seeking a DRG Coding Auditor specialized in MS-DRG and APR-DRG to audit inpatient medical records and generate high-quality recoverable claims across lines of business. The role requires advanced ICD-10 coding expertise, clinical guideline application, and the ability to document audit findings clearly. Virtual/work-from-home options are available with required in-person training sessions. California preferred locations considered.

Anthem Insurance Companies Inc is seeking a DRG Coding Auditor specialized in MS-DRG and APR-DRG to audit inpatient medical records and generate high-quality recoverable claims across lines of business. The role requires advanced ICD-10 coding expertise, clinical guideline application, and the ability to document audit findings clearly. Virtual/work-from-home options are available with required in-person training sessions. California preferred locations considered. #J-18808-Ljbffr

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. 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. Also responsible for performing clinical reviews of medical records...

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....

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will review and audit outpatient coding accuracy, coordinate with department managers, and deliver actionable feedback to coding staff to improve documentation and reimbursement outcomes. The role requires strong knowledge of ICD-10-CM/PCS, CPT-4/HCPCS, and PPS/DRG systems, plus 5+ years of coding experience and AHIMA/AAPC credentials. #J-18808-Ljbffr

Job Description Job Description Description The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.  This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with...

DRG CoderThe DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.What You'll DoReview inpatient hospital records and assign accurate diagnosis and procedure codesDetermine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentationConduct coding validation and auditing to ensure compliance with payer and regulatory requirementsIdentify...

DRG CoderThe DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.What You'll DoReview inpatient hospital records and assign accurate diagnosis and procedure codesDetermine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentationConduct coding validation and auditing to ensure compliance with payer and regulatory requirementsIdentify...

DRG Coder Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To: Alice Tejeda Compensation: $28.00 - $32.00 / hour Description The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and...

Job Description Job Description Description: We are seeking a detail-oriented and knowledgeable Medical Biller to join our medical practice. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims, and maintaining medical records. This role is crucial in facilitating the financial operations of our medical office while ensuring compliance with healthcare regulations. Requirements: Responsibilities Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Follow up on claims using...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2972 United States Apply X Facebook LinkedIn Email Copy Work Schedule 8 hours daily between 6:00a - 6:00p Eastern Time Monday - Friday Compensation Range $28.00 - $30.00/Hour Position Type Full Time Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you...

Job Description Job Description Job Title: Inpatient Coder Location: Upland, CA Classification: Contract / Contract-to-Hire Compensation:  $30.00–$43.00/hr (DOE)  Position Summary Our client, an acute care hospital, is seeking an experienced Inpatient Coder to support its Health Information Management team. This position reviews inpatient medical records and assigns diagnosis and procedure codes that accurately reflect the patient’s hospital stay. Responsibilities Review inpatient medical records, including provider notes, discharge summaries, operative reports, and supporting clinical documentation. Assign and sequence principal and secondary diagnoses using ICD-10-CM. Assign inpatient procedure codes using ICD-10-PCS. Apply present-on-admission indicators and validate appropriate DRG assignments. Identify documentation gaps and collaborate with clinical documentation improvement staff and providers to obtain clarification. Abstract required...

Join OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each internal and external customerRepresents the Company in a professional manner, following all Company...