630 inpatient drg coding auditor jobs found

Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe 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 1Student Loan Repayment Assistance & Reimbursement ProgramsFamily-focused benefitsWellness incentivesOngoing mentorship, development, leadership programs...and more!Job DescriptionWe 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...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand 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 JOB DESCRIPTION: 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. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if...

Emory Healthcare Job Opportunity 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 Job Description JOB DESCRIPTION: 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. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if...

Humana is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement, assign DRGs, and ensure accurate coding in payer systems. This remote role may require occasional travel to Humana offices for training or meetings. You will analyze medical records, respond to information requests, and maintain HIPAA confidentiality while applying MS-DRG coding expertise to support cost reduction and data integrity across payer operations. #J-18808-Ljbffr

Location: Chicago, Illinois, United StatesCompany: Huron Consulting GroupPosted: 2026-09-06Location: Chicago, Illinois, United StatesCompany: Huron Consulting Group Inc.Posted: 2026-08-31Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality.You will communicate findings via phone, email, and instant messaging with client teams and payers, and report to the Huron Managed Services Domestic Coding team. Responsibilities include audits, quality checks, calibration sessions, and preparing reports with clear, actionable feedback.#J-18808-Ljbffr

Huron Consulting Group seeks an Inpatient Coding Auditor to join our US-based team. The role focuses on auditing inpatient coders to ensure DRG accuracy and coding quality, coordinating with offshore auditors and client teams. Responsibility includes calibration audits, reporting findings, and maintaining up-to-date knowledge of coding guidelines to improve denials and reimbursement outcomes. #J-18808-Ljbffr

OU Health is seeking an Inpatient Coding Auditor for a work-from-home role. The ideal candidate has experience with complex inpatient coding and DRG validation in an academic health system, with RHIA/RHIT/CCS/CPC/CIC certification. The position supports auditing, education, and continuous improvement from a remote location. Responsibilities include reviewing inpatient coding quality, performing peer audits, collaborating with departments, and ensuring compliance with coding guidelines. #J-18808-Ljbffr

Huron Consulting Group is hiring an Inpatient Coding Auditor to ensure accurate inpatient coding and DRG accuracy across client engagements. The role involves auditing coders, coordinating with offshore auditors, and driving quality improvements in a fast-paced environment. The auditor reports to the Huron Managed Services Domestic Coding team and collaborates with clinical and coding staff to uphold coding standards, CMS guidelines, AHIMA/ACDIS practices, and reimbursement integrity. #J-18808-Ljbffr

Humana, a Fortune 100 Company, seeks an experienced and Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will contribute to cost reduction by ensuring accurate payments and DRG assignments. The role involves extracting clinical information, assigning ICD-10-CM/PCS codes, auditing quality, and collaborating across teams to improve accuracy. Remote work with occasional travel may be required. #J-18808-Ljbffr

Humana, a Fortune 100 health care company, seeks an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and to resolve provider disputes. You will extract clinical data and assign ICD-10-CM, ICD-10-PCS, and DRG codes. Responsibilities include reviewing records, auditing coding quality, collaborating with teams, and identifying opportunities to improve payment accuracy. #J-18808-Ljbffr

Huron Consulting Group in the United States is seeking an Inpatient Coding Auditor to audit inpatient coders and offshore auditors, ensuring coding and DRG accuracy meet client standards. You will collaborate with client teams and payers, perform quality checks, calibration audits, and report findings to leadership. Maintain knowledge of ICD-CM guidelines and payer requirements. This role emphasizes professional ethics, continued skill development, and effective communication across on-site and #J-18808-Ljbffr

Huron Consulting Group seeks an Inpatient Coding Auditor to join our US-based team. The role focuses on auditing inpatient coders to ensure DRG accuracy and coding quality, coordinating with offshore auditors and client teams. Responsibility includes calibration audits, reporting findings, and maintaining up-to-date knowledge of coding guidelines to improve denials and reimbursement outcomes. #J-18808-Ljbffr

A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr

Huron Consulting Group is seeking an Inpatient Coding Auditor to support our Managed Services team in the United States. The role focuses on auditing inpatient coders and offshore auditors to ensure DRG accuracy and adherence to coding guidelines, with clear communication to client teams and leadership. The position requires experience in inpatient coding, encoder software proficiency, and the ability to operate across on-site and remote teams to improve clinical outcomes and revenue integrity. #J-18808-Ljbffr

OU Health is seeking an Inpatient Coding Auditor for a work-from-home role. The ideal candidate has experience with complex inpatient coding and DRG validation in an academic health system, with RHIA/RHIT/CCS/CPC/CIC certification. The position supports auditing, education, and continuous improvement from a remote location. Responsibilities include reviewing inpatient coding quality, performing peer audits, collaborating with departments, and ensuring compliance with coding guidelines. #J-18808-Ljbffr

Huron Consulting Group is seeking an Inpatient Coding Auditor to audit inpatient coders and offshore auditors to ensure 95% DRG accuracy. The role requires effective communication with client teams and payers, and reports to the Domestic Coding team within Managed Services. You will perform quality checks, calibration audits, and prepare audit reports. A strong clinical documentation background and up-to-date coding knowledge are essential to support performance improvements. #J-18808-Ljbffr

Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality. You will communicate findings via phone, email, and instant messaging with client teams and payers, and report to the Huron Managed Services Domestic Coding team. Responsibilities include audits, quality checks, calibration sessions, and preparing reports with clear, actionable feedback. #J-18808-Ljbffr

Zelis Healthcare, LLC is seeking an RN or LVN with inpatient coding expertise to perform comprehensive DRG reviews for post-service and pre-payment claims. The role emphasizes accurate coding, documentation, and customer-facing rationale based on medical records, with a focus on readmission analysis and policy compliance. The successful candidate will have CCS/CIC certification within 4–6 months of hire, 1–3 years of ICD-10 CM/MS-DRG reviews, and strong organizational skills. #J-18808-Ljbffr

A healthcare technology company seeks a skilled professional to conduct comprehensive inpatient DRG reviews and validation within the Price Optimization division. Candidates must have an RN or LVN degree and an inpatient coding certification. This role requires attention to detail and experience with Health Insurance and Medicare guidelines. The position includes a competitive salary range and offers a hybrid work culture, allowing for flexibility in work location while maintaining a focus on teamwork and productivity. #J-18808-Ljbffr

A consulting firm in Chicago seeks an Inpatient Coding Auditor. The role involves auditing coding accuracy, providing feedback, and maintaining compliance with guidelines. The ideal candidate will have over 2 years of experience in coding auditing and possess strong analytical, communication, and time management skills. Certifications such as CCS or equivalent are required. This position offers a pay range between $26.44 and $36.06 per hour with benefits including medical, dental, and vision coverage. #J-18808-Ljbffr

Ensemble Health Partners seeks an Inpatient/DRG Validation Coding Auditor to review medical records and ensure accurate DRG assignment and documentation. You will identify discrepancies, educate coders, and help improve reimbursement accuracy for hospital clients. The role requires 5+ years of coding and 3+ years of facility audit experience, proficiency with EMR systems and encoders, and maintaining HIPAA compliance. #J-18808-Ljbffr

Location: Indianapolis, Indiana, United StatesSalary: $92,880 - $160,218Company: ElevancehealthPosted: 2026-09-06Location: Indianapolis, Indiana, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-09-01DRG 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.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...

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....

Acute Inpatient Coding AuditorWe are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing.This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role.JOB SUMMARY:Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure compliant...