Anticipated End Date:2026-08-31 Position Title:DRG Coding Auditor - MS-DRG and APR-DRG Job Description: 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.
Opportunity Overview We are seeking a Senior Inpatient Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive MS-DRG and APR-DRG coding reviews to ensure the accuracy of claims and maximize overpayment identification. If
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your
Anticipated End Date:2026-09-18 Position Title:Patient Safety DRG Clinical Validation Auditor Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports
Anticipated End Date:2026-09-25 Position Title:DRG Coding Auditor Principal Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration,
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves
Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused
Are you a seasoned Diagnosis Related Group (DRG) or All Patient Refined Diagnosis Related Groups (APR DRG) auditor who loves mentoring others, digging into data, and making things better? Want to take your auditing expertise to the next
Senior DRG Coder - RCO Coding (Remote) - (2605310) Description EDUCATION & EXPERIENCE: Minimum Qualifications: Three years of related experience. Preferred Qualifications: DRG & PCS coding experience. Experience with communicating, training, and educating providers in proficiency. Knowledge of
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
Anticipated End Date:2026-10-30 Position Title:DRG Clinical Auditor Principal (US) Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life
Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor for one of our clients to work 100% remote. The salary ranges anywhere from $80,000-$95,000. This person should have an extensive background in either facility-based
DRG Auditor The DRG Auditor is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their technical expertise in
DRG Validator/Reviewer The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their technical expertise in
Clinical Documentation Integrity Drg Validator Responsible for improving the quality, completeness, and clinical accuracy of inpatient documentation and DRG assignment through targeted concurrent DRG validation. The Clinical Documentation Integrity Specialist II DRG Validator reviews selected inpatient accounts generally more than
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
Medical Coding Position Optum 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
Elevance Health is seeking a Patient Safety DRG Clinical Validation Auditor to audit inpatient medical records and ensure documentation supports DRGs billed and reimbursed. The role requires extensive ICD-10 coding expertise and experience in DRG-related auditing. The candidate will
Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records, ensuring high-quality recoverable claims across lines of business. The role focuses on MS-DRG and APR-DRG coding accuracy with rigorous clinical review of documentation. Hybrid/remote role with