Remote DRG Auditor

Job summary:We are seeking a DRG Validation Auditor to work remotely. The ideal candidate will have extensive background in facility-based nursing or clinical documentation and possess advanced ICD-10 coding expertise. · Responsibilities:Integrate medical chart coding principles ...

Insight Global is seeking a DRG Validation Auditor to sit 100% remote. · ...

The DRG Validation Auditor is responsible for ensuring the integrity of inpatient medical records by auditing them to confirm that clinical documentation accurately supports the condition and DRG billed and reimbursed. · This position requires a detailed understanding of medical ...

Position Summary · The DRG Validation Auditor is responsible for ensuring the integrity of inpatient medical records by auditing them to confirm that clinical documentation accurately supports the condition and DRG billed and reimbursed. This position requires a detailed understa ...

Must Haves · 2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology. · Expert coding knowledge ...

Position Summary · The DRG Validation Auditor is responsible for ensuring the integrity of inpatient medical records by auditing them to confirm that clinical documentation accurately supports the condition and DRG billed and reimbursed. This position requires a detailed understa ...

We're seeking a Clinical DRG Auditor to perform inpatient Diagnosis-Related Group (DRG) validation audits and detailed clinical reviews of medical records and claims. · Active Registered Nurse (RN) license or Licensed Practical Nurse (LPN) license. · 3+ years of experience perfor ...

We are partnering with a nationally recognized health plan to hire a Remote DRG Auditor & Clinical Trainer - RN who will strengthen accuracy, elevate coding performance and shape education programs across the organization. · ...

We are seeking to hire a DRG Clinical Auditor to perform detailed DRG validation and clinical coding reviews of inpatient medical records. · This full-time, remote role supports accurate reimbursement and compliance with ICD-10-CM/PCS guidelines and payer policies. · Candidates m ...

In this position as a DRG RN Auditor , you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient claims. · ...

+The DRG Validation Auditor is responsible for ensuring the integrity of inpatient medical records by auditing them to confirm that clinical documentation accurately supports the condition and DRG billed and reimbursed. · This position requires a detailed understanding of medical ...

We are seeking an experienced DRG RN Auditor to join our team. In this role, you will apply your expert knowledge of MS-DRG and APR-DRG coding/reimbursement methodology systems to audit inpatient claims. · Paid Time Off · Medical Plan options along with participation in a Health ...

The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims. This role enables associates to work virtually full-time, with the exception of required in-person training sessions. · Analyzes and audits claims by integ ...

The Atlantic Region Central Billing Office provides business office services to our affiliated Universal Health Services hospitals. We are seeking a dynamic and talented DRG Nurse Auditor with clinical case management experience. · Perform DRG validation reviews in response to au ...

The Atlantic Region Central Billing Office is seeking a dynamic and talented DRG Nurse Auditor with clinical case management experience to be responsible for analyzing clinical claim denials, drafting detailed appeal letters, evaluating clinical level of care, and the review of d ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy. · The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high-quality recoverable claims. · ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy auditing inpatient medical records generating high quality recoverable claims for the benefit of the company its clients. · ...

The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC · and non-RAC accounts. · Essential FunctionsPerforms inpatient denial reviews using ICD-10-CM/PCS · ...

This is a Non-Management Exempt position at Elevance Health. The DRG Coding Auditor will work with licensed/certified professionals to improve lives and communities through healthcare. · Elevance Health operates in a Hybrid Workforce Strategy, requiring associates to work at an E ...

Description · Job Summary · The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating pr ...