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Keywords: DRG Validation Coding Auditor, Location: USA

Page: 1

DRG Validation Coding Auditor

between $69,400 to $119,700 annually based on experience The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits... of coding experience. 3+ years of facility coding audit experience (such as DRG and APC Validation). Proficiency in multiple...

Location: USA
Posted Date: 21 Nov 2025
Salary: $69400 - 119700 per year

DRG Coding Auditor Principal

Anticipated End Date: 2025-12-19 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor..., is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal...

Company: Elevance Health
Location: Chicago, IL
Posted Date: 07 Dec 2025

DRG Coding Auditor

Anticipated End Date: 2025-11-07 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Virtual.... The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable...

Company: Elevance Health
Location: Chicago, IL
Posted Date: 26 Oct 2025
Salary: $95172 - 149556 per year

DRG (Coding) Reviewer/Auditor

courses. At least 3 years’ experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment... integrity DRG validation is a plus. Adherence to the Official Coding and Reporting guidelines, AHA Coding Clinic determinations...

Company: MedReview
Location: New York City, NY
Posted Date: 19 Oct 2025
Salary: $85000 - 90000 per year

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Anticipated End Date: 2026-01-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG... Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: ​This role enables associates...

Company: Elevance Health
Location: Indianapolis, IN
Posted Date: 10 Dec 2025
Salary: $95172 - 149556 per year

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Anticipated End Date: 2026-01-30 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG..., AP-DRG and APR-DRG) Job Description: Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP...

Company: Elevance Health
Location: Mason, OH
Posted Date: 10 Dec 2025
Salary: $81852 - 155088 per year

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Anticipated End Date: 2025-12-08 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG..., AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG...

Company: Elevance Health
Location: Louisville, KY
Posted Date: 04 Dec 2025
Salary: $81852 - 155088 per year

Auditor Clinical Validation DRG

auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. Coding/CDI Certification... determinations and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG, APRDRG, ICD...

Company: Cotiviti
Location: USA
Posted Date: 13 Dec 2025
Salary: $45.67 per hour

Associate Auditor Clinical Validation DRG

Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines... and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines...

Company: Cotiviti
Location: USA
Posted Date: 07 Dec 2025
Salary: $31.25 - 38.46 per hour

Auditor Clinical Validation OPSP Coding

and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS...Responsibilities Audits Outpatient and Specialty Claims Utilizes medical chart coding principles and client specific...

Company: Cotiviti
Location: USA
Posted Date: 19 Nov 2025
Salary: $45.67 per hour

Clinical DRG Auditor- Remote

Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... determinations and rationale. Applies clinical review judgment to make coding validation determinations including sequencing ICD-10...

Location: Texas
Posted Date: 13 Dec 2025
Salary: $85000 - 95000 per year

DRG Nurse Quality Auditor, Sr. Specialist

of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews... strong proficiency with multiple payment methodologies, DRG validation, and client-specific requirements. Trains new Coders or Clinical...

Location: Texas
Posted Date: 13 Dec 2025
Salary: $64500 - 95000 per year

Clinical DRG Auditor- Remote

Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... determinations and rationale. Applies clinical review judgment to make coding validation determinations including sequencing ICD-10...

Location: Texas
Posted Date: 12 Dec 2025
Salary: $85000 - 95000 per year

DRG Nurse Quality Auditor, Sr. Specialist

of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews... strong proficiency with multiple payment methodologies, DRG validation, and client-specific requirements. Trains new Coders or Clinical...

Location: Texas
Posted Date: 12 Dec 2025
Salary: $64500 - 95000 per year

DRG Coder / Clinical Auditor

DRG Coder / Clinical Auditor 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding About the Role... We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records...

Posted Date: 02 Dec 2025
Salary: $95000 - 105000 per year

Payment Integrity Analyst II - DRG Auditor

and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation... and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty...

Company: CorVel
Location: Fort Worth, TX
Posted Date: 11 Dec 2025
Salary: $65436 - 98982 per year

Medical Coding Auditor

/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination...Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding...

Location: Dallas, TX
Posted Date: 22 Oct 2025

Lead Coding Services Auditor

Job Summary: The Lead Coding Services Auditor is responsible for conducting prebill and retrospective reviews to include.... Reviews include full DRG validation, review of assigned ICD-10-CM/PCS, POA indicator(s), validation of all abstracting...

Location: Atlanta, GA
Posted Date: 26 Sep 2025

Health Information Management Inpatient Coding Auditor Senior, FT, Days, - Remote

as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions Conducts... review and audit of discharged inpatient records (prebill and retrospective reviews) to validate the coding/DRG assignment...

Posted Date: 12 Dec 2025

Acute Coding Quality Review Auditor

. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... as a subject matter expert (SME) in national coding guidelines for hospital inpatient and/or outpatient and will ensure compliance...

Company: Adventist Health
Location: Roseville, CA
Posted Date: 07 Dec 2025