• DRG Specialist II

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works Monday through Friday during daylight hours. The position ... will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the...episode of care. + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment… more
    UPMC (08/21/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment...focused UPMC DRG medical records for accurate DRG assignment to ensure that all documented principal and… more
    UPMC (06/11/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the ... 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… more
    Emory Healthcare/Emory University (06/06/25)
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  • DRG Auditor

    Insight Global (South Jordan, UT)
    Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ... of understanding of reimbursement guidelines specifically an understanding of the MS- DRG , AP- DRG , and APR- DRG payment systems. This position is responsible… more
    Insight Global (08/26/25)
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  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
    Elevance Health (08/13/25)
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  • Manager, DRG Validation

    Zelis (St. Petersburg, FL)
    …the personal interests that shape who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily ... operations and team management of the DRG product. The Manager, DRG Validation will be primarily responsible for the oversight of DRG validation reviews to… more
    Zelis (08/02/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    **Job Description** The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and ... 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups ( DRG ). The CRM reviews the physician documentation for specificity, completeness and… more
    Mount Sinai Health System (07/17/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Hanover, MD)
    **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**...minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or… more
    Elevance Health (08/23/25)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    **Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department.… more
    Kaleida Health (06/19/25)
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  • Senior DRG Coder - Revenue Cycle Coding

    UTMB Health (Galveston, TX)
    Senior DRG Coder - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2504141 **Minimum ... or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with...all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and… more
    UTMB Health (08/08/25)
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