• DRG Specialist II

    UPMC (Pittsburgh, PA)
    …during daylight hours. The position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ... and procedures that were performed during an episode of care. + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure… more
    UPMC (08/21/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    …compliance with coding guidelines, third-party payer and OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within...years of coding experience. In this role, you will review clinical documentation within the medical record to ensure… more
    UPMC (06/11/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to educate physicians, nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists in formulating Appeal letters ... leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the… more
    Emory Healthcare/Emory University (06/06/25)
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  • Clinical Reimbursement Manager; HSO Drg

    Mount Sinai Health System (New York, NY)
    …of the DRG assignments flagged pre-billing. Determines if a secondary review is required to verify assignment of Patient Safety Indicators, HAC, Clinical ... **Job Description** The purpose of DRG validation is to confirm that diagnostic, procedural...Improvement,Sepsis and any other charts meeting criteria for secondary review . Initiates an MD query to clarify documentation in… more
    Mount Sinai Health System (07/17/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TN)
    …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
    Banner Health (08/30/25)
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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 ... a high level of understanding of reimbursement guidelines specifically an understanding of the MS- DRG , AP- DRG , and APR- DRG payment systems. This position is… more
    Insight Global (08/26/25)
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  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    …clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via ... ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _...to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical… more
    Elevance Health (08/13/25)
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  • Manager, DRG Validation

    Zelis (St. Petersburg, FL)
    …and 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… more
    Zelis (08/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Hanover, MD)
    …clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually… more
    Elevance Health (08/23/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers… more
    HCA Healthcare (06/21/25)
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