• Inpatient DRG Reviewer

    Zelis (FL)
    …gained, and the personal interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting ... post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on...Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest… more
    Zelis (09/27/25)
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  • Inpatient DRG Sr. Reviewer

    Zelis (NJ)
    …this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the ... savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA… more
    Zelis (10/03/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor** to extract data from patient encounters ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists… more
    Emory Healthcare/Emory University (09/05/25)
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  • Inpatient Medical DRG Coder…

    Cognizant (Carson City, NV)
    **Job Title: Inpatient Medical DRG Coder - Hospital (Remote)** **Location:** [Remote] **Employment Type:** [Full-time] M-F flexible hours A ** DRG coder** is ... a medical coding professional who specializes in assigning **Diagnosis-Related Group ( DRG )** codes for inpatient hospital stays. DRG (Diagnosis-Related… more
    Cognizant (10/04/25)
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  • Facility Coding Inpatient DRG Coding…

    Banner Health (OK)
    …and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/ review of inpatient and/or outpatient medical records to assure the ... best place to work and receive care. In this ** Inpatient Facility/HIMS Certified Medical Coder, Quality Associate** position, you... Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from… more
    Banner Health (10/16/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing… more
    Community Health Systems (09/09/25)
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  • DRG Coder ( Inpatient )

    Insight Global (Dothan, AL)
    Job Description Insight Global is hiring Inpatient Coding Specialists for a healthcare client located in Dothan, AL. In this role, the Inpatient Coding ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
    Insight Global (10/03/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Caldwell, ID)
    …**This is a fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** ... If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Quality Auditor opening. We promptly review all applications. Highly… more
    HCA Healthcare (09/27/25)
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  • DRG Validation Auditor

    HCA Healthcare (Nashville, TN)
    …from home position.** **Schedule: Monday-Friday Day Shift** **This position requires DRG Validation and Inpatient Coding experience.** **Benefits** Parallon, ... We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is...encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications.… more
    HCA Healthcare (10/15/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is responsible for auditing inpatient medical records to ensure clinical ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an… more
    Elevance Health (09/23/25)
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