• 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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  • 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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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Miami, FL)
    …**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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  • Inpatient Audit Specialist PRN- 1,000 Sign…

    Datavant (Annapolis, MD)
    …allowing you to help shape the future of healthcare from your own workspace! Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You Will Do:** ... function and decision making + Strong organizational, teamwork, and leadership skills Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You… more
    Datavant (11/12/25)
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  • Inpatient Coding Specialist - Remote

    Adecco US, Inc. (Stanford, CA)
    …You will: + Review and assign ICD-10 diagnosis and procedure codes for inpatient encounters + Determine accurate MS- DRG and APR- DRG groupings + Abstract ... **Contract Inpatient Coding Specialist - Remote | $28-$41/hr |...interim accounts** + Following up on **missing documentation** or ** DRG mismatches** + Completing **Query Clarifications** + Working within… more
    Adecco US, Inc. (11/20/25)
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  • Onsite Clinical Navigator (Hybrid)

    CareFirst (Baltimore, MD)
    …(all benefits/incentives are subject to eligibility requirements). **Department** Inpatient DRG Telephonic **Equal Employment Opportunity** CareFirst ... Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth transition from… more
    CareFirst (10/09/25)
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  • Medical Coder- FULLY Remote!

    TEKsystems (Dallas, TX)
    …so they would like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would allow them ... MCMC. Then they pass it off to QA for review . They will do these cases over and over...guaranteed Certified Coding Specialist CCS) Experience or exposure to inpatient coding, emergency services coding or DRG … more
    TEKsystems (11/25/25)
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  • Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …(all benefits/incentives are subject to eligibility requirements). **Department** Inpatient DRG Telephonic **Equal Employment Opportunity** CareFirst ... County/Washington DC or Northern Virginia metropolitan area.** **PURPOSE:** The Inpatient Management Care Management Supervisor will direct and coordinate the… more
    CareFirst (10/21/25)
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