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Keywords: Auditor Clinical Validation DRG, Location: USA

Page: 1

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

Auditor Clinical Validation DRG

auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. Coding/CDI Certification...Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines...

Company: Cotiviti
Location: USA
Posted Date: 20 Dec 2025
Salary: $45.67 per hour

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.... Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical...

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

DRG Coder / Clinical Auditor

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

Posted Date: 31 Dec 2025
Salary: $95000 - 105000 per year

Clinical DRG Auditor- Remote

Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... balance, continuous learning, and career development. Summary We are seeking a talented individual for a Clinical DRG...

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

Clinical DRG Auditor- Remote

Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... balance, continuous learning, and career development. Summary We are seeking a talented individual for a Clinical DRG...

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: 13 Dec 2025
Salary: $64500 - 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 Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG)

based Diagnosis-Related Group (DRG) Coding/Clinical Validation Audit setting or hospital coding or quality assurance...Anticipated End Date: 2026-01-19 Position Title: DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG...

Company: Elevance Health
Location: Indianapolis, IN
Posted Date: 10 Dec 2025
Salary: $95172 - 149556 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: 06 Dec 2025

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 industry standards in clear and professional written communication. Ability to use clinical judgement and analytical skills...

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

DRG (Coding) Reviewer/Auditor

. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the... courses. At least 3 years’ experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment...

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

Auditor Clinical Validation OPSP Coding

guidelines in performance of medical audit activities with Outpatient (APC, PNPP), Pharmacy and/or Inpatient DRG claims. Draws..., CCS, CCS-P, RHIA or RHIT. Experience 5 to 7 years of experience with clinical medical record coding or auditing...

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

Medical Director, DRG Audit & AI Innovation

performing DRG audits, utilization management, or clinical validation reviews. Deep familiarity with ICD-10-CM/PCS, AHA...-turning fragmented checklists into cohesive clinical narratives, and making DRG validation more efficient, accurate, and fair...

Company: Machinify
Location: USA
Posted Date: 19 Oct 2025

Registered Nurse (RN) Clinical Documentation Denials Auditor

work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Clinical Documentation Denials Auditor... with Clinical Documentation Improvement (CDI) Director and Lead Auditor on other work related to physician audits and education...

Location: USA
Posted Date: 23 Nov 2025

Clinical Review Auditor

Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation... intervention procedures. The ideal DRG Clinical Auditor candidate has strong written and verbal communication skills, clinical...

Company: CorVel
Location: Fort Worth, TX
Posted Date: 12 Nov 2025
Salary: $68566 - 104841 per year

Clinical Review QC Auditor

Groups (DRG) QC Clinical Auditor will be responsible for performing quality control DRG validation (clinical/coding) reviews...Description : CERiS in Fort Worth, Texas is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related...

Company: CorVel
Location: Fort Worth, TX
Posted Date: 12 Nov 2025
Salary: $68566 - 104841 per year

Clinical Review Auditor

Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation... intervention procedures. The ideal DRG Clinical Auditor candidate has strong written and verbal communication skills, clinical...

Company: CorVel
Location: Fort Worth, TX
Posted Date: 26 Oct 2025
Salary: $68566 - 104814 per year

CDI Validation Specialist

: Clinical Documentation Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: The CDI Validation Specialist functions... via clinical validation query process and education to CDI specialists. Contributes to departmental and organizational...

Location: USA
Posted Date: 21 Dec 2025
Salary: $83000 - 120500 per year

Coder Auditor Trainee

respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary... is actively seeking new members to join our corporate team! Responsibilities: The Inpatient Coder Auditor Trainee reviews...

Posted Date: 03 Jan 2026