Top 62 Apr drg medical coder Jobs in Remote

DRG Reviewer
Machinify —Dallas, TX
- $90,000 - $115,000 a year
- Remote
- Nursing
- HIPAA
- Mid-level
- Health savings account
- Health insurance
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Inpatient Medical Coder 2
The Ohio State University —Remote
- Full-time
- Remote
- Background check
- Pass drug screening
- Mid-level
Inpatient Medical Coder 3
The Ohio State University —Remote
- Full-time
- Remote
- Background check
- Pass drug screening
- High school diploma or GED
Clinical Documentation Specialist
Singing River Health System —Austin, TX
- Weekends as needed
- Remote
- Nursing
- Microsoft Outlook
- RN License
Quick Apply
DRG Reviewer
MedReview —Remote
- $85,000 - $90,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Mid-level
- Commuter assistance
- Health insurance
Quick Apply
13d
Facility Inpatient Coder
Managed Resources, Inc (MRI) —Remote
- $33 - $36 an hour
- Full-time
- Remote
- Microsoft Word
- 5 years
- HIPAA
- Paid holidays
- Health insurance
13d
Clinical Documentation Specialist - Full Time - CDI HIM (Remote)
Trinity Health Michigan —Pontiac, MI
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
14d
Inpatient Coder - Fully Remote
Hurley Medical Center —Flint, MI
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- Associate's degree
Sr. Certified Coder, Acute Inpatient (Remote)
Adventist Health —Roseville, CA
- $36.91 - $48.16 an hour
- Remote
- Mid-level
- High school diploma or GED
- Experience equivalent to degree accepted
11d
Clinical Documentation Integrity Auditor
Professional Credit Service —Remote
- $45 - $58 an hour
- Full-time
- Remote
- Nursing
- Writing skills
- 3 years
- Health insurance
- Dental insurance
Quick Apply
13d
Coder III - Remote
Christiana Care Health Systems —Newark, DE
- $27.31 - $40.96 an hour
- Full-time
- Remote
- Mentoring
- Acute care experience
- 1 year
- Continuing education credits
- 403(b) matching
100% Remote, Full Time CDI Specialist
HIMpros —Remote
- $35 - $65 an hour
- Full-time
- Remote
- Nursing
- RN License
- HIPAA
- Travel reimbursement
- Free parking
Quick Apply
Sr Inpatient Coder, FT Remote
University of Maryland Medical System —Baltimore, MD
- Full-time
- Remote
- Customer service
- Computer literacy
- Analysis skills
Facility Auditor
Managed Resources, Inc (MRI) —Remote
- $30 - $35 an hour
- Full-time
- Remote
- Microsoft Word
- 5 years
- Research
- Paid holidays
- Health insurance
Inpatient Lead Coder - Remote
Boston Medical Center —Boston, MA
- $62,500 - $91,000 a year
- Full-time
- Remote
- Anatomy knowledge
- 5 years
- Writing skills
- Health insurance
- Dental insurance
Coding Auditor 1
Baylor Scott & White Health —Remote
- Anatomy knowledge
- 5 years
- HIPAA
- Health insurance
- Tuition reimbursement
Medical Coding Educator/Analyst
University of Rochester —Rochester, NY
- $61,000 - $85,400 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- HIPAA
Lead Inpatient DRG Coder - Remote
LCMC Health —New Orleans, LA
- Full-time
- Remote
- Anatomy knowledge
- Computer literacy
- Windows
Quick Apply
Clinical Documentation Integrity - Second Level Reviewer
University of Miami —Hialeah, FL
- Full-time
- Remote
- Nursing
- Medicine
- Microsoft Excel
- Health insurance
- Dental insurance
HIM Coder III- Remote
Ann & Robert H. Lurie Children’s Hospital of Chicago —Streeterville, IL
- $31.50 - $51.50 an hour
- Full-time
- Remote
- Anatomy knowledge
- Research
- Typing
- 403(b) matching
- Paid parental leave

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apr drg medical coder jobs near remote

DRG Reviewer

Machinify -
Dallas, TX

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Job Details

$90,000 - $115,000 a year

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Root cause analysis
Clinical documentation standards
Healthcare coding investigations
DRG

Full Job Description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

About the Opportunity

As part of the Complex Payment Solutions Team, you will, as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including clinical and coding assessments, of medical records and related documentation in accordance with contract-specific review criteria. This position requires an in-depth understanding of clinical guidelines, coding protocols, and regulatory requirements to ensure accurate payment determinations.

In this role, you will meticulously document findings, provide detailed clinical, policy, and regulatory support and collaborate with relevant stakeholders to ensure compliance with payment standards. Your expertise will be critical in ensuring that payment decisions are supported by accurate and complete documentation, ultimately contributing to the integrity and efficiency of the payment process.

What you'll do

Audit patient medical records using clinical, coding, and payer guidelines to ensure accurate reimbursement.
Provide clear, evidence-based rationale for code recommendations or reconsiderations to providers or payers.
Collaborate with team leaders to ensure thorough review of DRG denials.
Conduct audits in alignment with organizational quality and timeliness standards.
Use proprietary auditing systems proficiently to make consistent determinations and generate audit letters.
Recommend improvements to the audit system to enhance efficiency.
Ensure compliance with HIPAA regulations for protected health information.
Perform other duties as assigned.

What you bring (Role Requirements)

Education Requirements:

An associate or bachelor's degree in nursing (active/unrestricted license); or in health information management is required.
Work experience may be considered in lieu of formal education at leadership discretion.

Certification (at least one of the following is required):

RHIA - Registered Health Information Administrator
RHIT- Registered Health Information Technician
CCDS - Certified Clinical Documentation Specialist
CDIP - Clinical Documentation Improvement Practitioner
CCS - Certified Coding Specialist
CIC - Certified Inpatient Coder

Qualifications:

Inpatient claims auditing, quality assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation Integrity experience of 2 years or more required
Strong focus on quality and attention to detail.
Deep curiosity and analytical skills to understand root causes of events and behaviors.
Proven ability to apply critical judgment in clinical and coding determinations.
In-depth knowledge of clinical criteria and documentation requirements to support code assignments.
Expert in DRG methodologies (e.g., MS & APR).
Expertise in ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA's Coding Clinic Guidelines.
Ability to work independently and efficiently with minimal supervision.

What We Offer:

Work from anywhere in the US! Machinify is digital-first.
Top Medical/Dental/Vision offerings
FSA/HSA
Tuition reimbursement
Competitive salary, 401(k) with company match
PTO
Additional health and wellness benefits and perks
Flexible and trusting environment where you'll feel empowered to do your best work

The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range. Salary is one component of the total compensation package, which includes meaningful equity, excellent healthcare, flexible time off, and other benefits and perks.

Pay range: $90,000 - $115,000, plus quarterly bonus.

Equal Employment Opportunity at Machinify

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

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Refine Your Search

apr drg medical coder jobs in remote

DRG Reviewer

Inpatient Medical Coder 2

Inpatient Medical Coder 3

Clinical Documentation Specialist

DRG Reviewer

Facility Inpatient Coder

Clinical Documentation Specialist - Full Time - CDI HIM (Remote)

Inpatient Coder - Fully Remote

Sr. Certified Coder, Acute Inpatient (Remote)

Clinical Documentation Integrity Auditor

Coder III - Remote

100% Remote, Full Time CDI Specialist

Sr Inpatient Coder, FT Remote

Facility Auditor

Inpatient Lead Coder - Remote

Coding Auditor 1

Medical Coding Educator/Analyst

Lead Inpatient DRG Coder - Remote

Clinical Documentation Integrity - Second Level Reviewer

HIM Coder III- Remote

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