HealthCare Support · 20 hours ago
DRG Auditor - Remote
HealthCare Support is actively seeking an experienced Remote DRG Auditor to join a leading payment integrity organization supporting healthcare systems nationwide. In this role, you’ll review inpatient DRGs and coding for medical necessity and accuracy across hospitals throughout the U.S. — all from the comfort of home.
Responsibilities
Review and audit medical records to validate ICD-10, PCS, and DRG coding, ensure accurate reimbursement, and support appeals, quality control, and payer compliance
Work independently while collaborating with internal teams, maintaining HIPAA compliance, clear communication, and strong computer and multitasking skills to support overall audit operations
Qualification
Required
Proven DRG validation experience for inpatient stays, with Medicare/CMS knowledge
Proficiency with encoders and groupers
One of the following active credentials: RN, LPN/LVN, CCS, or CIC
Benefits
Medical (HDHP) with pharmacy, dental, and vision
HSA and FSA options
Life, accident, critical illness, long-term disability, and pre-paid legal
401(k) and Roth 401(k)
Paid time off
Company
HealthCare Support
HealthCare Support is a national niche recruitment firm that has a singular focus - placing top talent in the dynamic healthcare industry.