DRG Coding Auditor — MS-DRG/APR-DRG (Remote)

ANTHEM INSURANCE COMPANIES INC; Costa Mesa (CA); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Remote work options

Job summary

Anthem Insurance Companies Inc is seeking a DRG Coding Auditor specialized in MS-DRG and APR-DRG to audit inpatient medical records and generate high-quality recoverable claims across lines of business. The role requires advanced ICD-10 coding expertise, clinical guideline application, and the ability to document audit findings clearly. Virtual/work-from-home options are available with required in-person training sessions. California preferred locations considered.

Qualifications

• Advanced ICD-10 coding expertise.
• Experience auditing inpatient medical records.
• Ability to document audit findings clearly.

Responsibilities

• Audit inpatient medical records for MS-DRG and APR-DRG accuracy.
• Identify and document recoverable claims.
• Communicate audit results and recommendations to clinical and coding teams.

Skills

MS-DRG coding

APR-DRG coding

ICD-10 coding

Audit documentation

Education

ICD-10 coding certification

Job description

Anthem Insurance Companies Inc is seeking a DRG Coding Auditor specialized in MS-DRG and APR-DRG to audit inpatient medical records and generate high-quality recoverable claims across lines of business.

The role requires advanced ICD-10 coding expertise, clinical guideline application, and the ability to document audit findings clearly. Virtual/work-from-home options are available with required in-person training sessions. California preferred locations considered.