Hybrid DRG Coding Audit Lead (Inpatient)

Elevance Health, Inc.; Atlanta (GA); Hybrid; USD 115,000 - 207,000; Full time

Job summary

Elevance Health seeks a DRG Coding Audit Manager to lead a high-performing team auditing inpatient records for accurate DRG assignments and regulatory compliance. The role focuses on strategic audit methods, cross-functional collaboration, and building robust metrics to drive program success.

The position is hybrid, requiring in-office presence three days per week, with travel to posting locations as needed.

Qualifications

• BA/BS and minimum 5 years experience in project/program management, process reengineering, organizational design, and/or implementation; travels to worksite as necessary.
• Experience in leading audit or improvement programs and collaborating with cross-functional teams.
• Inpatient coding or DRG auditing experience preferred, with leadership/supervisory exposure.

Responsibilities

• Set strategic direction for audit methodologies and ensure audits meet best practices and payer requirements.
• Collaborate with clinical, compliance, provider engagement and data analytics teams to align audit insights with program goals.
• Hire, train, coach, and evaluate performance of direct reports.
• Analyze audit trends, DRG shifts, and use financial outcomes to inform strategy.
• Plan program/project scope and design; develop metrics and reporting tools.

Skills

PM leadership

DRG auditing

ICD-9/10CM knowledge

MS-DRG/APR-DRG knowledge

Education

BA/BS

Job description

Elevance Health seeks a DRG Coding Audit Manager to lead a high-performing team auditing inpatient records for accurate DRG assignments and regulatory compliance. The role focuses on strategic audit methods, cross-functional collaboration, and building robust metrics to drive program success.

The position is hybrid, requiring in-office presence three days per week, with travel to posting locations as needed.