Hybrid DRG Coding Audit Manager

Elevance Health; Norfolk (VA); Hybrid; USD 115,000 - 207,000; Full time

Job summary

Elevance Health is seeking a DRG Coding Audit Manager to lead a high-performing team auditing inpatient records, ensuring accuracy of DRG assignments and regulatory integrity. This role drives audit strategy, collaborates with clinical and compliance teams, and develops scalable reporting tools.

The ideal candidate has 5+ years in project/program management and inpatient coding or DRG auditing, with leadership experience. Hybrid work model; relocation or travel as needed is expected.

Qualifications

• BA/BS and 5+ years in project/program management or related fields.
• Willing to travel to worksite as needed.
• Hybrid in-office 3 days per week.

Responsibilities

• Set strategic direction for audit methodologies.
• Collaborate with clinical, compliance, provider engagement, and data analytics teams.
• Hire, train, and evaluate direct reports.
• Analyze audit trends and DRG shifts.
• Develop program scope and reporting tools.
• Lead documentation to support business objectives.
• Engage local stakeholders and decision makers.
• Suggest process improvements.

Skills

Project management

Process reengineering

Organizational design

Implementation

Education

BA/BS degree

Job description

Elevance Health is seeking a DRG Coding Audit Manager to lead a high-performing team auditing inpatient records, ensuring accuracy of DRG assignments and regulatory integrity. This role drives audit strategy, collaborates with clinical and compliance teams, and develops scalable reporting tools.

The ideal candidate has 5+ years in project/program management and inpatient coding or DRG auditing, with leadership experience. Hybrid work model; relocation or travel as needed is expected.