Principal DRG Coding Auditor – Remote

Elevance Health; Remote; USD 119,000 - 207,000; Full time

Job summary

A leading healthcare company is seeking a skilled medical claims auditor who will work virtually full-time and analyze complex claims using advanced coding principles. The position requires at least 15 years of experience in claims auditing and certifications in health information management. With responsibilities that include validating claim accuracy and improving audit processes, this role offers a competitive salary range between $119,760 and $206,586, alongside a robust benefits package.

Benefits

Comprehensive benefits package

401k contribution

Equity stock purchase

Qualifications

• Requires minimum of 10 years experience working with ICD-9/10CM.
• At least 15 years of experience in claims auditing preferred.
• Broad knowledge of medical claims billing systems.

Responsibilities

• Analyzes and audits claims using ICD-10 coding principles.
• Operates independently with minimal supervision.
• Collaborates with management to improve audit criteria.

Skills

ICD-10 coding expertise

Claims auditing experience

Quality assurance knowledge

Education

RHIA certification

RHIT certification

CCS certification

CIC certification

CCDS certification

Job description

A leading healthcare company is seeking a skilled medical claims auditor who will work virtually full-time and analyze complex claims using advanced coding principles. The position requires at least 15 years of experience in claims auditing and certifications in health information management. With responsibilities that include validating claim accuracy and improving audit processes, this role offers a competitive salary range between $119,760 and $206,586, alongside a robust benefits package.