Remote DRG Coding Auditor: Impactful Medical Records Review

DaMar Staffing; Chicago (IL); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Benefits package

Equity plan

401k

Job summary

Elevance Health is seeking a DRG Coding Auditor to review inpatient medical records for accuracy in DRG assignment across all lines of business. This role conducts clinical reviews, supports recovery auditing, and writes audit findings letters to communicate conclusions.

The ideal candidate holds RHIA/RHIT/CCS/CIC/CCDS certification or AA/AS with 5+ years of coding and auditing experience, and can work remotely with occasional in-person training sessions as required.

Qualifications

• AA/AS or 5+ years of experience in claims auditing, quality assurance, or recovery auditing.
• RHIA/RHIT/CCS/CIC/CCDS certifications are preferred.
• Experience with vendor DRG coding / clinical validation auditing is preferred.

Responsibilities

• Audit inpatient medical records and generate high-quality recoverable claims.
• Perform clinical reviews to evaluate coding and DRG assignment accuracy.
• Prepare audit findings letters and communicate conclusions to stakeholders.
• Identify opportunities for process improvements and efficiency.

Skills

ICD-10 coding

Clinical guidelines

Auditing

Quality assurance

Education

AA/AS in health information

RHIA/RHIT/CCS/CIC/CCDS

Tools

DRG coding tools

Job description

Elevance Health is seeking a DRG Coding Auditor to review inpatient medical records for accuracy in DRG assignment across all lines of business. This role conducts clinical reviews, supports recovery auditing, and writes audit findings letters to communicate conclusions.

The ideal candidate holds RHIA/RHIT/CCS/CIC/CCDS certification or AA/AS with 5+ years of coding and auditing experience, and can work remotely with occasional in-person training sessions as required.