Strategic DRG Coding Audit Lead (Hybrid)

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

Benefits offered by this job

Hybrid work model

Competitive compensation

Job summary

Elevance Health seeks a DRG Coding Audit Manager-Program/Project to lead a high-performing team auditing inpatient records for DRG accuracy and regulatory compliance. You will drive audit strategy and collaborate with clinical, compliance, and analytics teams to align with program goals.

The role requires a BA/BS and 5+ years in project/program management with inpatient coding or DRG auditing experience; leadership experience is preferred. Hybrid work with in-office commitments.

Qualifications

• BA/BS required with 5+ years in PM/leadership, or equivalent experience.
• Minimum 5–7 years inpatient coding or DRG auditing experience with 2–3 years in leadership.
• Familiarity with ICD-9/10CM, MS-DRG and APR-DRG preferred.

Responsibilities

• Sets audit strategy and oversees methodology to meet industry best practices.
• Collaborates with clinical, compliance, provider engagement, and data analytics teams.
• Hires, trains, coaches, and evaluates direct reports.

Skills

Inpatient coding

DRG auditing

Leadership

ICD-9/10CM

Education

BA/BS

Tools

MS-DRG

APR-DRG

Job description

Elevance Health seeks a DRG Coding Audit Manager-Program/Project to lead a high-performing team auditing inpatient records for DRG accuracy and regulatory compliance. You will drive audit strategy and collaborate with clinical, compliance, and analytics teams to align with program goals.

The role requires a BA/BS and 5+ years in project/program management with inpatient coding or DRG auditing experience; leadership experience is preferred. Hybrid work with in-office commitments.