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Drg Coding Auditor Jobs (NOW HIRING)

Emory Healthcare

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25 - $28.50/hr

Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is ...

Emory Healthcare

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25 - $28.50/hr

Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is ...

Humana Inc

Inpatient Medical Coding Auditor

Albany, NY · On-site

$71.10 - $97.80/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MS-DRG coding/auditing experience * Experience reading and interpreting claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working ...

New

Humana Inc

Inpatient Medical Coding Auditor

Denver, CO · On-site

$71.10 - $97.80/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MS-DRG coding/auditing experience * Experience reading and interpreting claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working ...

Humana Inc

Inpatient Medical Coding Auditor

Olympia, WA · On-site

$71.10 - $97.80/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MS-DRG coding/auditing experience * Experience reading and interpreting claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working ...

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · On-site +1

$27 - $30.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The ... Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records as needed.

Humana

Inpatient Medical Coding Auditor

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MS-DRG coding/auditing experience * 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working knowledge of Microsoft Office Programs Word ...

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Coding Auditor is a professional auditing role designed for a certified professional coder ... Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records as needed.

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · Remote

$27 - $30.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description The Coding Auditor is a professional auditing role designed for a certified ... Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records as needed.

Humana

Inpatient Medical Coding Auditor

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MS-DRG coding/auditing experience * 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working knowledge of Microsoft Office Programs Word ...

Humana, Inc.

Inpatient Medical Coding Auditor

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MS-DRG coding/auditing experience * 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working knowledge of Microsoft Office Programs Word ...

Humana

Inpatient Medical Coding Auditor

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

MS-DRG coding/auditing experience * 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working knowledge of Microsoft Office Programs Word ...

Huron Consulting Group

Inpatient Coding Auditor

Ohio, IL · Remote

$38.46 - $52.40/hr

  • Medical

  • Dental

  • Vision

Responsible for the auditing of inpatient coders and/or inpatient "audit the auditors" to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. * Perform quality checks/audits on visits ...

Huron Consulting Group

$38.46 - $52.40/hr

  • Medical

  • Dental

  • Vision

Responsible for the auditing of inpatient coders and/or inpatient "audit the auditors" to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. * Perform quality checks/audits on visits ...

Huron Consulting Group

Inpatient Coding Auditor

Charleston, WV · Remote

$38.46 - $52.40/hr

  • Medical

  • Dental

  • Vision

Responsible for the auditing of inpatient coders and/or inpatient "audit the auditors" to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. * Perform quality checks/audits on visits ...

Huron Consulting Group

Inpatient Coding Auditor

Los Angeles, CA · Remote

$38.46 - $52.40/hr

  • Medical

  • Dental

  • Vision

Responsible for the auditing of inpatient coders and/or inpatient "audit the auditors" to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. * Perform quality checks/audits on visits ...

Huron Consulting Group

Inpatient Coding Auditor

Philadelphia, PA · Remote

$38.46 - $52.40/hr

  • Medical

  • Dental

  • Vision

Responsible for the auditing of inpatient coders and/or inpatient "audit the auditors" to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. * Perform quality checks/audits on visits ...

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DRG Coding Auditor information

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$20

$29

$36

How much do drg coding auditor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for drg coding auditor in the United States is $29.11, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $29.81 per hour, depending on experience, location, and employer.

What is a DRG Coding Auditor?

A DRG Coding Auditor is a healthcare professional responsible for reviewing medical records and coding documentation to ensure the accuracy of Diagnosis-Related Group (DRG) assignments. They verify that coding practices comply with federal regulations and hospital policies, help improve reimbursement accuracy, and identify potential coding errors or opportunities for education. DRG Coding Auditors play a crucial role in maintaining the integrity of clinical documentation, supporting compliance, and minimizing risks related to billing and audits.

What are the key skills and qualifications needed to thrive as a DRG Coding Auditor?

To excel as a DRG Coding Auditor, you need in-depth knowledge of ICD-10-CM/PCS coding, DRG assignment, and a background in health information management, often supported by credentials such as RHIA, RHIT, or CCS. Familiarity with coding software, auditing tools, and electronic health record (EHR) systems is essential for accurate and efficient audits. Strong analytical thinking, attention to detail, and effective communication help auditors identify discrepancies and provide clear feedback to coding teams. These skills are vital to ensure compliant, precise coding practices that impact hospital reimbursement and regulatory adherence.

How does a DRG Coding Auditor typically collaborate with clinical staff and coding teams to ensure accurate coding practices?

As a DRG Coding Auditor, you will frequently interact with both clinical staff and coding professionals. Your role often involves reviewing clinical documentation and coded data, then providing feedback or clarification requests to ensure accurate diagnosis-related group (DRG) assignment. Building strong working relationships and communicating effectively with these teams is crucial, as you may need to educate or guide them on documentation standards and compliance updates. This collaboration not only supports accurate billing but also drives overall quality and integrity in patient records.

What is the difference between Drg Coding Auditor vs Medical Coding Specialist?

AspectDrg Coding AuditorMedical Coding Specialist
CredentialsAHIMA or AAPC certification, coding credentialsAHIMA or AAPC certification, coding credentials
Work EnvironmentHospitals, insurance companies, healthcare facilitiesClinics, hospitals, physician offices
Employer & IndustryHealthcare providers, insurance payersHealthcare providers, billing companies
Search & Comparison IntentAuditing, compliance, reimbursement accuracyCoding, billing, documentation

While both roles require coding credentials and work within healthcare settings, Drg Coding Auditors focus on reviewing coding accuracy for reimbursement and compliance, often in hospitals or insurance companies. Medical Coding Specialists primarily handle assigning codes for billing and documentation. The auditor role emphasizes compliance and reimbursement review, whereas the specialist role centers on coding and documentation accuracy.

How do I become a Drg Coding Auditor?

To become a DRG coding auditor, you typically need a coding certification such as CPC or CCS, along with experience in medical coding and billing. Knowledge of diagnosis-related groups (DRGs), coding guidelines, and auditing procedures is essential, and some roles may require a bachelor's degree in health information management or a related field.
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DRG Coding Auditor jobs near you
Infographic showing various Drg Coding Auditor job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 82% Full Time, 11% Part Time, and 5% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution, with an average salary of $60,553 per year, or $29.1 per hour.

Inpatient DRG Coding Auditor

Emory Healthcare

Johns Creek, GA • On-site

$25 - $28.50/hr

Full-time

Re-posted 12 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

159th of 888 rated healthcare providers

Job description

Overview
Be inspired. Be valued. Belong. At Emory Healthcare
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, leadership programs
  • And more

Description
JOB DESCRIPTION:
  • Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
  • Works with Coders and CDSs to draft and initiate physician queries. Performs reviews in a timely manner to maintain DNFB target of 4 days. Provides Coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff. Coordinates remediation when required. Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians, nursing, and other clinical staff to improve documentation.
  • Review's DRG Reassignment letters and assists in formulating Appeal letters

Minimum Required Qualifications:
  • Education: High school diploma Experience: Minimum five (5) years experience with coding ICD-10 in an acute care setting. Previous experience in performing DRG coding audits.
  • Certification: Certified Coding Specialist (CCS) certification. Skills: 1. Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses / procedures impact DRG assignment. 2. Basic computer skills in word processing and spreadsheet utilization. 3. Excellent interpersonal skills to develop relationships necessary to facilitate and educate. 4. Excellent prioritization and organizational skills. Preferred Qualifications: Education: Bachelor's degree in related field Certification: RHIA/RHIT.
    PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
    ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

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