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Drg Clinical Reviewer Rn Jobs (NOW HIRING)

Elevance Health

DRG Clinical Auditor Principal

Mason, OH · On-site

$122K - $183K/yr

Specializes in review of DRG coding via medical record and attending physician's statement provided ... * RN license strongly preferred. For candidates working in person or virtually in the below ...

Med Review Inc

Physician Reviewer

We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...

MedReview

Physician Reviewer

Manhattan, NY · On-site +1

We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...

MedReview

Physician Reviewer

Manhattan, NY · Remote

We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...

Nexus Health Systems, Inc.

Clinical Reviewer Full Time Professional Houston, TX, US 2 days ago Requisition ID: 2175 Clinical ... We are specifically seeking an experienced Registered Nurse (RN) or Nurse Practitioner (NP) with ...

Corvel

Clinical Review Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

Completes DRG audits as needed * Responsible for the overall integrity of the quality of diagnosis and procedure codes verified by the clinical review nurses, for inpatient records and documentation ...

CERiS

Clinical Review Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

Completes DRG audits as needed * Responsible for the overall integrity of the quality of diagnosis and procedure codes verified by the clinical review nurses, for inpatient records and documentation ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · Remote

$63K - $95K/yr

The Clinical Auditor will review medical records to determine accuracy of billing through ... or RN license in the state of employment preferred * CCS or CIC required with DRG auditing ...

Jobtailor

NY · On-site

$26.75 - $30.50/hr

Review complex DRG coding using medical records and attending physician statements from acute care ... Apply advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate ...

New

CERiS

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

The Clinical Auditor will review medical records to determine accuracy of billing through ... or RN license in the state of employment preferred * CCS or CIC required with DRG auditing ...

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How much do drg clinical reviewer rn jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for drg clinical reviewer rn in the United States is $35.92, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $40.38 per hour, depending on experience, location, and employer.

What are popular job titles related to Drg Clinical Reviewer Rn jobs?

For Drg Clinical Reviewer Rn jobs, the most frequently searched job titles are:

Infographic showing various Drg Clinical Reviewer Rn job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 72% Full Time, 18% Part Time, and 7% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $74,707 per year, or $35.9 per hour.

RN Clinical Reviewer

Albany, NY • On-site

Greenlife Healthcare Staffing
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Greenlife Healthcare Staffingexternal

$60/hr

Full-time

Medical

Re-posted 8 days ago

Job description

RN Clinical Reviewer – Jericho or Albany, NY

Location: Jericho or Albany, NY
Employment Type: Full-time (5 days/week)
Rate: $60/hour

Position Overview:
We are seeking a meticulous Clinical Reviewer Registered Nurse. Working under the direction of the team supervisor, this individual performs clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. This role is ideal for an experienced RN with a strong OB/maternal health background and a passion for quality improvement and patient safety.

Why You'll Love Working Here:
  • Competitive rate of $60/hour.
  • 5 sick days (40 hours), subject to the provisions of the NYS Paid Sick Leave Act.
  • Health insurance, subject to plan eligibility requirements.
  • Full-time, 5 days per week.
  • Valuable experience conducting high-stakes clinical reviews for the NYS Department of Health, enhancing your expertise in quality improvement and maternal health.
  • Mission-driven work identifying and analyzing critical events in maternal care and outpatient surgical procedures.

Qualifications:
  • Baccalaureate degree in Nursing, or graduate of an approved Registered Professional Nurses training program.
  • Current licensure as a registered professional nurse in New York State.
  • Minimum of four years of clinical practice experience in a facility or community-based setting, including medical, surgical, and/or obstetrical experience.
  • Minimum of two years of acute care hospital experience.
  • Experience in an acute or ambulatory care facility reviewing charts for quality improvement or utilization review, preferred.
  • Knowledge of current disease/care management/coordination trends, preferred.
  • Must have OB/maternal health background.
  • Strong analytical and communication (written and verbal) skills.
  • Ability to work independently and in a team environment.
  • Ability to prioritize reviews and projects.
  • Proficient in standard office technology and basic Microsoft applications including Word and Excel.
  • Ability to gather and analyze information from records, reports, and other sources.

Key Responsibilities:
  • Conduct clinical reviews of medical records from a variety of sources, as well as other documents crucial to the review.
  • Develop and draft narrative summaries of clinical reviews in the form(s) required by the NYS Department of Health.
  • Track case status in Excel and other databases as required.
  • Other activities as needed in response to the changing needs of the department.

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About Greenlife Healthcare Staffing

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Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

New York, NY, US

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