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Drg Coding Auditor Jobs (NOW HIRING)

Emory Healthcare

Inpatient DRG Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: * Reviews inpatient medical records ...

Emory Healthcare

Inpatient DRG Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: * Reviews inpatient medical records ...

Emory Healthcare

Inpatient DRG Coding Auditor

Atlanta, GA

$39.31 - $47.90/hr

We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: * Reviews inpatient medical records for select ...

Emory Healthcare

Inpatient DRG Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: * Reviews inpatient medical records ...

Humana, Inc.

Inpatient Medical Coding Auditor

Required Qualifications | What it takes to Succeed • RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years) • MS-DRG coding/auditing experience • ...

Humana, Inc.

Inpatient Medical Coding Auditor

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 ...

MedReview

DRG (Coding) Reviewer/Auditor

Manhattan, NY · Remote

At least 3 years' experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment integrity DRG validation is a plus. * Adherence to the Official Coding and Reporting ...

Ensemble Health Partners

$69.40K - $104.10K/yr

The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities ...

Huron Consulting Group

Inpatient Coding Auditor

Chicago, IL · On-site +1

$28 - $32/hr

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 ...

Cotiviti

DRG Validation Auditor (Clinical & Coding)

$45.67/hr

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits (DRG Validation). The ideal candidate for this position needs to have both a clinical (nurse) and ...

Cotiviti

$45.67/hr

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits (DRG Validation). The ideal candidate for this position needs to have both a clinical (nurse) and ...

Cotiviti

$45.67/hr

Inpatient DRG/APR-DRG. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the ...

Salina Regional Health Center

CODING AUDITOR

Salina, KS · On-site

$26 - $29.50/hr

Auditors will perform quality reviews on records coded by hospital coding staff as well as professional coding staff to validate that ICD 10 codes and DRG assignments are accurate and consistent with ...

Salina Regional Health Center

CODING AUDITOR

Salina, KS

$26 - $29.50/hr

Auditors will perform quality reviews on records coded by hospital coding staff as well as professional coding staff to validate that ICD 10 codes and DRG assignments are accurate and consistent with ...

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How much do drg coding auditor jobs pay per hour?

As of May 29, 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 are the key skills and qualifications needed to thrive as a DRG Coding Auditor, and why are they important?

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 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 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.

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What states have the most Drg Coding Auditor jobs? States with the most job openings for Drg Coding Auditor jobs include:
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Drg Coding Auditor jobs near you
Infographic showing various Drg Coding Auditor job openings in the United States as of May 2026, with employment types broken down into 93% Full Time, 1% Part Time, 1% Temporary, 3% Contract, 1% Nights, and 1% Summer. Highlights an 25% Physical, 50% Hybrid, and 25% Remote job distribution, with an average salary of $60,553 per year, or $29.1 per hour.
Inpatient DRG Coding Auditor

Inpatient DRG Coding Auditor

Emory Healthcare

Atlanta, GA • On-site

$26 - $29.50/hr

Full-time

Posted 28 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 207 frontline employees who took The Breakroom Quiz

158th of 864 rated healthcare providers

Job description

Overview
Be inspired. Be valued. Belong.
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
We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will:
  • 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 QUALIFICATIONS:
  • Certified Coding Specialist (CCS) certification.
  • RHIA/RHIT preferred.
  • Minimum five (5) years experience with coding ICD-10 in an acute care setting.
  • Previous experience in performing DRG coding audits.
  • Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses / procedures impact DRG assignment.
  • Basic computer skills in word processing and spreadsheet utilization.
  • Excellent interpersonal skills to develop relationships necessary to facilitate and educate.
  • Excellent prioritization and organizational skills.

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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