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Drg Jobs (NOW HIRING)

Emory Healthcare

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25 - $28.50/hr

Review's DRG Reassignment letters and assists in formulating Appeal letters MINIMUM QUALIFICATIONS: * Education: High school diploma Experience: Minimum five (5) years experience with coding ICD-10 ...

Emory Healthcare

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25.25 - $28.75/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 ...

Machinify

DRG Reviewer

$90K - $115K/yr

About the Opportunity As part of the Complex Payment Solutions Team, you will, as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including ...

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

Review's DRG Reassignment letters and assists in formulating Appeal letters MINIMUM QUALIFICATIONS: * Education: High school diploma Experience: Minimum five (5) years experience with coding ICD-10 ...

360X Staffing

DRG Revenue Integrity Auditor

Chicago, IL · On-site

$90K - $110K/yr

DRG Revenue Integrity Auditor (Inpatient Coding Auditor) Employment Type: Full-Time, Permanent Salary Range: $90,000 - $110,000 per year Schedule: Monday-Friday, regular business hours (flexible ...

Elevance Health

DRG Clinical Auditor Principal (US)

Mason, OH · On-site

$25.75 - $29.25/hr

Specializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure ...

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 ...

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Drg information

What is a DRG?

A DRG (Diagnosis-Related Group) job typically involves reviewing medical records and coding diagnoses and procedures for healthcare reimbursement. Professionals in this role, such as medical coders or DRG auditors, ensure accurate billing and compliance with healthcare regulations. They work with hospitals, insurance companies, or government agencies to classify patient cases properly. Strong knowledge of medical coding systems like ICD-10 and CPT is essential for this role.

What are the key skills and qualifications needed to thrive in the DRG position, and why are they important?

To thrive as a DRG (Diagnosis-Related Group) Coder, you need a deep understanding of medical coding, healthcare reimbursement systems, and ICD-10-CM/PCS classification, typically supported by a coding certification such as CCS or RHIT. Familiarity with hospital billing software and coding platforms is highly valued in this role. Attention to detail, analytical thinking, and effective communication are essential soft skills for ensuring coding accuracy and collaborating with clinical staff. These competencies are vital for optimizing hospital reimbursement, minimizing claim denials, and maintaining regulatory compliance.

What are some common challenges faced by DRG coders in their daily work?

DRG Coders often encounter challenges such as interpreting complex medical documentation, staying current with ever-changing coding regulations, and ensuring the highest accuracy to prevent claim rejections. They must also regularly communicate with physicians and clinical staff to clarify diagnoses and procedures for proper code assignment. Meeting productivity and quality standards under tight deadlines can add to the pressure, but strong organizational skills and continuous professional development help overcome these obstacles. Successfully managing these challenges helps ensure compliant billing and optimal reimbursement for healthcare organizations.

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Drg jobs near you
Infographic showing various Drg job openings in the United States as of September 2026, with employment types broken down into 3% As Needed, 89% Full Time, 6% Part Time, and 2% Contract. Highlights an 70% Physical, 1% Hybrid, and 29% Remote job distribution.

Inpatient DRG Coding Auditor

Johns Creek, GA • On-site

Emory Healthcare
Hospitals • 10K+ employees
Learn more about Emory Healthcareexternal

$25 - $28.50/hr

Full-time

Re-posted 11 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 220 frontline employees who took The Breakroom Quiz

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
RESPONSIBILITIES:
  • 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:
  • 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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