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Full Time Remote Drg Auditor Jobs (NOW HIRING)

MMC Group

DRG Auditor

San Antonio, TX · Remote

A leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for remote DRG Validation Auditors. As members of the DRG Validation Team ...

EnableComp

DRG Auditor (REMOTE)

OR · Remote

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

EnableComp

DRG Auditor (REMOTE)

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

EnableComp

DRG Auditor (REMOTE)

OR · Remote

$27.25 - $31/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

CorroHealth

DRG Revenue Integrity Auditor - REMOTE

This is a remote position** ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ... What You'll Do The DRG Revenue Integrity Auditor (DRG-A) performs comprehensive Diagnostic Related ...

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Full Time Remote Drg Auditor information

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How much do full time remote drg auditor jobs pay per year?

As of Aug 13, 2026, the average yearly pay for full time remote drg auditor in the United States is $86,952.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,000.00 and $92,500.00 per year, depending on experience, location, and employer.

What is the difference between Full Time Remote Drg Auditor vs Full Time Remote Medical Coder?

AspectFull Time Remote Drg AuditorFull Time Remote Medical Coder
CertificationsACDIS, CPC, or equivalentCPC, CCS, or RHIT
Work EnvironmentRemote, healthcare auditing firms or hospitalsRemote, healthcare facilities or coding companies
Industry UsageHealthcare reimbursement, insurance, hospitalsMedical billing, insurance claims, healthcare providers
Job FocusReviewing DRG assignments, ensuring complianceTranslating medical records into billing codes

Both roles require healthcare certifications and involve remote work, but Drg Auditors focus on reviewing DRG assignments for reimbursement accuracy, while Medical Coders translate medical records into billing codes. Understanding these differences helps job seekers find the right remote healthcare role.

What cities are hiring for Full Time Remote Drg Auditor jobs? Cities with the most Full Time Remote Drg Auditor job openings:
What are the most commonly searched types of Remote Drg Auditor jobs? The most popular types of Remote Drg Auditor jobs are:
Full Time Remote Drg Auditor jobs near you

DRG Auditor

MMC Group

San Antonio, TX • Remote

Full-time

Re-posted 24 days ago

Job description


Job Description:

A leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for remote DRG Validation Auditors. As members of the DRG Validation Team and working remotely, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of various health plans, including Commercial, Medicare, and Medicaid Clients. DRG Validation Auditors are charged with rendering appropriate, well-supported, and thoroughly-documented decisions, which may result in identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services, including but not limited to acute care, long-term acute care, acute rehabilitation, and skilled nursing facilities, as well as other provider types and care settings. Initially, DRG Validation Auditors are prepared for the role through a detailed, well-defined training process, gaining knowledge and skills in methods for review of medical records and other provider documentation. Ongoing training and education are provided specific to audit processes, coding and reimbursement changes, and other topics as well. The DRG Validation Auditor reports to a DRG Validation Team Leader, who provides support, feedback, and guidance to DRG Validation Auditors. Moreover, quality assurance is provided through a well-defined review and quality management program performed by the Professional Development Team.


Specifically, DRG Validation Auditors will be responsible for the following:


  • Review inpatient medical records to validate the admit order, assignment and sequencing of ICD9-CM diagnosis and procedure codes, discharge status codes, and DRG assignment.

  • Provide a detailed rationale for every medical record review resulting in a DRG Review Results letter, including supporting references.

  • Follow proper procedure for referral to Clinical Nurse Auditor or Physician Advisor.

  • Utilize proper reference material, standards, and guidelines for coding.

  • Provide input to the Edit Development team on claims selection criteria.

  • Verify data received from client and work to resolve discrepancies.

  • If the contract requires onsite review, interact with Providers and other personnel in a professional manner.

  • Follow policies and processes

  • Comply with department standards regarding productivity and audit quality.

  • Perform other duties as assigned.



To be considered for these challenging roles, applicants must have a majority of the following skills, knowledge and abilities:


  • Possess current AHIMA credentials (RHIT/RHIA/CCS), with current CCS preferred

  • Demonstrate extensive knowledge of ICD-9-CM coding and DRG reimbursement, with a minimum of five years of inpatient coding experience

  • Have an understanding of Medicare, Medicaid, and commercial provider reimbursement methodologies, and possess strong data analysis skills

  • Working knowledge of computer functions and applications such as Microsoft Office (Outlook, Word, Excel) and Windows operating systems

  • Ability to write a well-reasoned review in a narrative style, with accurate spelling, grammar, punctuation, and sentence structure

  • Ability to adapt to changing priorities in order to meet Client requirements and productivity standards and deadlines

  • Ability to travel for additional training and on-site reviews on an as-needed basis

  • Since incumbents will work from their home-based offices, they must have their own access to high-speed Internet connectivity