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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 ...

CGI Inc.

Remote MSDRG Auditor

Atlanta, GA · On-site +1

Remote MSDRG Auditor Category: Analytics and Emerging Digital Technologies Main location: United ... The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with ...

Jzanus Consulting

DRG Validator- Remote

Garden City, NY · Remote

$85K/yr

The DRG Validation position requires an extensive background in inpatient DRG coding with a deep ... The validator is responsible for auditing inpatient medical records, ensuring the accuracy of ...

CorroHealth

DRG Revenue Integrity Auditor - REMOTE

The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and ... This is a remote position** ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ...

Cotiviti

Senior Auditor Quality - DRG

$47 - $56/hr

... or recovery auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital ... Remote #senior Employment Type: OTHER

PF Concepts

Inpatient Coding Auditor

Paterson, NJ · Remote

$40 - $44/hr

Remote Job Summary: The Inpatient Coding Auditor is responsible for auditing inpatient coding and DRG assignment to ensure accurate ICD-10-CM/PCS coding, documentation support, and compliance with ...

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST ... auditing. Payment integrity DRG validation is a plus. * Adherence to the Official Coding and ...

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How much do remote drg auditor jobs pay per year?

As of Jul 26, 2026, the average yearly pay for 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 are the key skills and qualifications needed to thrive in the Remote Drg Auditor position, and why are they important?

To thrive as a Remote DRG Auditor, you need in-depth knowledge of medical coding, DRG validation, and healthcare reimbursement guidelines, typically supported by credentials such as RHIA, RHIT, or CCS certification. Familiarity with coding software (such as 3M or Optum), hospital billing systems, and electronic health record (EHR) platforms is essential. Strong analytical skills, attention to detail, and the ability to work independently make candidates stand out in this remote position. These competencies ensure accurate audit results, regulatory compliance, and effective communication with healthcare providers and teams.

What is a Remote DRG Auditor job?

A Remote DRG (Diagnosis-Related Group) Auditor reviews medical records to ensure accurate coding, billing, and compliance with healthcare regulations. They analyze patient documentation to validate DRG assignments, identify discrepancies, and help optimize reimbursements. This role requires expertise in medical coding, auditing, and knowledge of coding guidelines such as ICD-10-CM/PCS. Working remotely, DRG Auditors communicate with healthcare providers and coding teams to resolve coding errors and ensure accurate claims processing.

What are the typical challenges faced by a Remote DRG Auditor, and how can I overcome them?

Remote DRG Auditors often encounter challenges such as navigating incomplete medical records, staying updated with changing coding regulations, and maintaining productivity while working independently. To overcome these obstacles, it's important to remain organized, leverage online training and coding resources, and stay proactive in communicating with healthcare teams for any clarifications. Regularly attending webinars, participating in professional associations, and connecting with other auditors can also help you stay current on best practices and regulatory changes. Adapting to technological tools and troubleshooting minor IT issues on your own is also part of the remote experience. With diligence and continued professional development, these challenges can become valuable opportunities for personal and career growth.

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Remote Drg Auditor jobs near you
Infographic showing various Remote Drg Auditor job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $86,952 per year, or $41.8 per hour.
DRG Auditor

DRG Auditor

MMC Group

San Antonio, TX • Remote

Full-time

Posted 7 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