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Remote Drg Auditor Jobs in Spring, TX (NOW HIRING)

Datavant

Inpatient Audit Specialist- PRN

Houston, TX · Remote

$35 - $45/hr

This role is fully remote with a flexible schedule, allowing you to help shape the future of health ... and/or auditing. * CCS (required), RHIA or RHIT preferred * Maintain 95% DRG accuracy rate

MD Anderson

Coding Training Coordinator

Houston, TX · Remote

Remote Must be able to attend meetings onsite as needed Why Us. Working in this role at UT MD ... DRG reviews and coding accuracy clarifications Assist leadership and team members with workflow ...

All JobsDrg Auditor JobsRemote Drg Auditor JobsRemote Drg Auditor Jobs in Spring, TX

Remote Drg Auditor information

See Spring, TX salary details

$57.4K

$77.4K

$86.8K

How much do remote drg auditor jobs pay per year?

As of Aug 28, 2026, the average yearly pay for remote drg auditor in Spring, TX is $77,378.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,800.00 and $82,300.00 per year, depending on experience, location, and employer.

What is a remote DRG auditor?

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 key skills and qualifications needed to thrive as a remote DRG auditor?

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 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.

What are popular job titles related to Remote Drg Auditor jobs in Spring, TX?

For Remote Drg Auditor jobs in Spring, TX, the most frequently searched job titles are:

What job categories do people searching Remote Drg Auditor jobs in Spring, TX look for?

The top searched job categories for Remote Drg Auditor jobs in Spring, TX are:

What cities near Spring, TX are hiring for Remote Drg Auditor jobs?

Cities near Spring, TX with the most Remote Drg Auditor job openings:

Remote Drg Auditor jobs near you
Infographic showing various Remote Drg Auditor job openings in Spring, TX as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $77,378 per year, or $37.2 per hour.

CDI Quality Reviewer (Remote)

Memorial Hermann Health System

Houston, TX • On-site, Remote

$33.25 - $44.50/hr

Full-time

Posted 4 days ago

Memorial Hermann Health System rating

7.7

Company rating: 7.7 out of 10

Based on 290 frontline employees who took The Breakroom Quiz

162nd of 895 rated healthcare providers

Job description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The Clinical Documentation Integrity (CDI) Quality Reviewer responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve Diagnosis-Related Group (DRG) or other code discrepancies, collaborate with CDI educator to educate CDI team based on opportunities identified in second level reviews and work directly with clinicians and providers to improve the overall quality and completeness of documentation through the query process and/or provider education. The CDI Quality Reviewer will collaborate closely with Coders, Coding Quality Auditors, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards. Typically reports to the CDI Quality/Education Manager.Job Description
***Must Have CDI Experience to Be Considered for This Position***
MINIMUM QUALIFICATIONS
Education: Bachelor's of Nursing, required; Master's Degree in Nursing or Management preferred.
Licenses/Certifications:
  • Current State of Texas license or temporary/compact license to practice professional nursing
  • One of the following is required:
    • Certified Clinical Documentation Specialist (CCDS) from the Association of Clinical Documentation Improvement Specialists
    • Certified Clinical Documentation Integrity Professional (CDIP) from the American Health Information Management Association (AHIMA)
    • Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA)

Experience / Knowledge / Skills:
  • Three (3) years of Clinical Documentation Integrity (CDI) experience required
  • Approved AHIMA ICD-10-CM/PCS Trainer preferred
  • Previous CDIS auditing, denial and Vizient experience preferred
  • Strong computer proficiency including working knowledge of MS Office- Word, Excel and Outlook and 3M Coding and Reimbursement software; experience with Epic EMR preferred
  • Excellent communication, analytical and problem-solving skills are essential
  • Strong organizational skills and must be detail oriented
  • Highly analytical with strong risk assessment, impact analysis and problem- solving skills
  • Highly self-motivated, yet demonstrate ability to be a team player and take direction
  • Flexible and able to multi-task and prioritize daily workload, performing concurrent chart reviews as needed

PRINCIPAL ACCOUNTABILITIES
  • Completes comprehensive, clinical secondary reviews of targeted patient populations to include cases with DRG and/or code discrepancies; mortality reviews to ensure documentation supports risk of mortality; hospital acquired conditions (HACs), patient safety indicators (PSIs) or other top priority diagnoses as identified for potential missed opportunities to clarify documentation or clinically validate a diagnosis.
  • Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using concurrent query process following ACDIS/AHIMA Guidelines for a Compliant Query Practice.
  • Acts as a liaison between the Coding Department and Clinical Documentation Integrity to reconcile discrepancies in code and/or DRG assignment.
  • Communicates findings of secondary reviews to Manager.
  • Collaborates with CDI Educator/Auditor when educational needs are identified from second level reviews.
  • Researches, investigates and remains up to date on both clinical and coding guidelines in quarterly Coding Clinics as they relate to physician documentation improvement needed, in an ICD-10 coding environment.
  • Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication, and quality outcomes. Serves as a resource for appropriate clinical documentation.
  • Documents and tracks second level reviews and results; shares this information with Manager.
  • Collaborates with physicians and/or other clinicians to enhance understanding of the CDI program goals; ensures the medical record can be coded accurately in order to accurately reflect patient severity of illness and risk of mortality.
  • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as a resource to less experienced staff.
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards of providing safe, caring, personalized and efficient experiences to patients and our workforce.
  • Other duties as assigned.

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About Memorial Hermann

Sourced by ZipRecruiter

The Memorial Hermann Southwest Hospital Women's Services is a magnet hospital as well as a level 3 designated facility with a blend of high-risk and community patients. This creates a fast-paced environment and a chance to work with a diverse population. Our Labor & Delivery unit has a low c-section rate and is extremely collaborative and close-knit. We have the ability to cross-train through all areas of Women's Services. We have a family-like atmosphere with an amazing amount of comradery, and our low turnover rates attest to this. Nurses here feel like they not only have autonomy but can also be advocates for their patients. MHSW not only prides ourselves on evidenced based practice, but nurses have a strong voice.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Houston, TX, US

Year founded

1907

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