Registered Nurse

This remote Clinical DRG RN Auditor position leverages registered nursing expertise to validate inpatient claims and ensure coding accuracy. The role involves conducting MS-DRG and APR-DRG coding reviews, verifying ICD-10 diagnosis and procedure assignments, and identifying potential overpayments. Auditors utilize proprietary tools and clinical guidelines to write detailed rationales for their findings while maintaining high-quality standards in a high-volume environment. The position is ideal for nurses with specialized knowledge of coding methodologies and reimbursement systems. It offers the flexibility to telecommute from anywhere within the United States. The organization provides a supportive culture focused on inclusion, comprehensive benefits, and opportunities for career development. Employees contribute to improving global health outcomes by connecting individuals with necessary care and resources. The role requires strong analytical skills, attention to detail, and the ability to work independently in a remote setting. Candidates must hold an unrestricted RN license and possess significant experience in hospital-based coding and DRG reimbursement. View more