Drg Jobs

Provide weekend PRN clinical documentation review and provider query support at UMMS to ensure accurate inpatient documentation and coding.

Experienced coding leader sought to lead remote Florida-based medical coding teams, driving risk-adjustment strategy, coding quality, and GenAI-enabled productivity across markets.

HealthAxis is hiring a Claims Specialist in Tampa to adjudicate Medicare claims, enforce compliance, and deliver timely, high-quality service to members and providers.

Lead the Care Management department at Wiregrass Ranch Hospital to oversee utilization management, discharge planning, care coordination and quality improvement initiatives across the patient care continuum.

A board-certified physician with DRG audit expertise is sought to deliver rigorous clinical reviews and directly inform the development of Machinify's AI-powered DRG adjudication platform.

Sutherland is hiring a Contract Clinical Appeals RN in Houston to evaluate medical records and craft clinical appeals to address managed care denials on a 1099, per-appeal pay basis.

The University of Maryland Medical System seeks an experienced Coding Compliance Auditor to audit outpatient and select inpatient encounters, ensuring accurate ICD-10/CPT coding and regulatory compliance.

UMMS is hiring a detail-oriented Coding Compliance Auditor to perform inpatient and outpatient coding audits, support coding quality initiatives, and provide guidance and training across hospital coding teams.

Experienced clinical documentation specialists with RN credentials are needed to review records, collaborate with clinicians and coders, and drive documentation improvements in a fully remote CDI consulting role at UASI.

Prime Healthcare is hiring an Inpatient Coder Auditor Trainee to audit and finalize inpatient coding (ICD-10/CPT/HCPCS), validate DRGs, and support documentation improvement across acute care records.

Covenant Health is hiring a Clinical Documentation Integrity Specialist to perform concurrent record reviews, support accurate MS-DRG assignment, and partner with physicians and coding teams to improve documentation and compliance.

Chino Valley Medical Center is hiring a Clinical Documentation Specialist to review inpatient records and partner with clinical teams to improve documentation accuracy and reimbursement compliance.

Covenant Health is hiring a Coder Analyst in Knoxville to perform inpatient coding, clinical abstracting, and DRG verification for the centralized coding team.

Presbyterian Healthcare seeks an experienced Provider Network Management Relations Executive in Albuquerque to lead provider engagement, performance reporting, and network relationship strategies supporting clinical quality goals.

WVU Health System is hiring an experienced Hospital Coding Specialist II to perform accurate ICD-10/CPT coding for moderately complex outpatient encounters in a remote capacity.

Prime Healthcare is hiring a Clinical Appeals Specialist to review denials, develop payer appeals, and identify trends to improve claims recoveries and medical necessity outcomes.

Lead Oscar's Medical Economics analytics team to quantify and drive reductions in total cost of care through rigorous modeling, measurement, and cross-functional partnership.

Senior Inpatient Coder for UMMS responsible for analyzing and coding complex inpatient cases using ICD-10-CM/PCS to ensure accurate reimbursement, APR-DRG assignment, and regulatory compliance.