DRG Coding Auditor - MS-DRG and APR-DRG
Compensation
$93k – $160k /yr
Employment type
Full-time
Work setting
On-site
Location
Chicago, IL
Schedule
Day shift
Posted
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Job overview
The DRG Coding Auditor - MS-DRG and APR-DRG is a virtual role based in Chicago, IL. The salary range for this position is $92,880 - $160,218 per year, supporting the Elevance Health clinical audit team. This role exists to audit inpatient medical records and generate high-quality recoverable claims. The auditor evaluates coding and DRG assignment accuracy by integrating clinical guidelines and industry knowledge to substantiate findings and improve claim recovery processes.
What you'll do
- Analyze and audit claims using medical chart coding principles and clinical guidelines.
- Utilize ICD-10 coding expertise to substantiate conclusions.
- Use audit tools and workflow systems to generate findings letters.
- Maintain accuracy and quality standards.
- Identify new claim types for potential recoveries.
- Suggest process improvements.
What we're looking for
- Skills & competencies
- full-timevirtualchicago ilelevance healthdrg codingicd-10auditorhealthcareclinical auditms-drg
- Work arrangement
- Weekend coverage required
Benefits & perks
- Comprehensive benefits package, incentive programs, equity stock purchase, and 401k contribution.
Why this role
$1,500 sign-on bonus.
About the employer
Elevance Health is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Direct Health and Medical Insurance Carriers
- Occupation code
- 29-1141.00
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Listing ID: f6ecda3f-061c-4416-a0bf-2972d216e9bd