Diagnosis-Related Group (DRG) Auditor III

About This Opportunity

We are representing a confidential healthcare organization seeking an experienced Diagnosis-Related Group (DRG) Auditor III to join their team. This fully remote position offers the flexibility to work from anywhere in the United States, with occasional travel (up to 10% annually) for team collaboration and client engagements.

Our client values professional development and provides comprehensive training programs to help auditors excel in their careers. This role is ideal for a seasoned DRG professional looking to make a meaningful impact while maintaining excellent work-life balance.

Responsibilities

• Conduct thorough DRG audits to ensure accuracy and compliance with coding standards
• Review medical records and documentation to validate assigned diagnosis-related groups
• Identify coding discrepancies and provide detailed feedback to clinical teams
• Collaborate with healthcare providers to clarify documentation and support proper code assignment
• Maintain up-to-date knowledge of ICD-10, MS-DRG guidelines, and regulatory requirements
• Participate in quality improvement initiatives and contribute to audit accuracy metrics
• Travel occasionally (up to 10% per year) for team meetings and limited onsite client engagements

What We're Looking For

• Extensive experience as a DRG auditor with proven expertise in MS-DRG methodology
• Strong knowledge of ICD-10-CM/PCS coding, medical terminology, and reimbursement systems
• Professional certification such as RHIA, RHIT, CCS, or CPC strongly preferred
• Excellent analytical skills with attention to detail and accuracy
• Ability to communicate complex coding concepts clearly to clinical and administrative staff
• Self-motivated and capable of working independently in a remote environment
• Proficiency with coding software and electronic health record systems
• Must be based in the United States and eligible to work without sponsorship

Note: A brief coding and auditing assessment may be included as part of the interview process.

How We Work With You

Get A Job.ai partners with leading healthcare organizations to connect exceptional talent with meaningful opportunities. When you apply through our platform, one of our specialized healthcare recruiters will review your qualifications and contact you to discuss the role in detail. If there's a strong match, we'll prepare and submit your profile to our client for consideration.

Please apply exclusively through Get A Job.ai—do not contact the client directly, as all candidates must be submitted through our recruitment process.

Pay

Pay via Get A Job.ai is competitive and commensurate with experience, skills, and qualifications, typically ranging from $73,000 to $98,700 annually for this senior-level position.

Equal Opportunity: Get A Job.ai is committed to inclusive hiring practices and equal employment opportunity. We encourage applications from candidates of all backgrounds and experiences.