DRG Validation Coding Auditor Job at Robert Half (Cincinnati)

Remote Inpatient/DRG Validation Coding Auditor

Our company is searching for a Remote Inpatient/DRG Validation Coding Auditor to...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 5 years of recent inpatient coding experience
At least 3 years of acute inpatient coding audit experience
Active CIC (Certified Inpatient Coder) certification
Deep knowledge of DRG payment and reimbursement systems (MS-DRG, APR-DRG, Tricare, etc.)
Proven ability to independently interpret complex medical records, identify documentation gaps, and communicate required improvements
Strong written and verbal communication skills

Job Responsibility

Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities
Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures
Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies
Research regulatory requirements and provide clear, well-supported recommendations in audit reports
Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities
Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics
Maintain established productivity and quality standards as measured by audit leadership

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Inpatient/DRG Validation Coding Auditor

The Inpatient/DRG Validation Coding Auditor is responsible for reviewing acute i...

Location

United States , Sharonville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

5+ years inpatient coding experience
3+ years facility coding audit experience (DRG/APC validation)
Strong knowledge of reimbursement methodologies and DRG payment systems
Proficiency in EMRs, encoders, proprietary audit systems, and Microsoft Office
Deep understanding of HIPAA and confidentiality requirements
Strong analytical, written, and verbal communication skills
Solid grasp of medical and surgical terminology
Bachelor’s Degree or equivalent experience
Required certification (CCS preferred): CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)

Job Responsibility

Perform detailed audits of inpatient records to validate ICD-10-CM/PCS coding, DRG assignment (MS-DRG, APR-DRG, TRICARE), and clinical documentation accuracy
Ensure documentation supports coded diagnoses, procedures, severity of illness, and resource utilization
Identify overpayments and underpayments through claim analysis (including 30-day lookbacks)
Provide clear, compliant audit recommendations aligned with Official Coding Guidelines and AHA Coding Clinics
Partner with CDI specialists to identify documentation improvement and query opportunities
Maintain productivity, quality standards, and client turnaround expectations
Stay current on regulatory changes, reimbursement policies, and coding updates
Contribute to process improvement initiatives and compliance risk identification

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

Inpatient/DRG Validation Coding Auditor

The Inpatient/DRG Validation Coding Auditor is responsible for reviewing acute i...

Location

United States , Sharonville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

5+ years inpatient coding experience
3+ years facility coding audit experience (DRG/APC validation)
Strong knowledge of reimbursement methodologies and DRG payment systems
Proficiency in EMRs, encoders, proprietary audit systems, and Microsoft Office
Deep understanding of HIPAA and confidentiality requirements
Strong analytical, written, and verbal communication skills
Solid grasp of medical and surgical terminology
Bachelor’s Degree or equivalent experience
Required certification (CCS preferred): CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)

Job Responsibility

Perform detailed audits of inpatient records to validate ICD-10-CM/PCS coding, DRG assignment (MS-DRG, APR-DRG, TRICARE), and clinical documentation accuracy
Ensure documentation supports coded diagnoses, procedures, severity of illness, and resource utilization
Identify overpayments and underpayments through claim analysis (including 30-day lookbacks)
Provide clear, compliant audit recommendations aligned with Official Coding Guidelines and AHA Coding Clinics
Partner with CDI specialists to identify documentation improvement and query opportunities
Maintain productivity, quality standards, and client turnaround expectations
Stay current on regulatory changes, reimbursement policies, and coding updates
Contribute to process improvement initiatives and compliance risk identification

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

Inpatient DRG Nursing Auditor

Join our team in Manila as Inpatient DRG Nursing Auditor. If you’re a registered...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Good Comprehension skills
Strong attention to detail and communication skills
Curious and willing to ask relevant questions
Ability to understand client guidelines related to insurance advantage claims
Must be Philippine Registered Nurse with Active license
Must have an experience in clinical and audit in IP DRG

Job Responsibility

Conduct initial audit reviews to validate billed diagnoses and DRG code are supported by medical records
Record audit results and document finding notes based on policies using professional clinical resources
Perform provider appeals reviews and render decision to either uphold or overturn original finding
Review questionable encoder results, complex cases, and appeal reviews to facilitate referrals to clinical department as needed
Propose new audit concepts supported by your research and analysis
Define new audit concept criteria and test and validate new concepts developed by analytics team
Escalate facility issues per client guidance

New

IT Training Lead

The IT Training Lead will drive technology learning and user adoption across the...

Location

United States , Delray Beach

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in IT training, instructional design, technical enablement, or learning and development
Strong knowledge of Microsoft 365
Excellent communication, facilitation, and content development skills
Ability to translate technical concepts into practical, user-friendly training.

Job Responsibility

Design, develop, and deliver IT training programs in instructor-led, virtual, and self-paced formats
Take lead in the Microsoft Copilot and AI training strategy, including onboarding, advanced use cases, responsible AI usage, and ongoing enablement
Partner with IT leadership to support new technology rollouts, system upgrades, and digital transformation initiatives
Create and maintain training content, including videos, guides, tutorials, and job aids
Identify skill gaps and develop targeted learning solutions to improve adoption and productivity
Gather feedback and measure training effectiveness to continuously improve programs.

New

K Kitchen Representative

The position includes, but is not limited to, the following essential job duties...

Location

United States , New Albany

Salary:

Not provided

Circle K

Expiration Date

Until further notice

Requirements

Excellent communication skills
Team player who can work well with others or independently
Acts with integrity
keeps commitments
Contagious positive attitude
Focuses on achieving results while having fun
Frequently bend, twist at waist, kneel, squat, stand, and walk
Occasionally climb and descend ladders
Tolerate extreme cold and hot temperatures and work in and around fryers, ovens, grills, coolers, freezers, sharp objects, and loud noises
Reach, grasp, and manipulate objects with hands for entire shift, including reaching for objects overhead

Job Responsibility

Provides excellent guest service in a fast and friendly manner
Maintains a clean restaurant environment by cleaning and performing general housekeeping duties
Prepares and serves food items in accordance with all Brand, Company, and health department regulations
Ensures product quality, food safety, and operational standards are met
Keeps accurate cash, sales, and inventory control records
Follows all government laws and safety codes
Completes reports on all incidents following our 5-minute rule policy
Lives our Company values: One Team, Do the Right Thing, Takes Ownership, Play to Win

What we offer

Medical, Dental, Vision, Term Life and AD&D plans
Flexible spending and health savings accounts (FT)
Vacation paid time off
Company holidays paid at time and a half
Matching 401(k)
Tuition Reimbursement
Stock Purchase Plan
Employee Discount Program
Discount Meal Benefit
Wellness Plan

New

K Kitchen Representative

Location

United States , Decatur

Salary:

Not provided

Circle K

Expiration Date

Until further notice

Requirements

Excellent communication skills
Team player who can work well with others or independently
Acts with integrity
keeps commitments
Contagious positive attitude
Focuses on achieving results while having fun
Frequently bend, twist at waist, kneel, squat, stand, and walk
Occasionally climb and descend ladders
Tolerate extreme cold and hot temperatures and work in and around fryers, ovens, grills, coolers, freezers, sharp objects, and loud noises
Reach, grasp, and manipulate objects with hands for entire shift, including reaching for objects overhead

Job Responsibility

Provides excellent guest service in a fast and friendly manner
Maintains a clean restaurant environment by cleaning and performing general housekeeping duties
Prepares and serves food items in accordance with all Brand, Company, and health department regulations
Ensures product quality, food safety, and operational standards are met
Keeps accurate cash, sales, and inventory control records
Follows all government laws and safety codes
Completes reports on all incidents following our 5-minute rule policy
Lives our Company values: One Team, Do the Right Thing, Takes Ownership, Play to Win

What we offer

Medical, Dental, Vision, Term Life and AD&D plans
Flexible spending and health savings accounts (FT)
Vacation paid time off
Company holidays paid at time and a half
Matching 401(k)
Tuition Reimbursement
Stock Purchase Plan
Employee Discount Program
Discount Meal Benefit
Wellness Plan

New

Restaurant Assistant Manager

This position assists the Restaurant Manager (RM) with daily operations of the r...

Location

United States , Holly Springs

Salary:

Not provided

Circle K

Expiration Date

Until further notice

Requirements

Full time required
availability during all hours of operation and at least one hour pre-opening and post-closing required
Valid state Driver's License required
Excellent communication skills
Motivates, coaches, and leads team members
Acts with integrity
keeps commitments
Contagious positive attitude
Focuses on achieving results while having fun
Ability to gain control during stressful situations

Job Responsibility

Assists the Restaurant Manager with daily operations of the restaurant and supervises the team in their absence
Leads and coaches Restaurant Team Members and partners with the management team to maintain the Company and Brand operational standards
Provides excellent guest service in a fast and friendly manner
coaches and corrects team
Conducts second interviews for team members and shift leads
Maintains a clean restaurant environment by cleaning and performing general housekeeping duties
Assigns shift duties to team members and follows up to ensure completion
Directs team and ensures all food items are prepared and served in accordance with all Brand, Company, and health department regulations
Coaches team members to follow guidelines for food preparation and production management
Cascades relevant information to team members and assists with new product training

What we offer

Unlimited tip pooling
Medical, Dental, Vision, Term Life and AD&D plans
Flexible spending and health savings accounts
Short-Term Disability
Vacation paid time off
Company holidays paid at time and a half
Matching 401(k)
Tuition Reimbursement
Stock Purchase Plan
Employee Discount Program

Fulltime

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DRG Validation Coding Auditor

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